DR. JULIE ANN NEIDICH (MD) – Molecular Genetic Pathology (Pathology) Physician, NPI 1962690180
Molecular Genetic Pathology (Pathology) Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. JULIE ANN NEIDICH (MD)
425, South Euclid Avenue, Central West End, City of Saint Louis, Missouri, 63110, United States
SAINT LOUIS, MO 631101005
Phone: (314) 362-5641
Fax: (314) 362-0369
Type: Location
660, South Euclid Avenue, Central West End, City of Saint Louis, Missouri, 63110, United States
CB 8118
SAINT LOUIS, MO 631101010
Phone: (314) 362-5641
Fax: (314) 362-0369
Type: Mailing
PO BOX 7412011
CHICAGO, IL 606742011
Phone: (314) 362-5641
Fax: (314) 362-0369
Type: Mailing
4320 FOREST PARK AVE
DIV PA, GENOMIC AND MOLECULAR PATHOLOGY, STE 209
SAINT LOUIS, MO 631082979
Phone: (314) 362-5641
Fax: (314) 362-0369
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: 2017-08-25
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 |
|---|---|---|---|---|
| I20170825000616 | I | Pathology | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 88291 | Interpretation and report of genetic testing | 32 | 31 | $0 |
Insurance plans in this area (ZIP 63110)
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