DR. MARK S PELIKAN (D.O.) – Family Medicine Physician, NPI 1891769253
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,330 FAMILY PRACTICE in MO
Provider Addresses for DR. MARK S PELIKAN (D.O.)
PO BOX 23340
SAINT LOUIS, MO 631563340
Phone: (314) 838-5702
Fax: (314) 839-5596
Type: Mailing
1551 Wall St Ste 400
Saint Charles, MO 633033541
Phone: (314) 838-5702
Type: Location
170, Dunn Road, Hazelwood, Saint Louis County, Missouri, 63042, United States
HAZELWOOD, MO 630421759
Phone: (314) 838-5702
Fax: (314) 839-5596
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 106 Open Payments records for all available years, with a total value of $2,191.
Total Amount is formed as General ($2,191) + Research ($0) + Ownership ($0) = $2,191.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($501).
Total Amount
$2,191
General + Research + Ownership
Payments
106
Total payment records
General Amount
$2,191
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $501 |
| ABBVIE INC. | $430 |
| Lilly USA, LLC | $197 |
| GlaxoSmithKline, LLC. | $143 |
| Phathom Pharmaceuticals, Inc. | $125 |
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: 2010-06-07
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 |
|---|---|---|---|---|
| I20100607000118 | I | Family Practice | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 129 | 67 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 126 | 69 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 110 | 65 | $0 |
| 85027 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 86 | 55 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 76 | 51 | $0 |
Insurance plans in this area (ZIP 63156)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | MO | |
| Family Practice, Geriatric Medicine | MO | |
| - | MO | |
| Internal Medicine | MO | |
| Physician Assistant | MO | |
| - | MO | |
| Nurse Practitioner | MO | |
| Internal Medicine | MO | |
| - | MO | |
| Nurse Practitioner | MO |
Reviews
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