ROCIO BENTIVEGNA (MD) – Ophthalmic Plastic and Reconstructive Surgery Physician, NPI 1871170183
Ophthalmic Plastic and Reconstructive Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
444 OPHTHALMOLOGY in MO
Provider Addresses for ROCIO BENTIVEGNA (MD)
12101 Woodcrest Executive Dr Ste 150
Saint Louis, MO 631415050
Phone: (314) 391-9400
Fax: (618) 861-6003
Type: Location
12400 OLIVE BLVD
SAINT LOUIS, MO 631415454
Phone: (314) 391-9400
Fax: (618) 861-6003
Type: Mailing
1201 S GRAND BLVD
SAINT LOUIS, MO 631041016
Phone: (314) 257-8000
Fax: (314) 977-1664
Type: Location
1008 S SPRING AVE
SAINT LOUIS, MO 631102520
Phone: (314) 977-2605
Fax: (314) 977-1664
Type: Mailing
1 Professional Dr
Alton, IL 620025068
Phone: (618) 391-1660
Fax: (618) 861-6003
Type: Location
705 Insight Ave
O Fallon, IL 622692146
Phone: (618) 391-1660
Fax: (618) 861-6003
Type: Location
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: 2025-11-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20251121001760 | I | Ophthalmology | MO | TBD |
| I20251126000397 | I | Ophthalmology | IL | 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 63141)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | IL | |
| O P T O M E T R Y | MO | |
| O P H T H A L M O L O G Y | MO | |
| O P H T H A L M O L O G Y | MO | |
| O P H T H A L M O L O G Y | MI | |
| O P H T H A L M O L O G Y | IL | |
| O P T O M E T R Y | IL | |
| O P T O M E T R Y | IL | |
| O P H T H A L M O L O G Y | IL |
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