MARK D WITTRY (MD) – Cardiovascular Disease Physician, NPI 1497721088
Cardiovascular Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
59 NUCLEAR MEDICINE in MO
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Provider Addresses for MARK D WITTRY (MD)
Olde Cabin Road, Creve Coeur Executive Office Park, Creve Coeur, Saint Louis County, Missouri, 63141, United States
SUITE 200
SAINT LOUIS, MO 631417128
Phone: (314) 991-8200
Fax: (314) 991-8206
Type: Mailing
Saint Johns Mercy Medical Center, 615, South New Ballas Road, Creve Coeur, Saint Louis County, Missouri, 63141, United States
DEPT OF NUCLEAR MEDICINE
SAINT LOUIS, MO 631418221
Phone: (314) 251-6465
Fax: (314) 251-4286
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 40 Open Payments records for all available years, with a total value of $3,034.
Total Amount is formed as General ($3,034) + Research ($0) + Ownership ($0) = $3,034.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Telix Pharmaceuticals ($1,754).
Total Amount
$3,034
General + Research + Ownership
Payments
40
Total payment records
General Amount
$3,034
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Telix Pharmaceuticals | $1,754 |
| Edwards Lifesciences Corporation | $280 |
| Progenics Pharmaceuticals, Inc. | $221 |
| HeartFlow, Inc. | $147 |
| GE HEALTHCARE | $119 |
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: 2005-07-13
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 |
|---|---|---|---|---|
| I20050713000843 | I | Nuclear Medicine | 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 |
|---|---|---|---|---|
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 2,212 | 2,209 | $0 |
| 78815 | Nuclear medicine study from skull base to mid-thigh with ct scan | 625 | 520 | $0 |
| 71275 | Ct scan of blood vessels of chest with contrast | 176 | 171 | $0 |
| 74174 | Ct scan of blood vessels of abdomen and pelvis with contrast | 111 | 111 | $0 |
| 78306 | Nuclear medicine study of bone and/or joint whole body | 96 | 92 | $0 |
Insurance plans in this area (ZIP 63141)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NUCLEAR MEDICINE | MO | 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 255 | 217 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | MO | |
| Diagnostic Radiology | MO | |
| Radiation Oncology | MO | |
| Diagnostic Radiology | MO | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | MO | |
| Radiation Oncology | MO | |
| - | MO | |
| Nurse Practitioner | MO | |
| Diagnostic Radiology | MO |
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