PROVIDER PLUS, INC – Durable Medical Equipment & Medical Supplies, NPI 1699759027
Durable Medical Equipment & Medical Supplies
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for PROVIDER PLUS, INC
7748, Watson Road, Marlborough, Saint Louis County, Missouri, 63119, United States
SAINT LOUIS, MO 631195407
Phone: (314) 961-8500
Fax: (314) 963-6801
Type: Mailing
7750, Winghaven Boulevard, O’Fallon, Saint Charles County, Missouri, 63368, United States
O FALLON, MO 633683601
Phone: (636) 695-4644
Fax: (636) 695-4645
Type: Location
555 E NORTH LN STE 5075
CONSHOHOCKEN, PA 194282490
Phone:
Type: Mailing
220 W GERMANTOWN PIKE STE 250
PLYMOUTH MEETING, PA 194621437
Phone:
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: 2010-09-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-11-30 (193 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 |
|---|---|---|---|---|
| O20100930072647 | O | Medical Supply Company With Respiratory Therapist | 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 63119)
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