DR. LUNDY WADE COLVERT (M.D.) – Emergency Medicine Physician, NPI 1225179476

DR. LUNDY WADE COLVERT (M.D.) is a healthcare provider. based in Saint louis, Missouri. specializing in Emergency Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 036114113 (IL). The NPI Number for DR. LUNDY WADE COLVERT (M.D.) is 1225179476

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. LUNDY WADE COLVERT (M.D.)
NPI
1225179476
Phone
(314) 802-7070
Address
2626 LOUISIANA AVE
Enumeration Date
9 February 2007
Last Update Date
20 May 2021

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4797515711
Graduation Year
1994 (32 years ago)
PAC ID
0244251338
Group Practice PAC ID
4486705720
Professional Enrollment ID
I20130917000265
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

Provider Addresses for DR. LUNDY WADE COLVERT (M.D.)

  • 2626 LOUISIANA AVE

    SAINT LOUIS, MO 631181127

    Phone: (314) 802-7070

    Type: Mailing

  • 4500 MEMORIAL DR

    BELLEVILLE, IL 622265360

    Phone: (618) 257-5879

    Fax: (618) 257-6740

    Type: Location

  • 200 CORPORATE BLVD

    LAFAYETTE, LA 705083870

    Phone: (800) 893-9698

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2013-09-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20051216000364IEmergency MedicineILTBD
I20130917000265IEmergency MedicineARTBD

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
99285Emergency department visit with high level of medical decision making129115$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only6962$0
99284Emergency department visit with moderate level of medical decision making3838$0
71045X-ray of chest, 1 view1818$0
99291Critical care, first 30-74 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 63118)

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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: 4486705720View full group profile

Reviews

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Frequently asked questions

Does DR. LUNDY WADE COLVERT (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. LUNDY WADE COLVERT (M.D.) uses 1225179476.
Is DR. LUNDY WADE COLVERT (M.D.) listed as active for patients and plans?
The listing shows DR. LUNDY WADE COLVERT (M.D.) as active in the NPI system.
What taxonomy line describes DR. LUNDY WADE COLVERT (M.D.)?
For research purposes, treat DR. LUNDY WADE COLVERT (M.D.) as Emergency Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does DR. LUNDY WADE COLVERT (M.D.) list a practice location?
Patients near Saint Louis, Missouri may find DR. LUNDY WADE COLVERT (M.D.) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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