DR. CHARLES S MOORE (MD) – Family Medicine Physician, NPI 1902877012
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,330 FAMILY PRACTICE in MO
Provider Addresses for DR. CHARLES S MOORE (MD)
851 E 5th St Ste 152
Washington, MO 630903128
Phone: (636) 861-7880
Type: Location
11700 Studt Ave
Creve Coeur, MO 631417480
Phone: (314) 989-1181
Type: Location
12700 SOUTHFORK RD STE 175
SAINT LOUIS, MO 631283209
Phone: (314) 525-1798
Fax: (314) 525-4469
Type: Mailing
20, The Legends Parkway, Eureka, Saint Louis County, Missouri, 63025, United States
EUREKA, MO 630253801
Phone: (636) 549-0101
Fax: (636) 549-0101
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $557.
Total Amount is formed as General ($557) + Research ($0) + Ownership ($0) = $557.
Last reported payment date: 2024-11-09 • Largest payer in this snapshot: Smith+Nephew, Inc. ($257).
Total Amount
$557
General + Research + Ownership
Payments
9
Total payment records
General Amount
$557
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $257 |
| ETS Wound Care LLC | $158 |
| Organogenesis Inc. | $105 |
| Hydrofera LLC | $22 |
| Integra LifeSciences Corporation | $15 |
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: 2014-01-02
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 |
|---|---|---|---|---|
| I20140102001565 | I | Family Practice | MO | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 146 | 111 | $0 |
| 97597 | Removal of tissue from wound, 20.0 sq cm or less | 56 | 19 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 54 | 54 | $0 |
| 87811 | Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 48 | 48 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 48 | 34 | $0 |
Insurance plans in this area (ZIP 63090)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | MO | |
| General Surgery, Critical Care (Intensivists) | MO | |
| Family Practice | MO | |
| General Surgery | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Plastic And Reconstructive Surgery, Hand Surgery | MO | |
| General Surgery, Vascular Surgery | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO |
Reviews
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