DR. JENNIFER LEE DEMERTZIS (MD) – Diagnostic Radiology Physician, NPI 1245326966
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,218 DIAGNOSTIC RADIOLOGY in MO
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Provider Addresses for DR. JENNIFER LEE DEMERTZIS (MD)
13209, Corporate Exchange Drive, Bridgeton, Saint Louis County, Missouri, 63044, United States
BRIDGETON, MO 630443721
Phone: (314) 705-1602
Fax: (770) 237-4985
Type: Mailing
St. Luke's Hospital, 232, South Woods Mill Road, Chesterfield, Saint Louis County, Missouri, 63017, United States
CHESTERFIELD, MO 630173406
Phone: (314) 434-1500
Fax: (314) 548-4748
Type: Location
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: 2008-07-22
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 |
|---|---|---|---|---|
| I20080722000780 | I | Diagnostic Radiology | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 358 | 328 | $0 |
| 73721 | Mri scan of leg joint without contrast | 325 | 310 | $0 |
| 73221 | Mri scan of arm joint without contrast | 277 | 265 | $0 |
| 72197 | Mri scan of pelvis before and after contrast | 154 | 152 | $0 |
| 77067 | Screening mammography | 129 | 129 | $0 |
Insurance plans in this area (ZIP 63044)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | MO | 73110 | X-ray of wrist, minimum of 3 views | 27 | 18 |
| DIAGNOSTIC RADIOLOGY | MO | 73140 | X-ray of fingers, minimum of 2 views | 21 | 17 |
| DIAGNOSTIC RADIOLOGY | MO | 73562 | X-ray of knee, 3 views | 132 | 104 |
| DIAGNOSTIC RADIOLOGY | MO | 73630 | X-ray of foot, minimum of 3 views | 86 | 76 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MO | |
| Diagnostic Radiology | MO | |
| - | MO | |
| Diagnostic Radiology | MO | |
| - | MO | |
| Diagnostic Radiology | MO | |
| Diagnostic Radiology, Interventional Radiology | MO | |
| Diagnostic Radiology | MO | |
| - | MO | |
| Diagnostic Radiology | MO |
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