DR. CARL DEETZ (M.D./PH.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1629232491

DR. CARL DEETZ (M.D./PH.D.) is a healthcare provider. based in Saint louis, Missouri. specializing in PATHOLOGY. They hold the professional credentials M.D./PH.D.. They hold a License No. 208017358 (MO). The NPI Number for DR. CARL DEETZ (M.D./PH.D.) is 1629232491

Main info

Male
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. CARL DEETZ (M.D./PH.D.)
NPI
1629232491
Phone
(314) 653-5630
Address
11133 DUNN RD
Enumeration Date
11 July 2008
Last Update Date
18 March 2021

Doctor Profile

Medical School Name
UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Secondary Phone
3146535630
Graduation Year
2008 (18 years ago)
PAC ID
2466693841
Group Practice PAC ID
6800825480
Professional Enrollment ID
I20130726000728
Address ID
MO631366163SA11133RDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

406 PATHOLOGY in MO

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Provider Addresses for DR. CARL DEETZ (M.D./PH.D.)

  • Christian Hospital Northeast, 11133, Dunn Road, Saint Louis County, Missouri, 63136, United States

    DEPARTMENT OF PATHOLOGY

    SAINT LOUIS, MO 631366163

    Phone: (314) 653-5630

    Fax: (314) 653-4099

    Type: Mailing

  • PO BOX 144333

    ORLANDO, FL 328144333

    Phone: (407) 422-9831

    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 $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2023-04-27 • Largest payer in this snapshot: Genentech USA, Inc. ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-27

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Genentech USA, Inc.$14
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: 2016-04-06

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
I20130726000728IPathologyMOTBD
I20160406000306IPathologyILTBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity917479$0
88341Special stained specimen slides to examine tissue, each additional procedure480148$0
84165Protein measurement, serum328208$0
88342Special stained specimen slides to examine tissue, initial procedure309243$0
86334Immunologic analysis technique on serum (immunofixation)14597$0
View full utilization report →

Insurance plans in this area (ZIP 63136)

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Provider's Procedures

DR. CARL DEETZ (M.D./PH.D.) performs procedures in PATHOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYMO88304Pathology examination of tissue using a microscope, moderately low complexity8377
PATHOLOGYMO88307Pathology examination of tissue using a microscope, moderately high complexity2819
PATHOLOGYMO88312Special stained specimen slides to identify organisms including interpretation and report144135
PATHOLOGYMO88342Tissue or cell analysis by immunologic technique3939

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: 6800825480View full group profile
NameSpecialtyState
P A T H O L O G YMO
P A T H O L O G YMO
-FL
P A T H O L O G YMO
P A T H O L O G YMO
P A T H O L O G YFL
P A T H O L O G YFL
P A T H O L O G YFL
-FL
P A T H O L O G YFL

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Frequently asked questions

What unique ID ties claims to DR. CARL DEETZ (M.D./PH.D.)?
NPI 1629232491 is assigned to DR. CARL DEETZ (M.D./PH.D.) under the national enumeration system.
Is DR. CARL DEETZ (M.D./PH.D.)'s NPI currently valid?
The extract we use shows DR. CARL DEETZ (M.D./PH.D.) as active.
What kind of provider is DR. CARL DEETZ (M.D./PH.D.)?
The page reflects Anatomic Pathology & Clinical Pathology Physician for DR. CARL DEETZ (M.D./PH.D.). Clinical services aligned with this taxonomy classification.
Does DR. CARL DEETZ (M.D./PH.D.) practice in Missouri?
You will see Saint Louis, Missouri on file for DR. CARL DEETZ (M.D./PH.D.) alongside any extra practice locations.
Is DR. CARL DEETZ (M.D./PH.D.) a real provider?
This page reflects official NPPES data for NPI 1629232491. Always confirm identity and privileges with the practice and licensing boards.

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