TIMOTHY G GRAVEN (D.O.) – Orthopaedic Surgery of the Spine Physician, NPI 1417015827
Orthopaedic Surgery of the Spine Physician
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NPPES metrics only — not quality of care.
802 ORTHOPEDIC SURGERY in MO
Provider Addresses for TIMOTHY G GRAVEN (D.O.)
1601 Wentzville Pkwy Ste 117
Wentzville, MO 633853814
Phone: (636) 332-8455
Type: Location
430, 16, Narodnaya Street, Sosnovka, Народный округ, Saint Petersburg, Northwestern Federal District, 190000, Russia
SAINT PETERS, MO 633760008
Phone: (636) 441-3444
Fax: (636) 441-9832
Type: Mailing
112, Piper Hill Drive, Saint Peters, Saint Charles County, Missouri, 63376, United States
SAINT PETERS, MO 633761690
Phone: (636) 441-3444
Fax: (636) 441-9832
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 29 Open Payments records for all available years, with a total value of $2,209.
Total Amount is formed as General ($2,209) + Research ($0) + Ownership ($0) = $2,209.
Last reported payment date: 2024-12-15 • Largest payer in this snapshot: Zavation Medical Products, LLC ($955).
Total Amount
$2,209
General + Research + Ownership
Payments
29
Total payment records
General Amount
$2,209
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Zavation Medical Products, LLC | $955 |
| Spinal Simplicity, LLC | $632 |
| CoreLink, LLC | $286 |
| Boston Scientific Corporation | $253 |
| OsteoCentric Technologies, Inc. | $60 |
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: 2010-03-11
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 |
|---|---|---|---|---|
| I20100311000932 | I | Orthopedic Surgery | 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 | 195 | 142 | $0 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 73 | 57 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 59 | 52 | $0 |
| 73502 | X-ray of hip, 2-3 views | 38 | 23 | $0 |
| 72040 | X-ray of upper spine, 2-3 views | 36 | 27 | $0 |
Insurance plans in this area (ZIP 63385)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | MO | |
| - | MO | |
| Nurse Practitioner | MO | |
| Physician Assistant | MO | |
| - | MO | |
| Nurse Practitioner | MO | |
| - | MO | |
| - | MO | |
| - | MO | |
| Interventional Pain Management, Anesthesiology | MO |
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