DR. STEPHEN P OLSEN (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1164862629
Anatomic Pathology & Clinical Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
406 PATHOLOGY in MO
Provider Addresses for DR. STEPHEN P OLSEN (M.D.)
4921 Parkview Pl
Saint Louis, MO 63110
Phone: (314) 747-3000
Type: Location
1915 S 17TH ST STE 100
WILMINGTON, NC 284016683
Phone: (910) 362-9511
Type: Mailing
4921 PARKVIEW PL
SAINT LOUIS, MO 63110
Phone: (314) 747-3000
Type: Location
PO BOX 20169
ROANOKE, VA 240180506
Phone: (540) 767-2700
Fax: (540) 767-2708
Type: Mailing
2131 S 17TH ST
WILMINGTON, NC 284017407
Phone: (910) 343-7074
Fax: (910) 343-7829
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $24.
Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.
Last reported payment date: 2023-07-27 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($24).
Total Amount
$24
General + Research + Ownership
Payments
1
Total payment records
General Amount
$24
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merck Sharp & Dohme LLC | $24 |
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: 2018-07-23
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 |
|---|---|---|---|---|
| I20180723002338 | I | Pathology | NC | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 2,255 | 1,409 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 1,094 | 237 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 473 | 379 | $0 |
| 88360 | Microscopic genetic analysis of tumor, manual | 319 | 113 | $0 |
| 88112 | Cell examination of specimen, selective cellular enhancement technique | 276 | 233 | $0 |
Insurance plans in this area (ZIP 63110)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | NC | |
| - | VA | |
| P A T H O L O G Y | TN | |
| P A T H O L O G Y | NC | |
| P A T H O L O G Y | PA | |
| P A T H O L O G Y | VA | |
| P A T H O L O G Y | VA | |
| P A T H O L O G Y | VA | |
| Pathology, Hematology | VA |
Reviews
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