JENNIFER L ETLING (MD) – Surgery Physician, NPI 1528020328

JENNIFER L ETLING (MD) is a healthcare provider. based in St peters, Missouri. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 2005000203 (MO). The NPI Number for JENNIFER L ETLING (MD) is 1528020328

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER L ETLING (MD)
NPI
1528020328
Phone
(636) 441-2122
Address
6 JUNGERMANN CIRCLE
Enumeration Date
5 April 2006
Last Update Date
6 January 2022

Doctor Profile

Medical School Name
WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6369167100
Graduation Year
1997 (29 years ago)
PAC ID
6305883802
Group Practice PAC ID
3678728763
Professional Enrollment ID
I20050415000602
Address ID
MO633682207OX20XXXPKWY437

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

787 GENERAL SURGERY in MO

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Provider Addresses for JENNIFER L ETLING (MD)

  • 6, Jungermann Circle, Saint Peters, Saint Charles County, Missouri, 63376, United States

    STE 205

    ST PETERS, MO 63376

    Phone: (636) 441-2122

    Fax: (636) 441-5290

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $1,151.

Total Amount is formed as General ($1,151) + Research ($0) + Ownership ($0) = $1,151.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($813).

Total Amount

$1,151

General + Research + Ownership

Payments

11

Total payment records

General Amount

$1,151

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2005-04-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050415000602IGeneral SurgeryMOTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes3526$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3433$0
99204New patient office or other outpatient visit, 45-59 minutes3131$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2624$0
47563Removal of gallbladder with x-ray study of bile ducts using an endoscope1818$0
View full utilization report →

Insurance plans in this area (ZIP 63376)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678728763View full group profile
NameSpecialtyState
General SurgeryMO
General SurgeryMO
General Surgery, Colorectal Surgery (Proctology)MO
-MO
General SurgeryMO
-MO
Nurse PractitionerMO

Reviews

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Frequently asked questions

What is the registry number for JENNIFER L ETLING (MD)?
The registry entry for JENNIFER L ETLING (MD) shows NPI 1528020328.
Quick check: is JENNIFER L ETLING (MD) active?
Public NPPES data shows JENNIFER L ETLING (MD) with an active NPI status right now.
What does the directory say JENNIFER L ETLING (MD) does?
Insurance directories may phrase it differently, but here JENNIFER L ETLING (MD) maps to Surgery Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JENNIFER L ETLING (MD)?
JENNIFER L ETLING (MD) is associated with St Peters, Missouri in the same public data insurers reference.
Can I export JENNIFER L ETLING (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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