GINA DOLORESCO DAVIS (DO) – Surgery Physician, NPI 1669865861
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
785 GENERAL SURGERY in MO
Provider Addresses for GINA DOLORESCO DAVIS (DO)
621 S NEW BALLAS RD STE 560A
SAINT LOUIS, MO 631418261
Phone: (314) 251-6440
Fax: (314) 251-4456
Type: Location
365 VISTA AVENUE
SURGERY EDUCATION 3FDT
ST. LOUIS, MO 63110
Phone: (314) 577-8317
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $242.
Total Amount is formed as General ($242) + Research ($0) + Ownership ($0) = $242.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Davol Inc. ($105).
Total Amount
$242
General + Research + Ownership
Payments
7
Total payment records
General Amount
$242
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Davol Inc. | $105 |
| Smith+Nephew, Inc. | $41 |
| Boston Scientific Corporation | $32 |
| PolyNovo North America LLC | $31 |
| Prytime Medical Devices, Inc. | $19 |
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: 2021-11-09
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 |
|---|---|---|---|---|
| I20211109000169 | I | General Surgery | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 101 | 57 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 41 | 41 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 27 | 27 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 19 | 19 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 14 | 12 | $0 |
Insurance plans in this area (ZIP 63141)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| Physician Assistant | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| - | MO | |
| Physician Assistant | MO | |
| Physician Assistant | MO | |
| Nurse Practitioner | MO | |
| Physician Assistant | IL | |
| Physician Assistant | MO |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.