Charles Patrick Coyne III, M.D.
Individual provider Active NPI Family Medicine Physician · Warrenton, MO
NPI 1295048031 · NPPES record last updated Dec 15, 2025
Key facts
- NPI
- 1295048031
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 201024955 (MO)
- Practice address
- 521 Anwijo Way
Warrenton, MO 63383-1388 - Phone
- (636) 456-6103
- Fax
- (636) 456-6124
- NPI assigned
- Jul 22, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Clinic East Communities
Aging Well Health Care, LLC
Practice addresses (Care Compare)
1502 W Meyer Rd
Wentzville, MO 63385-3653
Phone (636) 698-6266
7212 Balson Ave
Saint Louis, MO 63130-3001
Hospital & facility affiliations
- SSM Health at Home Home Health-St. Louis
- Elara Caring
- Mercy Home Health
- Mercy Hospice
- Mercy Hospital St Louis
- Mercy Hospital Washington
- Mercy Hospital Lincoln
- St Lukes Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131001000503 | MO | Practitioner - Family Practice | 5991948689 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201024955 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic East Communities | Family Medicine | Current |
Accepting new patients |
| Mercy Clinic East Communities | Family Medicine | Current |
Accepting new patients |
| Mercy Clinic East Communities | Family Medicine | Current |
Accepting new patients |
| Mercy Clinic Heart and Vascular, LLC | Past | Accepting new patients |
Locations
621 S New Ballas Rd
Ste 189A
Saint Louis, MO 63141
Phone (314) 251-6335
621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192
521 Anwijo Way
Warrenton, MO 63383
Phone (636) 239-7344
851 E 5th St
Ste 328
Washington, MO 63090
Phone (636) 239-1101
1502 W Meyer Rd
Wentzville, MO 63385
Phone (636) 698-6200
10 Wildcat Dr
Wright City, MO 63390
Phone (636) 791-9997
Interoperability endpoints
- ccoyne116584@directc.mercy.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 201024955 | MO | Yes |
Addresses
Primary practice location
521 Anwijo Way
Warrenton, MO 63383-1388
Mailing address
521 Anwijo Way
Warrenton, MO 63383-1388
Phone (636) 456-6103
Other providers in Warrenton, MO
- Cook Chiropractic LLC
- Jesse Aaron Cook
- Michael Bennett Coons
- County of Warren
- Thomas William Cox
- Jared Crow
- Rachel Damos
- Philip D Dean
- Dignity Services LLC
- Paul J. Dooley
All providers in Warrenton, MO · Family Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.