JUSTIN BRENT LENDERMON (M.D.) – Diagnostic Radiology Physician, NPI 1558896894

JUSTIN BRENT LENDERMON (M.D.) is a healthcare provider. based in Bridgeton, Missouri. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 036167324 (IL). The NPI Number for JUSTIN BRENT LENDERMON (M.D.) is 1558896894

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
JUSTIN BRENT LENDERMON (M.D.)
NPI
1558896894
Phone
(314) 770-9393
Address
12303 DEPAUL DR
Enumeration Date
24 April 2017
Last Update Date
22 August 2025

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
3147390924
Graduation Year
2017 (9 years ago)
PAC ID
6709155328
Group Practice PAC ID
2961488366
Professional Enrollment ID
I20230623001738
Address ID
MO630443545BR3440XLNXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:9State licenses:2Digital endpointsOther names

1,218 DIAGNOSTIC RADIOLOGY in MO

Provider Addresses for JUSTIN BRENT LENDERMON (M.D.)

  • 12303 DEPAUL DR

    BRIDGETON, MO 63044

    Phone: (314) 770-9393

    Fax: (314) 770-9997

    Type: Location

  • 2505 Mission Dr

    Jefferson City, MO 651099508

    Phone: (314) 770-9393

    Type: Location

  • 3440 DEPAUL LANE

    BRIDGETON, MO 630443545

    Phone: (314) 739-0924

    Fax: (314) 548-4748

    Type: Location

  • 1015 Bowles Ave

    Fenton, MO 630262394

    Phone: (636) 496-2850

    Type: Location

  • PO BOX 1127

    MARYLAND HEIGHTS, MO 630430127

    Phone: (314) 770-9393

    Fax: (314) 770-9997

    Type: Mailing

  • Madison Avenue, Beale Street Historic District, Memphis, Shelby County, Tennessee, 38104, United States

    SUITE 1002

    MEMPHIS, TN 381033403

    Phone: (901) 448-5529

    Fax: (901) 448-7683

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $1,462.

Total Amount is formed as General ($1,462) + Research ($0) + Ownership ($0) = $1,462.

Last reported payment date: 2024-11-08 • Largest payer in this snapshot: Inari Medical, Inc. ($504).

Total Amount

$1,462

General + Research + Ownership

Payments

28

Total payment records

General Amount

$1,462

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-08

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: 2024-01-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20230623001738IDiagnostic RadiologyMOTBD
I20240126000588IDiagnostic RadiologyILTBD

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
71045X-ray of chest, 1 view104103$0
74177Ct scan of abdomen and pelvis with contrast8380$0
70450Ct scan head or brain without contrast6969$0
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes4840$0
74176Ct scan of abdomen and pelvis without contrast3737$0
View full utilization report →

Insurance plans in this area (ZIP 63044)

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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: 2961488366View full group profile
NameSpecialtyState
Diagnostic RadiologyMO
Diagnostic RadiologyVA
Diagnostic RadiologyMO
Diagnostic RadiologyMO
Diagnostic RadiologyMO
General Surgery, Diagnostic RadiologyMO
Diagnostic RadiologyMO
Diagnostic RadiologyMO
Diagnostic RadiologyMO
Diagnostic Radiology, Interventional RadiologyPA

Reviews

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Frequently asked questions

How do payers reference JUSTIN BRENT LENDERMON (M.D.)?
For JUSTIN BRENT LENDERMON (M.D.), use NPI 1558896894 as the unique 10-digit identifier.
Active or inactive — what applies to JUSTIN BRENT LENDERMON (M.D.)?
You should see JUSTIN BRENT LENDERMON (M.D.) as active in CMS-hosted NPPES data.
What area of care is associated with JUSTIN BRENT LENDERMON (M.D.)?
JUSTIN BRENT LENDERMON (M.D.)'s record emphasizes Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with JUSTIN BRENT LENDERMON (M.D.)?
Directory geography for JUSTIN BRENT LENDERMON (M.D.) centers on Bridgeton, Missouri.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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