CHARLES C CANVER (MD, MBA) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1477855450

CHARLES C CANVER (MD, MBA) is a healthcare provider. based in Osage beach, Missouri. specializing in THORACIC SURGERY. They hold the professional credentials MD, MBA. They hold a License No. 01060317A (IN). The NPI Number for CHARLES C CANVER (MD, MBA) is 1477855450

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
CHARLES C CANVER (MD, MBA)
NPI
1477855450
Phone
(573) 302-2762
Address
54 HOSPITAL DR STE 225
Enumeration Date
24 November 2010
Last Update Date
31 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7013648000
Graduation Year
1981 (45 years ago)
PAC ID
9537484779
Group Practice PAC ID
9931298155
Professional Enrollment ID
I20230208000731
Address ID
ND581036132FA3000XSXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:15State licenses:3Digital endpointsOther names

130 THORACIC SURGERY in MO

Provider Addresses for CHARLES C CANVER (MD, MBA)

  • 54 HOSPITAL DR STE 225

    OSAGE BEACH, MO 650653050

    Phone: (573) 302-2762

    Type: Mailing

  • 1702 UNIVERSITY DR S

    FARGO, ND 581034940

    Phone:

    Type: Mailing

  • 3000 32ND AVE S

    FARGO, ND 581036132

    Phone: (701) 364-8000

    Fax: (573) 302-2268

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $1,119.

Total Amount is formed as General ($1,119) + Research ($0) + Ownership ($0) = $1,119.

Last reported payment date: 2024-06-19 • Largest payer in this snapshot: Abbott Laboratories ($1,094).

Total Amount

$1,119

General + Research + Ownership

Payments

7

Total payment records

General Amount

$1,119

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-19

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: 2024-12-10

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
I20230208000731IThoracic SurgeryNDTBD
I20241210003323IThoracic SurgeryMNTBD

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4441$0
99205New patient office or other outpatient visit, 60-74 minutes4040$0
33508Harvest of vein using an endoscope2323$0
33533Coronary artery bypass using artery graft, 1 graft1919$0
33518Coronary artery bypass using vein or artery graft, 2 grafts1313$0
View full utilization report →

Insurance plans in this area (ZIP 65065)

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Provider's Procedures

CHARLES C CANVER (MD, MBA) performs procedures in THORACIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIAC SURGERYIL33533Heart artery bypass to repair one artery1919

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: 9931298155View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YND
Interventional RadiologyND
General SurgeryMN
Nurse PractitionerND
Physical Therapist In Private PracticeND
Nurse PractitionerND
Hospitalist, Internal MedicineND
Family PracticeND
Nurse PractitionerMN
Nurse PractitionerND

Reviews

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Frequently asked questions

What number should I use to identify CHARLES C CANVER (MD, MBA) for billing?
Administrative and clinical systems typically use NPI 1477855450 for CHARLES C CANVER (MD, MBA).
Quick check: is CHARLES C CANVER (MD, MBA) active?
Public NPPES data shows CHARLES C CANVER (MD, MBA) with an active NPI status right now.
What services align with CHARLES C CANVER (MD, MBA)'s listing?
CHARLES C CANVER (MD, MBA)'s public classification highlights Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician. Clinical services aligned with this taxonomy classification.
Is CHARLES C CANVER (MD, MBA) tied to Osage Beach, Missouri?
If you are local to Osage Beach, Missouri, CHARLES C CANVER (MD, MBA) may be relevant to your search.
Can I export CHARLES C CANVER (MD, MBA)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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