DR. RUSSELL D DEIDIKER (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1841265345
Anatomic Pathology & Clinical Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
406 PATHOLOGY in MO
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Provider Addresses for DR. RUSSELL D DEIDIKER (MD)
312, Louise Street, Farmington, Saint Francois County, Missouri, 63640, United States
FARMINGTON, MO 636402706
Phone: (573) 756-4581
Fax: (573) 756-7197
Type: Mailing
1212, Weber Road, Farmington, Saint Francois County, Missouri, 63640, United States
SUITE 205
FARMINGTON, MO 636403325
Phone: (573) 756-4581
Fax: (573) 756-7197
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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: 2021-05-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20100901000907 | I | Pathology | MO | TBD |
| I20200922000744 | I | Pathology | IL | TBD |
| I20210505001752 | I | Pathology | IA | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 674 | 396 | $0 |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 158 | 129 | $0 |
| 88311 | Preparation of tissue for examination by removing any calcium present | 134 | 103 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 91 | 88 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 51 | 16 | $0 |
Insurance plans in this area (ZIP 63640)
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Provider's Procedures
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