DR. CHRISTOPHER ROBERT WANGARD (M.D.) – Pediatrics Physician, NPI 1023127396
Pediatrics Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. CHRISTOPHER ROBERT WANGARD (M.D.)
1000 W 10th St
Rolla, MO 654012905
Phone: (573) 458-8899
Fax: (573) 341-5611
Type: Location
1465 S Grand Blvd
Saint Louis, MO 631041003
Phone: (314) 577-5600
Type: Location
4165 FLORA PL
SAINT LOUIS, MO 631103605
Phone: (618) 304-4375
Type: Mailing
Anderson Hospital, 6800, State Route 162, Maryville, Madison County, Illinois, 62062, United States
MARYVILLE, IL 620628521
Phone: (618) 288-5711
Type: Location
3514, Shenandoah Avenue, Tower Grove East, St. Louis, Missouri, 63104, United States
SAINT LOUIS, MO 631041724
Phone: (618) 304-4375
Fax: (314) 403-7676
Type: Mailing
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: 2017-08-22
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 |
|---|---|---|---|---|
| I20101029000845 | I | Pediatric Medicine | MO | TBD |
| I20170822003922 | I | Pediatric Medicine | 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 65401)
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