DR. COURTNEY CHAMPAGNE CRIDER (M.D.) – Dermatology Physician, NPI 1598146557
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
337 DERMATOLOGY in MO
Provider Addresses for DR. COURTNEY CHAMPAGNE CRIDER (M.D.)
201 BJC SAINT PETERS DR STE 100
SAINT PETERS, MO 633763386
Phone: (636) 916-8200
Fax: (636) 946-5774
Type: Mailing
4800 MEXICO RD STE 104
SAINT PETERS, MO 633761666
Phone: (636) 204-6447
Fax: (877) 349-7061
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 67 Open Payments records for all available years, with a total value of $1,757.
Total Amount is formed as General ($1,757) + Research ($0) + Ownership ($0) = $1,757.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Dermavant Sciences, Inc. ($438).
Total Amount
$1,757
General + Research + Ownership
Payments
67
Total payment records
General Amount
$1,757
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dermavant Sciences, Inc. | $438 |
| Amgen Inc. | $247 |
| ABBVIE INC. | $223 |
| E.R. Squibb & Sons, L.L.C. | $141 |
| Organogenesis 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: 2019-07-20
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 |
|---|---|---|---|---|
| I20190720000061 | I | Dermatology | 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 | 1,877 | 349 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 678 | 509 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 573 | 456 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 502 | 398 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 428 | 335 | $0 |
Insurance plans in this area (ZIP 63376)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MO | |
| D E R M A T O L O G Y | MO | |
| D E R M A T O L O G Y | MO | |
| D E R M A T O L O G Y | MO | |
| D E R M A T O L O G Y | MO | |
| Dermatology, Internal Medicine | MO | |
| Dermatology, Internal Medicine | MO | |
| D E R M A T O L O G Y | IL | |
| Micrographic Dermatologic Surgery (Mds), Dermatology | IL | |
| Dermatology, Internal Medicine | ME |
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