MR. KEVIN L QUEEN (A.A.) – Anesthesiologist Assistant, NPI 1578897054
Anesthesiologist Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
357 ANESTHESIOLOGY ASSISTANT in MO
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Provider Addresses for MR. KEVIN L QUEEN (A.A.)
339 CONSORT DR
BALLWIN, MO 630114439
Phone: (636) 386-9224
Fax: (636) 200-4243
Type: Mailing
Saint Johns Mercy Medical Center, 615, South New Ballas Road, Creve Coeur, Saint Louis County, Missouri, 63141, United States
DEPT. OF ANESTHESIA
SAINT LOUIS, MO 631418221
Phone: (314) 251-6000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $144.
Total Amount is formed as General ($144) + Research ($0) + Ownership ($0) = $144.
Last reported payment date: 2024-09-26 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($64).
Total Amount
$144
General + Research + Ownership
Payments
8
Total payment records
General Amount
$144
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-26
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2009-10-28
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 |
|---|---|---|---|---|
| I20091028000516 | I | Anesthesiology 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 |
|---|---|---|---|---|
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 11 | 11 | $0 |
Insurance plans in this area (ZIP 63011)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Anesthesiology Assistant | MO | |
| A N E S T H E S I O L O G Y | TX | |
| A N E S T H E S I O L O G Y | MS | |
| A N E S T H E S I O L O G Y | TX | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| A N E S T H E S I O L O G Y | MD | |
| A N E S T H E S I O L O G Y | TX | |
| A N E S T H E S I O L O G Y | CT | |
| A N E S T H E S I O L O G Y | TX | |
| Anesthesiology, Interventional Pain Management | TX |
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