MICHAEL KOLESSAR (PSY.D.) – Clinical Neuropsychologist, NPI 1134458201
Clinical Neuropsychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
449 CLINICAL PSYCHOLOGIST in MO
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Provider Addresses for MICHAEL KOLESSAR (PSY.D.)
Paul Mayer Avenue, Bridgeton, Saint Louis County, Missouri, 63044, United States
BRIDGETON, MO 630442511
Phone: (314) 447-9705
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-04-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20131213000113 | I | Clinical Psychologist | MO | TBD |
| I20170428000108 | I | Clinical Psychologist | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 96139 | Administration of psychological or neuropsychological test by technician, each additional 30 minutes | 129 | 49 | $0 |
| 96133 | Evaluation of neuropsychological test, each additional hour | 94 | 68 | $0 |
| 96138 | Administration of psychological or neuropsychological test by technician, first 30 minutes | 86 | 67 | $0 |
| 96137 | Administration of psychological or neuropsychological test, each additional 30 minutes | 83 | 34 | $0 |
| 96132 | Evaluation of neuropsychological test, first hour | 72 | 72 | $0 |
Insurance plans in this area (ZIP 63044)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, Internal Medicine | KS | |
| Family Practice | KS | |
| Clinical Psychologist | MO | |
| Physical Medicine And Rehabilitation | NE | |
| Internal Medicine, Pediatric Medicine | KS | |
| Internal Medicine | MO | |
| Family Practice | MO | |
| Emergency Medicine, Family Practice, Sports Medicine | MO | |
| Family Practice | MO | |
| Internal Medicine, Hospitalist | KS |
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