DR. CHARLES S EBY (MD) – Hematology (Internal Medicine) Physician, NPI 1457377764

DR. CHARLES S EBY (MD) is a healthcare provider. based in Saint louis, Missouri. specializing in PATHOLOGY, HEMATOLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. R6J04 (MO). The NPI Number for DR. CHARLES S EBY (MD) is 1457377764

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHARLES S EBY (MD)
NPI
1457377764
Phone
(314) 362-5641
Address
4921 PARKVIEW PL
Enumeration Date
14 July 2006
Last Update Date
17 April 2025

Doctor Profile

Medical School Name
VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3143625641
Graduation Year
1981 (45 years ago)
PAC ID
9234284571
Group Practice PAC ID
9830008770
Professional Enrollment ID
I20090910000016
Address ID
MO631101003SA1XXXXPLZX505

Contacts

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

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

406 PATHOLOGY in MO

Provider Addresses for DR. CHARLES S EBY (MD)

  • 4921 PARKVIEW PL

    DIV PA LAB AND GENOMIC MED, STE 4E

    SAINT LOUIS, MO 631101032

    Phone: (314) 362-5641

    Fax: (314) 362-0369

    Type: Location

  • PO BOX 7412011

    CHICAGO, IL 606742011

    Phone: (314) 362-5641

    Fax: (314) 362-0369

    Type: Mailing

  • 660, South Euclid Avenue, Central West End, City of Saint Louis, Missouri, 63110, United States

    CB 8118

    SAINT LOUIS, MO 631101010

    Phone: (314) 362-5641

    Fax: (314) 362-0369

    Type: Mailing

  • South Kingshighway Boulevard, North Hampton, City of Saint Louis, Missouri, 63116, United States

    SAINT LOUIS, MO 631101026

    Phone: (314) 362-5641

    Fax: (314) 362-0369

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $21,154.

Total Amount is formed as General ($21,154) + Research ($0) + Ownership ($0) = $21,154.

Last reported payment date: 2024-05-20 • Largest payer in this snapshot: Instrumentation Laboratory Company ($21,154).

Total Amount

$21,154

General + Research + Ownership

Payments

13

Total payment records

General Amount

$21,154

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-20

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: 2024-02-14

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
I20090910000016IPathologyMOTBD
I20240214004253IPathologyILTBD

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
84165Protein measurement, serum867581$0
86334Immunologic analysis technique on serum (immunofixation)421337$0
86335Immunologic analysis technique on body fluid, other fluids with concentration126100$0
84166Protein measurement, body fluid9374$0
86077Blood bank physician services for cross match and/or evaluation and written report1717$0
View full utilization report →

Insurance plans in this area (ZIP 63110)

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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: 9830008770View full group profile

Reviews

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Frequently asked questions

What is DR. CHARLES S EBY (MD)'s NPI number?
DR. CHARLES S EBY (MD)'s NPI is 1457377764 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to DR. CHARLES S EBY (MD)?
You should see DR. CHARLES S EBY (MD) as active in CMS-hosted NPPES data.
What expertise is attributed to DR. CHARLES S EBY (MD)?
DR. CHARLES S EBY (MD)'s specialty line reads Hematology (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. CHARLES S EBY (MD)?
Travel planning: use Saint Louis, Missouri as the reference point for DR. CHARLES S EBY (MD), then confirm.
When was this NPI issued?
Enumeration for DR. CHARLES S EBY (MD) is noted as July 14, 2006 where the registry provides it.

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