JEFFREY S MORMOL (MD) – Obstetrics & Gynecology Physician, NPI 1639103377
Obstetrics & Gynecology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
928 OBSTETRICS/GYNECOLOGY in MO
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Provider Addresses for JEFFREY S MORMOL (MD)
1103, West Liberty Street, Farmington, St. Francois County, Missouri, 63640, United States
FARMINGTON, MO 636401921
Phone: (573) 756-6751
Fax: (573) 756-6807
Type: Mailing
555 N NEW BALLAS RD STE 240
SAINT LOUIS, MO 631416849
Phone: (314) 842-0340
Fax: (314) 842-0742
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $360.
Total Amount is formed as General ($360) + Research ($0) + Ownership ($0) = $360.
Last reported payment date: 2024-11-05 • Largest payer in this snapshot: Astellas Pharma US Inc ($75).
Total Amount
$360
General + Research + Ownership
Payments
18
Total payment records
General Amount
$360
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $75 |
| Amgen Inc. | $68 |
| Exeltis, USA Inc. | $45 |
| Bayer Healthcare Pharmaceuticals Inc. | $25 |
| Exact Sciences Corporation | $23 |
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: 2006-09-15
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 |
|---|---|---|---|---|
| I20060915000170 | I | Obstetrics/Gynecology | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 50 | 40 | $0 |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 50 | 50 | $0 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 49 | 49 | $0 |
| 81002 | Urinalysis, manual test | 37 | 35 | $0 |
Insurance plans in this area (ZIP 63640)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| - | MO | |
| Family Practice | MO | |
| Hospitalist, Family Practice | MO | |
| Internal Medicine | MO | |
| - | MO | |
| Family Practice | MO | |
| Internal Medicine | IL | |
| Internal Medicine, Hospitalist | MO | |
| Nurse Practitioner | MO |
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