DEIDRE M. BROWN (PA-C) – Physician Assistant, NPI 1710303029
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DEIDRE M. BROWN (PA-C)
16759 MAIN ST STE 201
WILDWOOD, MO 630401232
Phone: (636) 821-1664
Fax: (636) 821-1665
Type: Mailing
915 N GRAND BLVD BLDG 1A555
SAINT LOUIS, MO 631061621
Phone: (314) 652-4100
Fax: (314) 289-7066
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 $956.
Total Amount is formed as General ($956) + Research ($0) + Ownership ($0) = $956.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Amgen Inc. ($301).
Total Amount
$956
General + Research + Ownership
Payments
18
Total payment records
General Amount
$956
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $301 |
| Novartis Pharmaceuticals Corporation | $179 |
| Exact Sciences Corporation | $125 |
| Dermavant Sciences, Inc. | $123 |
| Phathom Pharmaceuticals, Inc. | $97 |
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: 2015-06-04
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 |
|---|---|---|---|---|
| I20150604002752 | I | Physician Assistant | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63040)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| Physician Assistant | IL | |
| D E R M A T O L O G Y | MO | |
| Physician Assistant | MO |
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