GREGORY STEPHEN TENTINDO (DMD, MD) – Oral & Maxillofacial Surgery (D.M.D.), NPI 1164866125

GREGORY STEPHEN TENTINDO (DMD, MD) is a healthcare provider. based in Saint louis, Missouri. specializing in MAXILLOFACIAL SURGERY. They hold the professional credentials DMD, MD. They hold a License No. 61373 (CA). The NPI Number for GREGORY STEPHEN TENTINDO (DMD, MD) is 1164866125

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
GREGORY STEPHEN TENTINDO (DMD, MD)
NPI
1164866125
Phone
(314) 251-6725
Address
621 S NEW BALLAS RD STE 16A
Enumeration Date
22 April 2013
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Secondary Phone
3142516725
Graduation Year
2017 (9 years ago)
PAC ID
4486929304
Group Practice PAC ID
5193132975
Professional Enrollment ID
I20171003006037
Address ID
MO631418239SA621XXRDXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:13State licenses:2Digital endpointsOther names

31 MAXILLOFACIAL SURGERY in MO

Provider Addresses for GREGORY STEPHEN TENTINDO (DMD, MD)

  • 621 S NEW BALLAS RD STE 16A

    SAINT LOUIS, MO 631418239

    Phone: (314) 251-6725

    Fax: (314) 251-6726

    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)

CMS reports 18 Open Payments records for all available years, with a total value of $3,028.

Total Amount is formed as General ($3,028) + Research ($0) + Ownership ($0) = $3,028.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Straumann USA LLC ($1,500).

Total Amount

$3,028

General + Research + Ownership

Payments

18

Total payment records

General Amount

$3,028

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2017-10-03

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
I20171003006037IMaxillofacial SurgeryMOTBD

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
99202New patient office or other outpatient visit, 15-29 minutes4949$0
View full utilization report →

Insurance plans in this area (ZIP 63141)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193132975View full group profile
NameSpecialtyState
Maxillofacial SurgeryCA
Maxillofacial SurgeryGA
Maxillofacial SurgeryMO
Maxillofacial SurgeryPR
Maxillofacial SurgeryMO
Maxillofacial SurgeryMD
Maxillofacial SurgeryNJ
Maxillofacial SurgeryTX

Reviews

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Frequently asked questions

Does GREGORY STEPHEN TENTINDO (DMD, MD) have a public NPI I can cite?
Public records show GREGORY STEPHEN TENTINDO (DMD, MD) under NPI 1164866125.
Is GREGORY STEPHEN TENTINDO (DMD, MD)'s NPI status active today?
Active status means GREGORY STEPHEN TENTINDO (DMD, MD)'s NPI record is not deactivated in the public file.
Which specialty label fits GREGORY STEPHEN TENTINDO (DMD, MD)?
NPPES ties GREGORY STEPHEN TENTINDO (DMD, MD) to Oral & Maxillofacial Surgery (D.M.D.) in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to GREGORY STEPHEN TENTINDO (DMD, MD)?
The directory associates GREGORY STEPHEN TENTINDO (DMD, MD) with Saint Louis, Missouri. Check all listed addresses for suites or satellite offices.
Why is information missing for GREGORY STEPHEN TENTINDO (DMD, MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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