CARL A MAZZOLA (MD) – Diagnostic Radiology Physician, NPI 1801967138
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,218 DIAGNOSTIC RADIOLOGY in MO
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Provider Addresses for CARL A MAZZOLA (MD)
220 COMPASS POINT DRIVE
ST CHARLES, MO 63301
Phone: (636) 947-4480
Fax: (636) 947-9860
Type: Mailing
1715, Deer Tracks Trail, Bel Aire Office Park, Town and Country, Saint Louis County, Missouri, 63131, United States
SUITE 130
SAINT LOUIS, MO 631311839
Phone: (314) 821-5600
Fax: (314) 821-2180
Type: Location
300 FIRST CAPITOL DRIVE
ST CHARLES, MO 63301
Phone: (636) 947-5444
Fax: (636) 947-5259
Type: Location
St. Luke's Hospital, 232, South Woods Mill Road, Chesterfield, Saint Louis County, Missouri, 63017, United States
CHESTERFIELD, MO 630173417
Phone: (314) 205-6100
Type: Mailing
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: 2004-09-09
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 |
|---|---|---|---|---|
| I20040909000798 | 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 |
|---|---|---|---|---|
| 77067 | Screening mammography | 945 | 945 | $0 |
| 77063 | Screening 3d breast mammography | 902 | 902 | $0 |
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 793 | 792 | $0 |
| 71045 | X-ray of chest, 1 view | 479 | 442 | $0 |
| 71046 | X-ray of chest, 2 views | 465 | 452 | $0 |
Insurance plans in this area (ZIP 63301)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | MO | |
| - | MO | |
| Nurse Practitioner | MO | |
| Physician Assistant | MO | |
| - | MO | |
| Nurse Practitioner | MO | |
| - | MO | |
| - | MO | |
| - | MO | |
| Interventional Pain Management, Anesthesiology | MO |
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