BRENT A NEUSCHWANDER-TETRI (MD) – Gastroenterology Physician, NPI 1699783563
Gastroenterology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
490 GASTROENTEROLOGY in MO
Provider Addresses for BRENT A NEUSCHWANDER-TETRI (MD)
3691 RUTGER AVE
PROVIDER ENROLLMENT
ST LOUIS, MO 63110
Phone: (314) 977-4440
Type: Mailing
1008 S SPRING AVE
SAINT LOUIS, MO 631102520
Phone: (314) 977-2140
Fax: (314) 977-1660
Type: Mailing
1225 S GRAND BLVD FL 3
SAINT LOUIS, MO 631041016
Phone: (314) 257-3760
Fax: (314) 257-3761
Type: Location
Vista, St. Louis, Missouri, 63147, United States
ST LOUIS, MO 63110
Phone: (314) 577-8764
Fax: (314) 577-8125
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 33 Open Payments records for all available years, with a total value of $17,577.
Total Amount is formed as General ($17,577) + Research ($0) + Ownership ($0) = $17,577.
Last reported payment date: 2024-11-17 • Largest payer in this snapshot: ABBVIE INC. ($7,563).
Total Amount
$17,577
General + Research + Ownership
Payments
33
Total payment records
General Amount
$17,577
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $7,563 |
| Merck Sharp & Dohme LLC | $6,496 |
| Madrigal Pharmaceuticals | $1,998 |
| PFIZER INC. | $1,000 |
| Gilead Sciences, Inc. | $320 |
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: 2010-05-14
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20100514000126 | I | Gastroenterology | 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 |
|---|---|---|---|---|
| 91200 | Measurement of liver stiffness | 228 | 227 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 148 | 127 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 51 | 15 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 26 | 25 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 22 | 22 | $0 |
Insurance plans in this area (ZIP 63110)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | MO | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 21 | 21 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Hematology/Oncology, Internal Medicine | MO | |
| Anesthesiology Assistant | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| Diagnostic Radiology | MO | |
| Pulmonary Disease, Critical Care (Intensivists), Internal Medicine | MO | |
| P S Y C H I A T R Y | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO |
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