MICHAEL E CANNON (MD) – Family Medicine Physician, NPI 1154348761

MICHAEL E CANNON (MD) is a healthcare provider. based in Kirkwood, Missouri. specializing in FAMILY PRACTICE, SPORTS MEDICINE. They hold the professional credentials MD. They hold a License No. R8H68 (MO). The NPI Number for MICHAEL E CANNON (MD) is 1154348761

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL E CANNON (MD)
NPI
1154348761
Phone
(314) 325-8925
Address
PO BOX 221240
Enumeration Date
17 July 2006
Last Update Date
16 February 2023

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3143258925
Graduation Year
1987 (39 years ago)
PAC ID
4587714076
Professional Enrollment ID
I20090603000491
Address ID
MO630174778CH16216RDXX397
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,332 FAMILY PRACTICE in MO

Provider Addresses for MICHAEL E CANNON (MD)

  • PO BOX 221240

    KIRKWOOD, MO 631228240

    Phone: (314) 325-8925

    Type: Mailing

  • 16216 BAXTER RD STE 340

    CHESTERFIELD, MO 630174778

    Phone: (314) 325-8925

    Type: Location

  • 3009, North Ballas Road, Town and Country, Saint Louis County, Missouri, 63131, United States

    SUITE 100B

    SAINT LOUIS, MO 631312322

    Phone: (314) 432-1111

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2023-02-20 • Largest payer in this snapshot: ABBVIE INC. ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$14
View all Open Payments →|Open Payments Risk Radar →

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: 2009-06-03

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090603000491IFamily PracticeMOTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes314167$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit151151$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report141137$0
82274Stool analysis for blood, by fecal hemoglobin determination by immunoassay10299$0
99213Established patient office or other outpatient visit, 20-29 minutes7859$0
View full utilization report →

Insurance plans in this area (ZIP 63122)

Loading plans...

Provider's Procedures

MICHAEL E CANNON (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEMO82270Stool analysis for blood to screen for colon tumors2222
FAMILY MEDICINEMO83036Hemoglobin A1C level3721

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I cross-check MICHAEL E CANNON (MD) using NPI 1154348761?
NPI 1154348761 belongs to MICHAEL E CANNON (MD); compare other details if you need extra assurance.
Is MICHAEL E CANNON (MD) still an active registrant?
MICHAEL E CANNON (MD) carries an active NPI according to the public dataset.
What kind of doctor is MICHAEL E CANNON (MD)?
MICHAEL E CANNON (MD) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with MICHAEL E CANNON (MD)?
Directory geography for MICHAEL E CANNON (MD) centers on Kirkwood, Missouri.
When was this NPI issued?
Enumeration for MICHAEL E CANNON (MD) is noted as July 17, 2006 where the registry provides it.

Similar Providers

6707 W Hampton Ave
NPI: 1487627568

SANDRA K. MINCHOW-PROFFITT (M.D.)

Family Medicine Physician
103 N TAYLOR AVE, STE C
NPI: 1346215787

DR. MICHAEL JAMES O'DAY (D.O.)

Family Medicine Physician
719, Briarfarm Lane, Briar Hill Farm, Kirkwood, Saint Louis County, Missouri, 63122, United States
NPI: 1376500140

DR. MARK D. KING (M.D.)

Family Medicine Physician
17505, Summit View Place Ridge, Wildwood, Saint Louis County, Missouri, 63038, United States
NPI: 1306866496

Unknown Individual

Family Medicine Physician
11040, Manchester Road, Kirkwood, Saint Louis County, Missouri, 63122, United States
NPI: 1659466944

DR. KEVIN P KING (M.D.)

Family Medicine Physician
816 S KIRKWOOD RD STE 210
NPI: 1174733620

DR. EDWARD CHUN-KUAN CHEN (M.D.)

Family Medicine Physician
816, South Kirkwood Road, Windsor Springs, Kirkwood, Saint Louis County, Missouri, 63122, United States
NPI: 1245431550

CHANDRA SHEKAR, PC

Family Medicine Physician
11040 MANCHESTER RD STE 1
NPI: 1093958647