Charles S Pewitt, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R9F48 Issued in MO

Practice address

2387 W Jackson Blvd
Jackson, MO 63755-3018

Phone

(573) 243-9288

Fax

(573) 204-7074

NPI assigned

Sep 22, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: Osteopathic Manipulative Medicine

Education

Kansas City University of Med & Biosciences, College of Osteo Med, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medstop One IncGroup PAC ID 6800706797, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Grace Reliant Health Services, LLC Home health agency, Cape Girardeau, MO, CCN 267646
• Elara Caring Home health agency, Dexter, MO, CCN 267589
• Centerwell Home Health Home health agency, Rolla, MO, CCN 267098
• Mercy Hospital Southeast Hospital, Cape Girardeau, MO, CCN 260110
• Saint Francis Medical Center Hospital, Cape Girardeau, MO, CCN 260183
• Mercy Hospital Perry Hospital, Perryville, MO, CCN 261311

Merit-based Incentive Payment System (MIPS)

Final score

27.2 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

90.66

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dr.cpewitt@jmcp-mo.direct.office.nextgen.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Medstop One Inc

  • Clinic/Center
  • Cape Girardeau, MO
  • NPI 1417959149
  Medicare reassignment Care Compare group NPD
• Jackson Medical Center PC

  • Family Medicine Physician
  • Jackson, MO
  • NPI 1508048125
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Grace Reliant Health Services, LLC

  • Home Health Agency
  • Cape Girardeau, MO
  • NPI 1013266436
  Care Compare affiliation
• Mercy Hospital Perry

  • Critical Access Hospital
  • Perryville, MO
  • NPI 1063117158
  Care Compare affiliation
• Missouri Home Care of Rolla, Inc.

  dba CenterWell Home Health

  • Home Health Agency
  • Rolla, MO
  • NPI 1366495384
  Care Compare affiliation
• Saint Francis Medical Center

  • General Acute Care Hospital
  • Cape Girardeau, MO
  • NPI 1467412726
  Care Compare affiliation
• Saint Francis Medical Center

  • Internal Medicine Physician
  • Cape Girardeau, MO
  • NPI 1578513016

  Hospital

  Care Compare affiliation
• Southeast Hospital

  dba Mercy Hospital Southeast

  • General Acute Care Hospital
  • Cape Girardeau, MO
  • NPI 1811006661
  Care Compare affiliation
• Tri County Home Health, Inc.

  dba Elara Caring

  • Home Health Agency
  • Dexter, MO
  • NPI 1881641090
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740389980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2387 W JACKSON BLVD",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "637553018",
            "telephone_number": "573-243-9288",
            "fax_number": "573-204-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2387 W JACKSON BLVD",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "637553018",
            "telephone_number": "573-243-9288",
            "fax_number": "573-204-7074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEWITT",
        "first_name": "CHARLES",
        "middle_name": "S",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R9F48",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Christ Pappas, DC
• Jake Ryan Partridge, M.S. SLP-CCC
• Patriot Medical Supplies
• Patriot Medical Supplies
• Aliecia Diann Penrod
• Julia Annette Pewitt, D.O.
• Richel Pingkian
• Lindsey Michelle Pippins, MABC, BT, QIDP, DDP
• Kaitlyn C Poythress, MA, BCBA, LBA
• Alissa Marie Quaite, ED.S, LPC, RPT

• Family Medicine Physician in Jackson, MO
• Providers in Jackson, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.