CHARLES GONZALES (M.D.) – Physical Medicine & Rehabilitation Physician, NPI 1508276692

CHARLES GONZALES (M.D.) is a healthcare provider. based in Saint louis, Missouri. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials M.D.. They hold a License No. 2018015039 (MO). The NPI Number for CHARLES GONZALES (M.D.) is 1508276692

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
CHARLES GONZALES (M.D.)
NPI
1508276692
Phone
(314) 977-9853
Address
1402 S Grand Blvd
Enumeration Date
29 April 2014
Last Update Date
7 November 2025

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6366255200
Graduation Year
2014 (12 years ago)
PAC ID
1951659176
Group Practice PAC ID
6002121126
Professional Enrollment ID
I20180803002894
Address ID
MO633671366LA100XXPLZX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:12State licenses:1Digital endpointsOther names

239 PHYSICAL MEDICINE AND REHABILITATION in MO

Provider Addresses for CHARLES GONZALES (M.D.)

  • 1402 S Grand Blvd

    FDT 14th Floor

    Saint Louis, MO 631041004

    Phone: (314) 977-9853

    Type: Location

  • 1776 WOODSTEAD CT

    STE 208

    THE WOODLANDS, TX 773801480

    Phone: (563) 359-6786

    Type: Mailing

  • 12380 DE PAUL DR

    BRIDGETON, MO 630442511

    Phone: (877) 749-7428

    Fax: (512) 628-3314

    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: 2018-08-03

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
I20180803002894IPhysical Medicine And RehabilitationMOTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1,171265$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes532239$0
99239Hospital discharge day management, more than 30 minutes244224$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes187172$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes4545$0
View full utilization report →

Insurance plans in this area (ZIP 63104)

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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: 6002121126View full group profile
NameSpecialtyState
Physical Medicine And RehabilitationMO
Physical Medicine And RehabilitationMO
Physical Medicine And RehabilitationFL
Physical Medicine And RehabilitationMO
Pain Management, Physical Medicine And RehabilitationMO
Physical Medicine And RehabilitationMO
Physical Medicine And RehabilitationMO
-TX
Physical Medicine And RehabilitationTX

Reviews

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Frequently asked questions

How is CHARLES GONZALES (M.D.) identified in CMS data?
CMS-hosted NPPES data lists CHARLES GONZALES (M.D.) with NPI 1508276692.
Does CMS list CHARLES GONZALES (M.D.) as active?
Yes — CHARLES GONZALES (M.D.) is active in the NPI listing used on this page.
What is CHARLES GONZALES (M.D.)'s primary classification?
Physical Medicine & Rehabilitation Physician is the headline specialty for CHARLES GONZALES (M.D.) here. Clinical services aligned with this taxonomy classification.
Where is CHARLES GONZALES (M.D.) based?
CHARLES GONZALES (M.D.) is tied to Saint Louis, Missouri in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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