CHARLES S PEWITT DO NPI 1740389980

NPI Information

  • NPI: 1740389980
  • Provider Name: CHARLES S PEWITT, DO
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2387 W JACKSON BLVD
    JACKSON, MO
    ZIP 63755
  • Phone: (573) 243-9288

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NPI Details

Charles S Pewitt, DO is a family medicine in Jackson, MO with 41 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Charles S Pewitt, DO NPI is 1740389980. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduation Year:1985

The provider's business location address is:

2387 W JACKSON BLVD
JACKSON, MO
ZIP 63755-018
Phone: (573) 243-9288
Fax: (573) 204-7074

The NPI 1740389980 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes (HCPCS:99458)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional (HCPCS:99484)
  • Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days (HCPCS:99454)
  • Management using the results of remote vital sign monitoring per calendar month, first 20 minutes (HCPCS:99457)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99439)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Limited ultrasound scan behind abdominal cavity (HCPCS:76775)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Injection, ceftriaxone sodium, per 250 mg (HCPCS:J0696)
  • Influenza vaccine, quadrivalent derived from cell cultures (HCPCS:90756)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Injection, methylprednisolone acetate, 80 mg (HCPCS:J1040)
  • Application of ultrasound, each 15 minutes (HCPCS:97035)
  • Application of electrical stimulation with therapist present, each 15 minutes (HCPCS:97032)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment (HCPCS:99453)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Injection, lincomycin hcl, up to 300 mg (HCPCS:J2010)
  • Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99487)
  • Pneumococcal vaccine, 23-valent (HCPCS:90732)
  • Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
  • Destruction of precancer skin growth, 1 growth (HCPCS:17000)
  • Pneumococcal vaccine, 13-valent (HCPCS:90670)
  • Removal of impacted ear wax (HCPCS:69210)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment (HCPCS:G0402)

The enumeration date for this NPI number is 9/22/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineR9F48MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A10692MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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