CHARLES S PEWITT (DO) – Family Medicine Physician, NPI 1740389980

CHARLES S PEWITT (DO) is a healthcare provider. based in Jackson, Missouri. specializing in FAMILY PRACTICE, OSTEOPATHIC MANIPULATIVE MEDICINE. They hold the professional credentials DO. They hold a License No. R9F48 (MO). The NPI Number for CHARLES S PEWITT (DO) is 1740389980

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
CHARLES S PEWITT (DO)
NPI
1740389980
Phone
(573) 243-9288
Address
2387 W JACKSON BLVD
Enumeration Date
22 September 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Secondary Phone
5733354100
Graduation Year
1985 (41 years ago)
PAC ID
1355316167
Group Practice PAC ID
6800706797
Professional Enrollment ID
I20040930001142
Address ID
MO637036373CA3065XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,330 FAMILY PRACTICE in MO

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Provider Addresses for CHARLES S PEWITT (DO)

  • 2387, West Jackson Boulevard, Jackson, Cape Girardeau County, Missouri, 63755, United States

    JACKSON, MO 637553018

    Phone: (573) 243-9288

    Fax: (573) 204-7074

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 339 Open Payments records for all available years, with a total value of $5,730.

Total Amount is formed as General ($5,730) + Research ($0) + Ownership ($0) = $5,730.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: ABBVIE INC. ($1,866).

Total Amount

$5,730

General + Research + Ownership

Payments

339

Total payment records

General Amount

$5,730

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

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: 2004-09-30

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
I20040930001142IFamily PracticeMOTBD

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
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month2,112269$0
99214Established patient office or other outpatient visit, 30-39 minutes2,081414$0
99458Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes1,34385$0
99454Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days96094$0
99457Management using the results of remote vital sign monitoring per calendar month, first 20 minutes90093$0
View full utilization report →

Insurance plans in this area (ZIP 63755)

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Provider's Procedures

CHARLES S PEWITT (DO) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEMO20610Aspiration and/or injection of large joint or joint capsule1514
FAMILY MEDICINEMO51798Ultrasound measurement of bladder capacity after voiding12589
FAMILY MEDICINEMO85610Blood test, clotting time36748
FAMILY MEDICINEMO93926Ultrasound study of arteries and arterial grafts of one leg or limited2726

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: 6800706797View full group profile
NameSpecialtyState
Family Practice, Emergency MedicineMO

Reviews

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Frequently asked questions

What unique ID ties claims to CHARLES S PEWITT (DO)?
NPI 1740389980 is assigned to CHARLES S PEWITT (DO) under the national enumeration system.
Does this profile mean CHARLES S PEWITT (DO) is currently active?
Yes — CHARLES S PEWITT (DO) appears active in the national provider directory.
What field does CHARLES S PEWITT (DO) work in?
You can think of CHARLES S PEWITT (DO) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is CHARLES S PEWITT (DO)'s primary listing?
We display Jackson, Missouri because that is what the record indicates for CHARLES S PEWITT (DO).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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