ROBERT CORY PROFFER (PHYSICIAN ASSISTANT) – Medical Physician Assistant, NPI 1376174417
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,854 PHYSICIAN ASSISTANT in MO
Provider Addresses for ROBERT CORY PROFFER (PHYSICIAN ASSISTANT)
355 PEFFER LN
FENTON, MO 630262824
Phone: (314) 607-1800
Type: Mailing
607 S NEW BALLAS RD STE 2300
SAINT LOUIS, MO 631418234
Phone: (314) 931-5990
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $279.
Total Amount is formed as General ($279) + Research ($0) + Ownership ($0) = $279.
Last reported payment date: 2024-10-21 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($235).
Total Amount
$279
General + Research + Ownership
Payments
11
Total payment records
General Amount
$279
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Regeneron Healthcare Solutions, Inc. | $235 |
| DePuy Synthes Sales Inc. | $28 |
| Hologic Sales and Service, LLC | $16 |
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: 2020-03-20
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 |
|---|---|---|---|---|
| I20200320001063 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 38 | 25 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 24 | 24 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 19 | 19 | $0 |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 12 | 11 | $0 |
Insurance plans in this area (ZIP 63026)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O T O L A R Y N G O L O G Y | MO | |
| O T O L A R Y N G O L O G Y | MO | |
| O T O L A R Y N G O L O G Y | MO | |
| O T O L A R Y N G O L O G Y | MO | |
| O T O L A R Y N G O L O G Y | IL | |
| O T O L A R Y N G O L O G Y | MO | |
| Physician Assistant | MO | |
| Physician Assistant | IL | |
| O T O L A R Y N G O L O G Y | MO | |
| Nurse Practitioner | IN |
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