ANDREW R MARTINE (M.D.) – Diagnostic Radiology Physician, NPI 1679573927
Diagnostic Radiology Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,218 DIAGNOSTIC RADIOLOGY in MO
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Provider Addresses for ANDREW R MARTINE (M.D.)
11475, Olde Cabin Road, Creve Coeur Executive Office Park, Creve Coeur, Saint Louis County, Missouri, 63141, United States
SUITE 200
SAINT LOUIS, MO 631417128
Phone: (314) 991-8200
Fax: (314) 991-8206
Type: Mailing
Saint Johns Mercy Medical Center, 615, South New Ballas Road, Creve Coeur, Saint Louis County, Missouri, 63141, United States
DEPT OF RADIOLOGY
SAINT LOUIS, MO 631418221
Phone: (314) 251-6031
Fax: (314) 251-6343
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2005-09-28
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 |
|---|---|---|---|---|
| I20050928000257 | I | Diagnostic Radiology | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 489 | 451 | $0 |
| 77067 | Screening mammography | 261 | 261 | $0 |
| 77063 | Screening 3d breast mammography | 253 | 253 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 133 | 132 | $0 |
| 73721 | Mri scan of leg joint without contrast | 105 | 99 | $0 |
Insurance plans in this area (ZIP 63141)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | MO | 71250 | CT scan chest | 64 | 63 |
| DIAGNOSTIC RADIOLOGY | MO | 73562 | X-ray of knee, 3 views | 16 | 15 |
| DIAGNOSTIC RADIOLOGY | MO | 73630 | X-ray of foot, minimum of 3 views | 26 | 26 |
| DIAGNOSTIC RADIOLOGY | MO | 74177 | CT scan of abdomen and pelvis with contrast | 11 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | MO | |
| Diagnostic Radiology | MO | |
| Radiation Oncology | MO | |
| Diagnostic Radiology | MO | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | MO | |
| Radiation Oncology | MO | |
| - | MO | |
| Nurse Practitioner | MO | |
| Diagnostic Radiology | MO |
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