Dr Charles S Moore, MD - Medicare Family Practice in Saint Louis, MO

Dr Charles S Moore, MD is a medicare enrolled "Family Medicine" physician in Saint Louis, Missouri. He went to Emory University School Of Medicine and graduated in 2003 and has 23 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Mercy Clinic Hyperbaric And Wound Care Llc, Mercy East Ambulatory Services Llc and his current practice location is 12700 Southfork Rd Ste 175, Saint Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at (314) 525-1798.

Dr Charles S Moore is licensed to practice in Missouri (license number 2013017434) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1902877012.

Contact Information

Dr Charles S Moore, MD
12700 Southfork Rd Ste 175,
Saint Louis, MO 63128-3209
(314) 525-1798
(314) 525-4469

Map and Direction




Physician's Profile

Full NameDr Charles S Moore
GenderMale
SpecialityFamily Practice
Experience23 Years
Location12700 Southfork Rd Ste 175, Saint Louis, Missouri
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Charles S Moore attended and graduated from Emory University School Of Medicine in 2003
  NPI Data:
  • NPI Number: 1902877012
  • Provider Enumeration Date: 01/27/2006
  • Last Update Date: 05/01/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9638127269
  • Enrollment ID: I20140102001565

Medical Identifiers

Medical identifiers for Dr Charles S Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902877012NPI-NPPES
200045550AMedicaidOK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 2013017434 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy Home HealthSaint louis, MOHome health agency
Mercy Hospital SouthSaint louis, MOHospital
Mercy Hospital WashingtonWashington, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mercy Clinic Hyperbaric And Wound Care Llc034546852612
Mercy East Ambulatory Services Llc2365739240100

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Charles S Moore allows following entities to bill medicare on his behalf.
Entity NameMercy Clinic Hyperbaric And Wound Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336568864
PECOS PAC ID: 0345468526
Enrollment ID: O20140829001708
Entity NameMercy East Ambulatory Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134673148
PECOS PAC ID: 2365739240
Enrollment ID: O20160920002054

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Charles S Moore is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Charles S Moore, MD
12700 Southfork Rd Ste 175,
Saint Louis, MO 63128-3209

Ph: (314) 525-1798
Dr Charles S Moore, MD
12700 Southfork Rd Ste 175,
Saint Louis, MO 63128-3209

Ph: (314) 525-1798

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.