MR. JOSEPH ANDREW SOETAERT (PA) – Physician Assistant, NPI 1538485842
Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,871 PHYSICIAN ASSISTANT in MO
Provider Addresses for MR. JOSEPH ANDREW SOETAERT (PA)
660 S EUCLID AVE
CB 8123
SAINT LOUIS, MO 631101010
Phone: (314) 454-2714
Fax: (314) 747-8693
Type: Mailing
4901 FOREST PARK AVE
DIV IM DERMATOLOGY, STE 502
SAINT LOUIS, MO 631081495
Phone: (314) 273-3376
Fax: (888) 665-8309
Type: Location
PO BOX 7412011
CHICAGO, IL 606742011
Phone: (314) 273-3376
Fax: (888) 665-8309
Type: Mailing
901, 5th Street, Creekside, Kalona, Washington County, Iowa, 52247, United States
WASHINGTON, MO 630903127
Phone: (636) 239-8011
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $124.
Total Amount is formed as General ($124) + Research ($0) + Ownership ($0) = $124.
Last reported payment date: 2024-02-01 • Largest payer in this snapshot: ABBVIE INC. ($124).
Total Amount
$124
General + Research + Ownership
Payments
1
Total payment records
General Amount
$124
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $124 |
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: 2010-09-13
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20100913001020 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 284 | 58 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 85 | 80 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 82 | 76 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 81 | 79 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 55 | 52 | $0 |
Insurance plans in this area (ZIP 63110)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| - | MO | |
| - | FL | |
| Occupational Therapist In Private Practice | MO | |
| - | MO | |
| Diagnostic Radiology | IL | |
| - | IL | |
| - | MO | |
| - | MO | |
| - | MO |
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