EDMOND B CABBABE (M.D.) – Plastic Surgery Physician, NPI 1437126489
Plastic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
162 PLASTIC AND RECONSTRUCTIVE SURGERY in MO
Provider Addresses for EDMOND B CABBABE (M.D.)
10004 KENNERLY RD STE 281B
SAINT LOUIS, MO 631282109
Phone: (314) 842-5885
Fax: (314) 842-7792
Type: Location
10004 KENNERLY RD STE 283B
SAINT LOUIS, MO 631282177
Phone: (314) 272-0864
Fax: (314) 272-0866
Type: Mailing
10004, Kennerly Road, Sappington, Saint Louis County, Missouri, 63128, United States
SUITE 367B
SAINT LOUIS, MO 631282178
Phone: (314) 272-0864
Fax: (314) 272-0866
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $786.
Total Amount is formed as General ($786) + Research ($0) + Ownership ($0) = $786.
Last reported payment date: 2024-09-04 • Largest payer in this snapshot: Smith+Nephew, Inc. ($266).
Total Amount
$786
General + Research + Ownership
Payments
15
Total payment records
General Amount
$786
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $266 |
| ABBVIE INC. | $149 |
| Davol Inc. | $115 |
| Novo Nordisk Inc | $112 |
| AstraZeneca Pharmaceuticals LP | $112 |
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: 2010-05-24
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 |
|---|---|---|---|---|
| I20100524000350 | I | Plastic And Reconstructive 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63128)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Plastic And Reconstructive Surgery | MO | |
| Plastic And Reconstructive Surgery | MO |
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