DR. MARY NOEL GEORGE (MD) – Dermatology Physician, NPI 1700998077
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
337 DERMATOLOGY in MO
Provider Addresses for DR. MARY NOEL GEORGE (MD)
8888 LADUE RD STE 120
SAINT LOUIS, MO 631242056
Phone: (314) 344-0004
Fax: (314) 725-0696
Type: Mailing
12255, DePaul Drive, Bridgeton, Saint Louis County, Missouri, 63044, United States
#845 - NORTH
BRIDGETON, MO 630442530
Phone: (314) 344-0004
Fax: (314) 344-0631
Type: Location
12255, DePaul Drive, Natural Bridge Junction, Bridgeton, Saint Louis County, Missouri, 63044, United States
# 845
ST LOUIS, MO 63044
Phone: (314) 344-0004
Fax: (314) 344-0631
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 408 Open Payments records for all available years, with a total value of $208,551.
Total Amount is formed as General ($208,551) + Research ($0) + Ownership ($0) = $208,551.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($106,774).
Total Amount
$208,551
General + Research + Ownership
Payments
408
Total payment records
General Amount
$208,551
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $106,774 |
| Dermavant Sciences, Inc. | $43,290 |
| UCB, Inc. | $28,361 |
| Amgen Inc. | $24,549 |
| Incyte Corporation | $4,267 |
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: 2006-04-25
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 |
|---|---|---|---|---|
| I20060425000654 | I | Dermatology | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,614 | 254 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,039 | 637 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 398 | 296 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 239 | 194 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 190 | 143 | $0 |
Insurance plans in this area (ZIP 63124)
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Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | MO | |
| D E R M A T O L O G Y | MO | |
| Physician Assistant | MO | |
| D E R M A T O L O G Y | MO | |
| Physician Assistant | TX | |
| Physician Assistant | MO | |
| D E R M A T O L O G Y | MO | |
| Physician Assistant | MO | |
| - | MO |
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