DR. ANTHONY J MARGHERITA (MD) – Physical Medicine & Rehabilitation Physician, NPI 1750323028
Physical Medicine & Rehabilitation Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
239 PHYSICAL MEDICINE AND REHABILITATION in MO
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Provider Addresses for DR. ANTHONY J MARGHERITA (MD)
555, North New Ballas Road, St. Louis, Saint Louis County, Missouri, 63141, United States
SUITE 210
ST LOUIS, MO 63141
Phone: (314) 432-4999
Fax: (314) 432-5088
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 37 Open Payments records for all available years, with a total value of $1,019.
Total Amount is formed as General ($1,019) + Research ($0) + Ownership ($0) = $1,019.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Lilly USA, LLC ($311).
Total Amount
$1,019
General + Research + Ownership
Payments
37
Total payment records
General Amount
$1,019
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $311 |
| GlaxoSmithKline, LLC. | $122 |
| Janssen Pharmaceuticals, Inc | $100 |
| ABBVIE INC. | $57 |
| Merck Sharp & Dohme LLC | $54 |
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: 2009-01-16
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 |
|---|---|---|---|---|
| I20090116000145 | I | Physical Medicine And Rehabilitation | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 649 | 222 | $0 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 211 | 93 | $0 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 202 | 106 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 75 | 66 | $0 |
| 95886 | Needle measurement of electrical activity in arm or leg muscles, complete study | 75 | 63 | $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 |
|---|---|---|---|---|---|
| PHYSICAL MEDICINE AND REHABILITATIO | MO | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 39 | 26 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| - | MO | |
| - | MO | |
| R H E U M A T O L O G Y | MO | |
| - | MO | |
| Nurse Practitioner | MO | |
| Family Practice | MO | |
| P O D I A T R Y | IL | |
| Internal Medicine | MO | |
| - | MO |
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