DR. JUSTIN O OGBEVOEN (MD) – Pediatric Emergency Medicine (Pediatrics) Physician, NPI 1487612370
Pediatric Emergency Medicine (Pediatrics) Physician
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. JUSTIN O OGBEVOEN (MD)
PO BOX 7412011
CHICAGO, IL 606742011
Phone: (314) 454-2341
Fax: (314) 454-4345
Type: Mailing
1225 GRAHAM RD
DIV PED EMERGENCY MED
FLORISSANT, MO 630318012
Phone: (314) 454-2341
Fax: (314) 454-4345
Type: Location
1 CHILDRENS PL
MSC 8515-87-1200
SAINT LOUIS, MO 631101002
Phone: (314) 454-2341
Fax: (314) 454-4345
Type: Mailing
8710, State Street, Edgemont, East Saint Louis, Saint Clair County, Illinois, 62203, United States
EAST SAINT LOUIS, IL 622032048
Phone: (618) 398-6601
Fax: (618) 398-4525
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $15.
Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.
Last reported payment date: 2023-11-02 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($15).
Total Amount
$15
General + Research + Ownership
Payments
1
Total payment records
General Amount
$15
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Pharmaceuticals, Inc | $15 |
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: 2023-11-10
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 |
|---|---|---|---|---|
| I20060111000078 | I | Emergency Medicine | MO | TBD |
| I20230109001104 | I | Pediatric Medicine | TX | TBD |
| I20231110001979 | I | Emergency Medicine | TN | 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 60674)
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