DR. CHARLES MEADOR ROBERTSON (MD) – Anesthesiology Physician, NPI 1003998303
Anesthesiology Physician
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NPPES metrics only — not quality of care.
756 ANESTHESIOLOGY in KY
Provider Addresses for DR. CHARLES MEADOR ROBERTSON (MD)
231 E CHESTNUT ST
LOUISVILLE, KY 402021821
Phone: (502) 629-6000
Fax: (502) 451-4553
Type: Location
231 E Chestnut St
Louisville, KY 402021821
Phone: (502) 629-6000
Fax: (502) 451-4553
Type: Location
104 BRIGHTON LANE
RIDGELAND, MS 39157
Phone: (314) 322-0121
Type: Mailing
3333 Burnet Ave # 2001
Cincinnati, OH 452293026
Phone: (000) 000-0000
Type: Location
1 Childrens Pl
Dept Anesthesiology
Saint Louis, MO 631101002
Phone: (800) 862-9980
Fax: (314) 362-1185
Type: Location
7 Independence Pt Ste 300
Greenville, SC 296154569
Phone: (864) 522-3700
Fax: (864) 522-3705
Type: Location
660 S EUCLID AVE
CB 8054
SAINT LOUIS, MO 631101010
Phone: (800) 862-9980
Fax: (314) 362-1185
Type: Mailing
1 CHILDRENS PL
DEPT ANESTHESIOLOGY
SAINT LOUIS, MO 631101002
Phone: (800) 862-9980
Fax: (314) 362-1185
Type: Location
7974 UW HEALTH CT
MIDDLETON, WI 535625531
Phone:
Type: Mailing
University of Mississippi Medical Center, 2500, North State Street, Woodland Hills, Jackson, Hinds County, Mississippi, 39216, United States
JACKSON, MS 392164500
Phone: (601) 815-4775
Fax: (601) 984-6451
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: 2026-03-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 6 Medicare enrollment records; no due dates published yet.
Enrollment records
6
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 |
|---|---|---|---|---|
| I20051115000608 | I | Anesthesiology | MO | TBD |
| I20130722000470 | I | Anesthesiology | MS | TBD |
| I20240514000481 | I | Anesthesiology | SC | TBD |
| I20240515001265 | I | Anesthesiology | TX | TBD |
| I20241011002562 | I | Anesthesiology | OH | TBD |
| I20260304000835 | I | Anesthesiology | KY | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 40202)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | MS | |
| Certified Registered Nurse Anesthetist (Crna) | MS | |
| Certified Registered Nurse Anesthetist (Crna) | MS | |
| Certified Registered Nurse Anesthetist (Crna) | TN | |
| Certified Registered Nurse Anesthetist (Crna) | MS | |
| Certified Registered Nurse Anesthetist (Crna) | MS | |
| Certified Registered Nurse Anesthetist (Crna) | MS | |
| Certified Registered Nurse Anesthetist (Crna) | AR | |
| Certified Registered Nurse Anesthetist (Crna) | MS | |
| Certified Registered Nurse Anesthetist (Crna) | AL |
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