Lori Sindel , OTR, L, FNP-BC
Nurse Practitioner • Fenton, MO
1011 Bowles Ave Ste 205
Fenton, MO 630262387
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on March 6, 2010; this date does not establish years in practice.
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Published CMS data list 29 Medicare Part D prescriptions, including refills, in 2023.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2023. Published rows only; this is not a quality measure.
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Published Part D records, 2023:
- Omeprazole — 17 prescription fills, including refills.
- Montelukast Sodium — 12 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2023. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table · Guide: How to read Medicare Part D prescriber data
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Medicare Part D prescriptions went from 507 in 2016 to 29 in 2023.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2016–2023.
Practice Location & Contact Primary Location
1011 Bowles Ave Ste 205
Fenton, MO 630262387
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Saint Louis, MO. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Ssm Medical Group Inc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2013
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
30-day fills
29 standardized 30-day fills in 2023
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$345 in 2023
The total cost of these prescriptions in 2023, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2023.
Open Payments general payments, program year 2025
All general payments: $86.74 across 3 records.
By nature of payment
- Food and Beverage: $86.74 across 3 records.
Reporting-company totals
- Phathom Pharmaceuticals, Inc.: $29.29 across 1 record.
- Alkermes, Inc.: $29.17 across 1 record.
- Takeda Pharmaceuticals U.S.A., Inc.: $28.28 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
13 years (graduated 2013)
CMS Doctors and Clinicians data list 2013 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2010
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Lori Sindel has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Lori Sindel as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Fenton and Missouri
Billing and prescribing volume is not a quality rating.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Lori Sindel are from 2023.
11 active clinicians are listed under Nurse Practitioner with a practice address in Fenton, MO (1,721 in Missouri).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Fenton
27.3% of these 11 clinicians have the CMS telehealth indicator.
72.7% of these 11 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 94% from 507 in 2016 to 29 in 2023.
- 2016: 507
- 2017: 12
- 2021: 26
- 2022: 13
- 2023: 29
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30-day fills
30-day fills decreased 96% from 647 in 2016 to 29 in 2023.
- 2016: 647
- 2017: 12
- 2021: 26
- 2022: 13
- 2023: 29
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Part D drug cost
Part D drug cost decreased 99% from $26,238 in 2016 to $345 in 2023.
- 2016: $26,238
- 2017: $700
- 2021: $105
- 2022: $106
- 2023: $345
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $139.53 in 2021 to $86.74 in 2025.
- 2021: $139.53
- 2022: $179.39
- 2023: $46.10
- 2024: $200.18
- 2025: $86.74
Sources: CMS Medicare Part D Prescribers (2023), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $86.74.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Phathom Pharmaceuticals, Inc. |
Food and Beverage
Cash or cash equivalent
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VOQUEZNA | General | $29.29 |
| Alkermes, Inc. |
Food and Beverage
In-kind items and services
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VIVITROL | General | $29.17 |
| Takeda Pharmaceuticals U.S.A., Inc. |
Food and Beverage
In-kind items and services
|
— | General | $28.28 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2023.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Omeprazole | Omeprazole | 17 | 510 | $163.45 | — |
| Montelukast Sodium | Montelukast Sodium | 12 | 360 | $181.20 | — |
Source: CMS Part D by Provider and Drug, 2023; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2025-03-13NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
NUCC Taxonomy Code: 225X00000X
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20140113001554
MO
8224266531
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Ssm Medical Group Inc
1011 Bowles Ave, Fenton, MO 630262387
Phone: 6366805151
Secondary Practice Locations
1717 Biddle St
Saint Louis, MO 631063454
Phone: 3148148531
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 1011 BOWLES AVE STE 205, FENTON, MO 630262387 (Tel: 6364965000)
Registered at PO BOX 955534, SAINT LOUIS, MO 631955534 (Tel: 6364965000)
Occupational Therapist (license number reported to NPPES: MO 2001002364)
Registered at 1717 BIDDLE ST, SAINT LOUIS, MO 631063454 (Tel: 3148148700)
Recorded as LORI SINDEL, OTR/L, FNP-BC
NPI status registered as active in NPPES database
Registered at 1717 BIDDLE ST, SAINT LOUIS, MO 631063454 (Tel: 3148148531)
Registered at 1717 BIDDLE ST, #A, SAINT LOUIS, MO 631063454 (Tel: 3148981700)
Recorded as LORI SIFFER, OTR/L, FNP-BC
Occupational Therapist
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Nurse Practitioners in Fenton
- Kaci Hale, FNP
- Diane Block, NP
- Bryant Price, MSN, BC, GNP, ANP
- Lindsey Adams, NP-C
- Heather Quist, FNP-C
- Cynthia Visintine, FNP
Mailing Address
Po Box 955534
Saint Louis, MO 631955534
Phone: 6364965000