DR. DELLICE MARTIN (M.D.) – Critical Care Medicine (Internal Medicine) Physician, NPI 1407829203
Critical Care Medicine (Internal Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
584 CRITICAL CARE (INTENSIVISTS) in MO
Provider Addresses for DR. DELLICE MARTIN (M.D.)
12303 DePaul Drive
Bridgeton, MO 63141
Phone: (314) 344-6000
Fax: (314) 514-6020
Type: Location
300 1ST CAPITOL DR
SAINT CHARLES, MO 633012844
Phone: (636) 947-5162
Fax: (636) 949-7273
Type: Mailing
999, Executive Parkway Drive, Fernridge, Creve Coeur, Saint Louis County, Missouri, 63141, United States
SUITE 210
SAINT LOUIS, MO 631416336
Phone: (314) 514-6000
Fax: (314) 514-6020
Type: Mailing
DePaul Health Center, 12303, DePaul Drive, Natural Bridge Junction, Bridgeton, Saint Louis County, Missouri, 63044, United States
BRIDGETON, MO 63141
Phone: (314) 344-6000
Fax: (314) 514-6020
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: 2004-02-09
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 |
|---|---|---|---|---|
| I20040209001022 | I | Critical Care (Intensivists) | 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 |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 73 | 53 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 22 | 20 | $0 |
Insurance plans in this area (ZIP 63141)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| Internal Medicine | MO | |
| - | MO | |
| N E U R O L O G Y | MO | |
| Plastic And Reconstructive Surgery | OH | |
| A N E S T H E S I O L O G Y | MO | |
| - | MO | |
| - | MO | |
| Nurse Practitioner | MO | |
| - | MO |
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