BRYON J WITZEL (PA-C) – Physician Assistant, NPI 1528065844

BRYON J WITZEL (PA-C) is a healthcare provider. based in Saint louis, Missouri. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 2006034878 (MO). The NPI Number for BRYON J WITZEL (PA-C) is 1528065844

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
BRYON J WITZEL (PA-C)
NPI
1528065844
Phone
(314) 251-7070
Address
621 S NEW BALLAS RD
Enumeration Date
1 July 2005
Last Update Date
3 March 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3145696440
Graduation Year
2003 (23 years ago)
PAC ID
0244121754
Group Practice PAC ID
1658320700
Professional Enrollment ID
I20070319000021
Address ID
MO631418261SA621XXRDXX507
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,853 PHYSICIAN ASSISTANT in MO

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Provider Addresses for BRYON J WITZEL (PA-C)

  • 621, South New Ballas Road, Creve Coeur, Saint Louis County, Missouri, 63141, United States

    SUITE 3005B

    SAINT LOUIS, MO 631418232

    Phone: (314) 251-7070

    Fax: (314) 251-7071

    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)

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: 2007-03-19

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
I20070319000021IPhysician AssistantMOTBD

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
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes5353$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes4140$0
View full utilization report →

Insurance plans in this area (ZIP 63141)

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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: 1658320700View full group profile
NameSpecialtyState
Nurse PractitionerMO
Physician AssistantMO
Physician AssistantMO
Nurse PractitionerMO
Nurse PractitionerMO
-MO
Physician AssistantMO
General Surgery, Critical Care (Intensivists), Critical Care (Intensivists), General SurgeryPA
Physician AssistantMO
Orthopedic SurgeryAR

Reviews

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Frequently asked questions

Does BRYON J WITZEL (PA-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — BRYON J WITZEL (PA-C) uses 1528065844.
Does the file indicate BRYON J WITZEL (PA-C) is practicing under active NPI?
Directory data currently reports BRYON J WITZEL (PA-C) as active.
What is BRYON J WITZEL (PA-C)'s primary classification?
Physician Assistant is the headline specialty for BRYON J WITZEL (PA-C) here. Clinical services aligned with this taxonomy classification.
What address line appears for BRYON J WITZEL (PA-C)?
BRYON J WITZEL (PA-C)'s geographic hint is Saint Louis, Missouri in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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