PATRICIA ANN MISSALL (M.D., PH.D.) – Dermatology Physician, NPI 1427213651
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
337 DERMATOLOGY in MO
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Provider Addresses for PATRICIA ANN MISSALL (M.D., PH.D.)
12639 OLD TESSON RD
SAINT LOUIS, MO 631282786
Phone: (314) 849-0311
Fax: (314) 849-4423
Type: Mailing
Darou, Saint-Louis, 32000, Senegal
SUITE 180
SAINT LOUIS, MO 631418657
Phone: (314) 878-5599
Fax: (314) 392-4290
Type: Location
4037 NW 86TH TER
GAINESVILLE, FL 326069277
Phone: (352) 594-1500
Fax: (352) 594-1926
Type: Mailing
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: 2019-08-22
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 |
|---|---|---|---|---|
| I20190822002864 | I | Dermatology | FL | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 270 | 56 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 156 | 138 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 109 | 94 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 84 | 77 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 69 | 63 | $0 |
Insurance plans in this area (ZIP 63128)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Anesthesiology, Pain Management | FL | |
| Nurse Practitioner | FL | |
| G A S T R O E N T E R O L O G Y | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| Nurse Practitioner | FL |
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