DR. CHARLES A WETHERINGTON (M.D.) – Neurological Surgery Physician, NPI 1326048935
Neurological Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
185 NEUROSURGERY in MO
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Provider Addresses for DR. CHARLES A WETHERINGTON (M.D.)
1055, Bowles Avenue, Fenton, Saint Louis County, Missouri, 63026, United States
SUITE 200
FENTON, MO 630262308
Phone: (636) 496-3900
Fax: (636) 496-3939
Type: Mailing
Enterprise Bank & Trust, 6725, Chippewa Street, Saint Louis Hills, City of Saint Louis, Missouri, 63109, United States
SAINT LOUIS, MO 631092534
Phone: (314) 644-7111
Fax: (314) 644-3113
Type: Location
6725 Chippewa St
Saint Louis, MO 631092534
Phone: (314) 644-7111
Fax: (314) 644-3113
Type: Location
PO BOX 955534
SAINT LOUIS, MO 631955534
Phone:
Type: Mailing
1055 BOWLES AVE STE 200
FENTON, MO 630262308
Phone: (636) 496-3900
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: 2010-08-06
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 |
|---|---|---|---|---|
| I20100806000728 | I | Neurosurgery | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 65 | 42 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 57 | 45 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 51 | 51 | $0 |
Insurance plans in this area (ZIP 63026)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NEUROSURGERY | MO | 63048 | Partial removal of spine bone with release of spinal cord and/or nerves | 34 | 16 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | MO | |
| - | MO | |
| Physician Assistant | MO | |
| Physician Assistant | MO | |
| - | MO | |
| Nurse Practitioner | MO | |
| - | MO | |
| - | MO | |
| - | MO | |
| P O D I A T R Y | MO |
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