DR. FREDERICK BERTHOLD IV DURER (M.D.) – Obstetrics & Gynecology Physician, NPI 1982601027

DR. FREDERICK BERTHOLD IV DURER (M.D.) is a healthcare provider. based in Saint louis, Missouri. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 103603 (MO). The NPI Number for DR. FREDERICK BERTHOLD IV DURER (M.D.) is 1982601027

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. FREDERICK BERTHOLD IV DURER (M.D.)
NPI
1982601027
Phone
(314) 996-7220
Address
3009 N BALLAS RD STE 360C
Enumeration Date
5 July 2005
Last Update Date
12 March 2021

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3149965772
Graduation Year
1993 (33 years ago)
PAC ID
5799780441
Group Practice PAC ID
3072421254
Professional Enrollment ID
I20070911000648
Address ID
MO631312329SA3015XRDXX400

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

928 OBSTETRICS/GYNECOLOGY in MO

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Provider Addresses for DR. FREDERICK BERTHOLD IV DURER (M.D.)

  • North Ballas Road, Kirkwood, Saint Louis County, Missouri, 63131, United States

    SAINT LOUIS, MO 631312349

    Phone: (314) 996-7220

    Fax: (314) 996-7225

    Type: Mailing

  • 226 S Woods Mill Rd

    Suite 68 West

    Chesterfield, MO 630173662

    Phone: (314) 576-0930

    Fax: (314) 514-8229

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 59 Open Payments records for all available years, with a total value of $1,236.

Total Amount is formed as General ($1,236) + Research ($0) + Ownership ($0) = $1,236.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Astellas Pharma US Inc ($337).

Total Amount

$1,236

General + Research + Ownership

Payments

59

Total payment records

General Amount

$1,236

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2007-09-11

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070911000648IObstetrics/GynecologyMOTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination3535$0
99213Established patient office or other outpatient visit, 20-29 minutes2925$0
Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory1111$0
View full utilization report →

Insurance plans in this area (ZIP 63131)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072421254View full group profile
NameSpecialtyState
-MO
-MO
Family PracticeMO
Hospitalist, Family PracticeMO
Internal MedicineMO
-MO
Family PracticeMO
Internal MedicineIL
Internal Medicine, HospitalistMO
Nurse PractitionerMO

Reviews

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Frequently asked questions

What federal number belongs to DR. FREDERICK BERTHOLD IV DURER (M.D.)?
The federal identifier for DR. FREDERICK BERTHOLD IV DURER (M.D.) is NPI 1982601027.
Is DR. FREDERICK BERTHOLD IV DURER (M.D.) currently active in the NPI registry?
CMS-published data lists DR. FREDERICK BERTHOLD IV DURER (M.D.) as an active registrant.
What does DR. FREDERICK BERTHOLD IV DURER (M.D.) treat or focus on?
Patients typically see DR. FREDERICK BERTHOLD IV DURER (M.D.) under the specialty Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. FREDERICK BERTHOLD IV DURER (M.D.)?
We surface Saint Louis, Missouri for DR. FREDERICK BERTHOLD IV DURER (M.D.) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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