ANDREA M HOLTHAUS (MD) – Internal Medicine Physician, NPI 1528031473
Internal Medicine Physician
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ANDREA M HOLTHAUS (MD)
3009 N BALLAS RD STE 383C
SAINT LOUIS, MO 631312324
Phone: (314) 996-4545
Type: Mailing
10 Hospital Dr
St Peters, MO 633761659
Phone: (314) 317-0600
Fax: (314) 317-0606
Type: Location
12101, Woodcrest Executive Drive, Creve Coeur, Saint Louis County, Missouri, 63141, United States
SUITE 210
SAINT LOUIS, MO 631415047
Phone: (314) 317-0600
Fax: (314) 317-0606
Type: Mailing
Barnes-Jewish St. Peters Hospital, 10, Hospital Drive, Saint Peters, Saint Charles County, Missouri, 63376, United States
ST PETERS, MO 633761659
Phone: (314) 317-0600
Fax: (314) 317-0606
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $30.
Total Amount is formed as General ($30) + Research ($0) + Ownership ($0) = $30.
Last reported payment date: 2023-12-04 • Largest payer in this snapshot: ABBVIE INC. ($30).
Total Amount
$30
General + Research + Ownership
Payments
2
Total payment records
General Amount
$30
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $30 |
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: 2004-10-06
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 |
|---|---|---|---|---|
| I20041006000362 | I | Internal Medicine | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63131)
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