KEITH WICKENHAUSER (MD) – Internal Medicine Physician, NPI 1184042855
Internal Medicine Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
2,216 INTERNAL MEDICINE in KY
Provider Addresses for KEITH WICKENHAUSER (MD)
PO BOX 955534
SAINT LOUIS, MO 631955534
Phone:
Type: Mailing
550 S Jackson St
Suite A3K00
Louisville, KY 40202
Phone: (502) 852-4277
Fax: (502) 852-8980
Type: Location
201 BJC SAINT PETERS DR STE 100
SAINT PETERS, MO 633763386
Phone: (636) 916-8200
Fax: (636) 916-8239
Type: Mailing
711 VETERANS MEMORIAL PKWY STE 300
SAINT CHARLES, MO 633032106
Phone: (636) 669-2350
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 261 Open Payments records for all available years, with a total value of $3,500.
Total Amount is formed as General ($3,500) + Research ($0) + Ownership ($0) = $3,500.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($686).
Total Amount
$3,500
General + Research + Ownership
Payments
261
Total payment records
General Amount
$3,500
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $686 |
| ABBVIE INC. | $406 |
| PFIZER INC. | $398 |
| Novo Nordisk Inc | $179 |
| AstraZeneca Pharmaceuticals LP | $156 |
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: 2018-07-18
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 |
|---|---|---|---|---|
| I20180718000317 | I | Internal Medicine | 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 |
|---|---|---|---|---|
| J0897 | Injection, denosumab, 1 mg | 4,080 | 40 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 571 | 317 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 545 | 328 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 431 | 126 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 395 | 395 | $0 |
Insurance plans in this area (ZIP 63195)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MO | |
| Internal Medicine, Sleep Medicine | MO | |
| Internal Medicine, Allergy/Immunology | MO | |
| Internal Medicine | MO | |
| Geriatric Medicine | MO | |
| Internal Medicine | MO | |
| Osteopathic Manipulative Medicine | MO | |
| Orthopedic Surgery | MO | |
| - | MO | |
| Internal Medicine, Hospitalist | MO |
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