Tesson Ferry Foot and Ankle Inc. – Podiatrist, NPI 1518938919
Podiatrist
Main info
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Tesson Ferry Foot and Ankle Inc.
3505 College Ave Ste B
Alton, IL 620025065
Phone: (618) 462-9695
Fax: (618) 462-9651
Type: Location
784 Wall St Ste C
O Fallon, IL 622692088
Phone: (618) 236-7444
Fax: (618) 726-2662
Type: Location
12866 Troxler Ave Ste 135
Highland, IL 622492806
Phone: (618) 236-7444
Fax: (618) 307-9017
Type: Location
1181 S State Route 157 Ste 201B
Edwardsville, IL 620253897
Phone: (618) 307-9015
Fax: (618) 307-9017
Type: Location
5139 Mattis Rd Ste 102
Saint Louis, MO 631282250
Phone: (314) 909-1920
Fax: (314) 909-1980
Type: Location
11709 Old Ballas Rd Ste 201
Creve Coeur, MO 631417029
Phone: (314) 432-1903
Fax: (314) 432-5105
Type: Location
PO BOX 825159
PHILADELPHIA, PA 191825159
Phone: (314) 909-1920
Fax: (314) 909-1980
Type: Mailing
College Avenue, Alton, Madison County, Illinois, 62018, United States
SUITE B
ALTON, IL 620025065
Phone: (618) 462-9695
Fax: (618) 462-9651
Type: Location
500 W Pine St
Farmington, MO 636401426
Phone: (573) 756-8986
Fax: (573) 756-0419
Type: Location
141 E Madison Ave Ste 100
Kirkwood, MO 631224331
Phone: (314) 821-8855
Fax: (314) 965-1296
Type: Location
662 Saint Ferdinand St
Florissant, MO 630315125
Phone: (314) 921-1020
Fax: (314) 921-8811
Type: Location
851 E 5th St Ste 320
Washington, MO 630903130
Phone: (636) 239-1633
Fax: (636) 390-8633
Type: Location
3701 N Saint Peters Pkwy # C1
Saint Peters, MO 633767370
Phone: (636) 720-0190
Fax: (636) 720-0193
Type: Location
8067 Mexico Rd
Saint Peters, MO 633761148
Phone: (636) 379-2272
Fax: (636) 379-2274
Type: Location
3445 Bridgeland Dr
Bridgeton, MO 630442604
Phone: (314) 739-7100
Fax: (314) 739-3199
Type: Location
1515 Astra Way
Arnold, MO 630101146
Phone: (636) 296-4051
Fax: (636) 287-9547
Type: Location
621 S New Ballas Rd Ste 7005B
Saint Louis, MO 631418275
Phone: (314) 207-4064
Fax: (314) 991-3665
Type: Location
3915 Watson Rd Ste 101
Saint Louis, MO 631091251
Phone: (314) 352-2711
Fax: (314) 991-3665
Type: Location
1031 Bellevue Ave Ste 349
Saint Louis, MO 631171857
Phone: (314) 367-6545
Fax: (314) 367-7038
Type: Location
16 Municipal Dr Ste E
Arnold, MO 630101043
Phone: (636) 296-4051
Fax: (636) 287-9547
Type: Location
12152 TESSON FERRY RD
SAINT LOUIS, MO 631281779
Phone: (314) 849-7600
Fax: (314) 842-0106
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: 2010-09-30
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-06-30 (715 days ago).
Enrollment records
3
Earliest due date
2024-06-30
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 |
|---|---|---|---|---|
| O20040408000181 | O | Clinic/Group Practice | MO | 2024-06-30 |
| O20050128000070 | O | Clinic/Group Practice | IL | 2025-07-31 |
| O20100930023541 | O | Physician - Podiatry | MO | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 62002)
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