DR. CHARLES MAXWELL MEDERT (MD) – Ophthalmology Physician, NPI 1487195608

DR. CHARLES MAXWELL MEDERT (MD) is a healthcare provider. based in Chicago, Illinois. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 036.159124 (IL). The NPI Number for DR. CHARLES MAXWELL MEDERT (MD) is 1487195608

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHARLES MAXWELL MEDERT (MD)
NPI
1487195608
Phone
(773) 702-3937
Address
5758 S Maryland Ave
Enumeration Date
20 March 2017
Last Update Date
23 March 2023

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5122502020
Graduation Year
2017 (9 years ago)
PAC ID
9436558657
Group Practice PAC ID
6608910542
Professional Enrollment ID
I20230415000167
Address ID
TX787465642AU2700XRDXX400

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:9State licenses:2Other namesUpdated within 12 months

958 OPHTHALMOLOGY in IL

Provider Addresses for DR. CHARLES MAXWELL MEDERT (MD)

  • 5758 S Maryland Ave

    Chicago, IL 606371426

    Phone: (773) 702-3937

    Type: Location

  • 2700 BEE CAVES RD

    AUSTIN, TX 787465642

    Phone: (512) 250-2020

    Type: Location

  • Aventura Hospital and Medical Center, 20900, Biscayne Boulevard, Aventura, Miami-Dade County, Florida, 33180, United States

    AVENTURA, FL 331801407

    Phone:

    Type: Mailing

  • 660 S EUCLID AVE

    CB 8096

    SAINT LOUIS, MO 631101010

    Phone: (314) 362-3937

    Fax: (314) 362-3725

    Type: Mailing

  • 4901 FOREST PARK AVE

    6TH FL

    SAINT LOUIS, MO 631081495

    Phone: (314) 362-3937

    Fax: (314) 362-3725

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 43 Open Payments records for all available years, with a total value of $2,892.

Total Amount is formed as General ($2,892) + Research ($0) + Ownership ($0) = $2,892.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: RxSight Inc ($901).

Total Amount

$2,892

General + Research + Ownership

Payments

43

Total payment records

General Amount

$2,892

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-04-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220426000689IOphthalmologyILTBD
I20230415000167IOphthalmologyTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system136130$0
92250Photography of the retina134134$0
92004New patient complete exam of visual system115115$0
92136Measurement of corneal curvature and depth of eye10048$0
92020Exam of the internal drainage system of eye9797$0
View full utilization report →

Insurance plans in this area (ZIP 60637)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6608910542View full group profile
NameSpecialtyState
O P T O M E T R YIL
O P H T H A L M O L O G YTX
O P H T H A L M O L O G YMN
O P H T H A L M O L O G YTX
O P T O M E T R YCA
O P T O M E T R YTX

Reviews

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Frequently asked questions

What number should I use to identify DR. CHARLES MAXWELL MEDERT (MD) for billing?
Administrative and clinical systems typically use NPI 1487195608 for DR. CHARLES MAXWELL MEDERT (MD).
Quick check: is DR. CHARLES MAXWELL MEDERT (MD) active?
Public NPPES data shows DR. CHARLES MAXWELL MEDERT (MD) with an active NPI status right now.
Which specialty label fits DR. CHARLES MAXWELL MEDERT (MD)?
NPPES ties DR. CHARLES MAXWELL MEDERT (MD) to Ophthalmology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to DR. CHARLES MAXWELL MEDERT (MD)?
The directory associates DR. CHARLES MAXWELL MEDERT (MD) with Chicago, Illinois. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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