DR. LEWIS C HALVERSON (M.D.) – Diagnostic Radiology Physician, NPI 1144253410
Diagnostic Radiology Physician
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Profile Insights
NPPES metrics only — not quality of care.
162 INTERVENTIONAL RADIOLOGY in MO
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Provider Addresses for DR. LEWIS C HALVERSON (M.D.)
SSM Health St. Joseph Hospital - St. Charles, 300, First Capitol Drive, Saint Charles, Saint Charles County, Missouri, 63301, United States
ST CHARLES, MO 63301
Phone: (636) 947-5444
Type: Location
300 First Capitol Drive
St Charles, MO 63301
Phone: (636) 947-5444
Type: Location
220, Compass Point Drive, Saint Charles, Saint Charles County, Missouri, 63301, United States
SAINT CHARLES, MO 633014405
Phone: (636) 947-4480
Type: Mailing
12266 DE PAUL DR STE 315
BRIDGETON, MO 630442514
Phone: (314) 739-5858
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $846.
Total Amount is formed as General ($846) + Research ($0) + Ownership ($0) = $846.
Last reported payment date: 2024-04-25 • Largest payer in this snapshot: Boston Scientific Corporation ($699).
Total Amount
$846
General + Research + Ownership
Payments
9
Total payment records
General Amount
$846
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $699 |
| Medtronic, Inc. | $112 |
| CORDIS US CORP. | $21 |
| Inari Medical, Inc. | $14 |
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: 2004-10-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20041014000000 | I | Interventional Radiology | MO | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 189 | 163 | $0 |
| 71046 | X-ray of chest, 2 views | 111 | 110 | $0 |
| 70450 | Ct scan head or brain without contrast | 103 | 102 | $0 |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 98 | 94 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 71 | 69 | $0 |
Insurance plans in this area (ZIP 63301)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERVENTIONAL RADIOLOGY | MO | 73110 | X-ray of wrist, minimum of 3 views | 16 | 16 |
| INTERVENTIONAL RADIOLOGY | MO | 73630 | X-ray of foot, minimum of 3 views | 34 | 30 |
| INTERVENTIONAL RADIOLOGY | MO | 77012 | Radiological supervision and interpretation of CT guidance for needle insertion | 26 | 26 |
| INTERVENTIONAL RADIOLOGY | MO | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 23 | 23 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | MO | |
| - | MO | |
| Nurse Practitioner | MO | |
| Physician Assistant | MO | |
| - | MO | |
| Nurse Practitioner | MO | |
| - | MO | |
| - | MO | |
| - | MO | |
| Interventional Pain Management, Anesthesiology | MO |
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