COMPREHENSIVE PATHOLOGY SERVICES LC – Specialist, NPI 1609859560
Specialist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for COMPREHENSIVE PATHOLOGY SERVICES LC
SSM Health St. Mary's Hospital: Hospital Building, 6420, Clayton Road, Hi-Pointe, Richmond Heights, Saint Louis County, Missouri, 63117, United States
SAINT LOUIS, MO 631171811
Phone: (314) 768-8202
Fax: (314) 768-7145
Type: Location
12303 DEPAUL DRIVE
ST LOUIS, MO 630442512
Phone: (314) 821-8055
Fax: (314) 821-1833
Type: Location
PO BOX 842049
KANSAS CIY, MO 641842049
Phone: (314) 821-8055
Fax: (314) 821-1833
Type: Mailing
1015 BOWLES AVE
FENTON, MO 630262394
Phone: (636) 496-2720
Fax: (314) 821-1833
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: 2007-08-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-11-30 (192 days ago).
Enrollment records
1
Earliest due date
2025-11-30
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 |
|---|---|---|---|---|
| O20070813000684 | O | Clinic/Group Practice | MO | 2025-11-30 |
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 63117)
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