KAITLIN A FARRELL (M.D) – Surgery Physician, NPI 1619238862

KAITLIN A FARRELL (M.D) is a healthcare provider. based in Saint louis, Missouri. specializing in GENERAL SURGERY, SURGICAL ONCOLOGY. They hold the professional credentials M.D. They hold a License No. 2018028876 (MO). The NPI Number for KAITLIN A FARRELL (M.D) is 1619238862

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
KAITLIN A FARRELL (M.D)
NPI
1619238862
Phone
(314) 977-9853
Address
3635 VISTA AVE
Enumeration Date
5 June 2012
Last Update Date
19 February 2021

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3149777455
Graduation Year
2012 (14 years ago)
PAC ID
7810299344
Group Practice PAC ID
0143608372
Professional Enrollment ID
I20181020000586
Address ID
MO631171856SA1031XAVEX301

Contacts

Secure Messaging
kfarrell62330@direct-ehr-ssmhc.com
FHIR Endpoint
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:14State licenses:1Other namesUpdated within 12 months

787 GENERAL SURGERY in MO

Provider Addresses for KAITLIN A FARRELL (M.D)

  • 3635 VISTA AVE

    SAINT LOUIS, MO 631102539

    Phone: (314) 977-9853

    Type: Location

  • 1008 S SPRING AVENUE

    SLUCARE DEPARTMENT OF SURGERY

    ST. LOUIS, MO 63110

    Phone: (314) 977-3530

    Type: Mailing

  • 1008 S SPRING AVE

    SAINT LOUIS, MO 631102520

    Phone: (314) 977-3530

    Fax: (314) 977-1630

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $123.

Total Amount is formed as General ($123) + Research ($0) + Ownership ($0) = $123.

Last reported payment date: 2024-03-14 • Largest payer in this snapshot: Stryker Corporation ($109).

Total Amount

$123

General + Research + Ownership

Payments

2

Total payment records

General Amount

$123

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-14

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: 2018-10-20

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181020000586IGeneral SurgeryMOTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes6563$0
99215Established patient office or other outpatient visit, 40-54 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 63110)

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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: 0143608372View full group profile
NameSpecialtyState
Anesthesiology AssistantMO
Pediatric Medicine, Hematology/OncologyTN
Nurse PractitionerIL
Certified Registered Nurse Anesthetist (Crna)MO
Pediatric MedicineIL
G A S T R O E N T E R O L O G YWV
Pediatric Medicine, Cardiovascular Disease (Cardiology)MO
Infectious DiseaseOH
Physician AssistantMO
Pediatric Medicine, Cardiovascular Disease (Cardiology)MO

Reviews

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Frequently asked questions

How is KAITLIN A FARRELL (M.D) identified in CMS data?
CMS-hosted NPPES data lists KAITLIN A FARRELL (M.D) with NPI 1619238862.
Is KAITLIN A FARRELL (M.D) still practicing?
KAITLIN A FARRELL (M.D) is currently listed as active in the public NPI registry.
What is KAITLIN A FARRELL (M.D) best known for clinically?
Directory data describes KAITLIN A FARRELL (M.D) with Surgery Physician. Clinical services aligned with this taxonomy classification.
What address line appears for KAITLIN A FARRELL (M.D)?
KAITLIN A FARRELL (M.D)'s geographic hint is Saint Louis, Missouri in our summary view.
Is the information about KAITLIN A FARRELL (M.D) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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