CHARLES MARQUARDT (MD) – Vascular Surgery Physician, NPI 1477180115
Vascular Surgery Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
145 VASCULAR SURGERY in MO
Provider Addresses for CHARLES MARQUARDT (MD)
1402 S GRAND BLVD RM M260
SAINT LOUIS, MO 631041004
Phone:
Type: Mailing
2955 XENIUM LN N
PLYMOUTH, MN 554412666
Phone: (763) 398-6383
Type: Mailing
4040 COON RAPIDS BLVD NW STE 120
COON RAPIDS, MN 554334568
Phone: (763) 427-9980
Fax: (763) 427-0904
Type: Location
2955 Xenium Ln N
Plymouth, MN 554412666
Phone: (763) 398-6383
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $1,399.
Total Amount is formed as General ($1,399) + Research ($0) + Ownership ($0) = $1,399.
Last reported payment date: 2024-12-21 • Largest payer in this snapshot: Silk Road Medical, Inc. ($477).
Total Amount
$1,399
General + Research + Ownership
Payments
14
Total payment records
General Amount
$1,399
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Silk Road Medical, Inc. | $477 |
| Medtronic, Inc. | $362 |
| Bolton Medical Inc | $322 |
| Shockwave Medical, Inc | $146 |
| Terumo Medical Corporation | $44 |
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: 2025-09-12
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 |
|---|---|---|---|---|
| I20250912002256 | I | Vascular Surgery | MN | 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 63104)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease | CO | |
| Qualified Audiologist | MN | |
| Family Practice | MN | |
| - | MN | |
| Family Practice | MN | |
| Nurse Practitioner | ND | |
| - | MN | |
| - | MN | |
| - | MN | |
| - | MN |
Reviews
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