EMILY C REZNICEK (DO) – Gastroenterology Physician, NPI 1306378039

EMILY C REZNICEK (DO) is a healthcare provider. based in Lake st louis, Missouri. specializing in GASTROENTEROLOGY. They hold the professional credentials DO. They hold a License No. 2023013604 (MO). The NPI Number for EMILY C REZNICEK (DO) is 1306378039

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
EMILY C REZNICEK (DO)
NPI
1306378039
Phone
(636) 561-9020
Address
200 Brevco Plz Ste 208
Enumeration Date
31 March 2017
Last Update Date
7 May 2024

Doctor Profile

Medical School Name
ALABAMA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
3142512880
Graduation Year
2017 (9 years ago)
PAC ID
2961771910
Group Practice PAC ID
8628121795
Professional Enrollment ID
I20230615002362
Address ID
MO631418221SA615XXRDXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

489 GASTROENTEROLOGY in MO

Provider Addresses for EMILY C REZNICEK (DO)

  • 200 Brevco Plz Ste 208

    Lake St Louis, MO 633672950

    Phone: (636) 561-9020

    Type: Location

  • 15945 Clayton Rd Ste 220

    Ballwin, MO 630112491

    Phone: (314) 251-3880

    Type: Location

  • 621 S New Ballas Rd Ste 584A

    Saint Louis, MO 631418261

    Phone: (314) 251-3600

    Type: Location

  • Cleveland Clinic, 9500, Euclid Avenue, Newton Avenue Historic District, University Circle, Cleveland, Cuyahoga County, Ohio, 44195, United States

    CLEVELAND, OH 441950001

    Phone: (216) 444-2200

    Type: Mailing

  • 615 S NEW BALLAS RD STE 1200

    SAINT LOUIS, MO 631418221

    Phone: (314) 251-2880

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 40 Open Payments records for all available years, with a total value of $794.

Total Amount is formed as General ($794) + Research ($0) + Ownership ($0) = $794.

Last reported payment date: 2024-05-24 • Largest payer in this snapshot: ABBVIE INC. ($286).

Total Amount

$794

General + Research + Ownership

Payments

40

Total payment records

General Amount

$794

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-24

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: 2023-06-15

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
I20230615002362IGastroenterologyMOTBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity212106$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope6561$0
45380Biopsy of large bowel using a flexible endoscope6262$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare6262$0
99213Established patient office or other outpatient visit, 20-29 minutes4949$0
View full utilization report →

Insurance plans in this area (ZIP 63367)

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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: 8628121795View full group profile
NameSpecialtyState
Gastroenterology, Internal MedicineMO
-MO
G A S T R O E N T E R O L O G YNC
G A S T R O E N T E R O L O G YMO
Gastroenterology, Internal MedicineMO
G A S T R O E N T E R O L O G YMO
G A S T R O E N T E R O L O G YMO
-MO
Gastroenterology, Internal MedicineMO
G A S T R O E N T E R O L O G YMO

Reviews

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Frequently asked questions

Can I cross-check EMILY C REZNICEK (DO) using NPI 1306378039?
NPI 1306378039 belongs to EMILY C REZNICEK (DO); compare other details if you need extra assurance.
Active or inactive — what applies to EMILY C REZNICEK (DO)?
You should see EMILY C REZNICEK (DO) as active in CMS-hosted NPPES data.
What kind of doctor is EMILY C REZNICEK (DO)?
EMILY C REZNICEK (DO) is associated with Gastroenterology Physician in the directory — Clinical services aligned with this taxonomy classification.
Is EMILY C REZNICEK (DO) located near Lake St Louis?
EMILY C REZNICEK (DO) currently maps to Lake St Louis, Missouri in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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