CHARLES M JR. GILL (MD) – Urology Physician, NPI 1265402879

CHARLES M JR. GILL (MD) is a healthcare provider. based in Sullivan, Missouri. specializing in UROLOGY. They hold the professional credentials MD. They hold a License No. MD19748 (TN). The NPI Number for CHARLES M JR. GILL (MD) is 1265402879

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
CHARLES M JR. GILL (MD)
NPI
1265402879
Phone
(636) 239-5155
Address
1326 S Service Rd W Ste 30
Enumeration Date
25 January 2006
Last Update Date
2 August 2018

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
6362395155
Graduation Year
1984 (42 years ago)
PAC ID
7214066851
Group Practice PAC ID
5395768253
Professional Enrollment ID
I20180809004080
Address ID
MO630904700WA901XXDRXX417
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

271 UROLOGY in MO

Provider Addresses for CHARLES M JR. GILL (MD)

  • 1326 S Service Rd W Ste 30

    Sullivan, MO 630802306

    Phone: (636) 239-5155

    Type: Location

  • 1000 E Cherry St

    Troy, MO 633791513

    Phone: (636) 239-5155

    Type: Location

  • Patients First Drive, Downtown Washington, Washington, Franklin County, Missouri, 63090, United States

    WASHINGTON, MO 630904700

    Phone: (636) 239-5155

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 32 Open Payments records for all available years, with a total value of $427.

Total Amount is formed as General ($427) + Research ($0) + Ownership ($0) = $427.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: COLOPLAST CORP ($346).

Total Amount

$427

General + Research + Ownership

Payments

32

Total payment records

General Amount

$427

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

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: 2018-08-09

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180809004080IUrologyMOTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes166145$0
81003Automated urinalysis test12990$0
99214Established patient office or other outpatient visit, 30-39 minutes8877$0
52000Diagnostic exam of bladder and urethra using an endoscope7956$0
99203New patient office or other outpatient visit, 30-44 minutes3939$0
View full utilization report →

Insurance plans in this area (ZIP 63080)

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Provider's Procedures

CHARLES M JR. GILL (MD) performs procedures in UROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
UROLOGYTN55700Biopsy of prostate gland1313
UROLOGYTN76872Ultrasound of rectum1313

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: 5395768253View full group profile
NameSpecialtyState
U R O L O G YIL
Nurse PractitionerMO
U R O L O G YMO
-MO
Physician AssistantGA
U R O L O G YMO
Physician AssistantMO
U R O L O G YMO
-MO
Physician AssistantMO

Reviews

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Frequently asked questions

Where can patients find CHARLES M JR. GILL (MD)'s NPI?
You can confirm CHARLES M JR. GILL (MD) with NPI 1265402879; it appears in the national provider directory.
Is CHARLES M JR. GILL (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is CHARLES M JR. GILL (MD)?
The page reflects Urology Physician for CHARLES M JR. GILL (MD). Clinical services aligned with this taxonomy classification.
Where is CHARLES M JR. GILL (MD)'s primary listing?
We display Sullivan, Missouri because that is what the record indicates for CHARLES M JR. GILL (MD).
Is CHARLES M JR. GILL (MD) a real provider?
This page reflects official NPPES data for NPI 1265402879. Always confirm identity and privileges with the practice and licensing boards.

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