Active NPI 1457369480 Individual Practitioner Male Practitioner

Dr. Pierre S Charles , MD

Surgery • Quincy, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Pierre Charles, MD is a certified Surgery practicing in Quincy, IL. With approximately 40 years of clinical experience since graduating from Louisiana State University School Of Medicine In New Orleans in 1986, Dr. Charles delivers high-quality medical care to the local community at 1025 MAINE ST.

Dr. Charles maintains professional affiliations with Blessing Hospital, Edgerton Hospital And Health Services, Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with straightforward or low-level medical decision making, if using time, at least, follow-up hospital inpatient care per day, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1025 Maine St

Quincy, IL 623014038

Telephone 2172226550

Associated Practice Facility / Clinic

🏢 Quincy Physicians & Surgeons Clinic, Pllc Facility NPI 1548234198

Medicare Profile & Education

Medical School

Louisiana State University School Of Medicine In New Orleans

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Quincy, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

40 Yrs +11.4 yrs vs City Avg

City Avg: 28.6 Yrs

State Avg: 27.3 Yrs

Regional Practice Density

6 Specialists

Practicing in Quincy, IL (1624 Statewide)

Telehealth Adoption Rate

16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Charles (40 Years) 40 Yrs

Quincy Specialty Average (28.6 Years) 28.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	69	68	$274.61	$126.36
99231 Follow-up hospital inpatient care per day, typically 15 minutes	46	34	$78.13	$47.83
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	36	25	$143.32	$75.63
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$202.71	$80.64
47562 Removal of gallbladder using an endoscope	11	11	$2228.47	$664.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	68	64	$266.18	$127.34
99231 Follow-up hospital inpatient care per day, typically 15 minutes	64	46	$75.93	$48.88
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	47	35	$138.67	$77.30
99221 Initial hospital inpatient care per day, typically 30 minutes	43	42	$197.19	$81.83
47562 Removal of gallbladder using an endoscope	18	18	$2169.19	$663.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	71	63	$139.45	$69.31
99231 Follow-up hospital inpatient care per day, typically 15 minutes	71	48	$75.93	$37.84
99221 Initial hospital inpatient care per day, typically 30 minutes	43	42	$197.19	$98.82
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$266.18	$130.18
47562 Removal of gallbladder using an endoscope	11	11	$2169.19	$673.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$205.36	$82.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	109	97	$139.44	$37.34
99221 Initial hospital inpatient care per day, typically 30 minutes	47	46	$364.71	$96.35
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	43	29	$218.40	$70.10
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	16	$432.99	$129.37
47562 Removal of gallbladder using an endoscope	15	15	$3802.34	$659.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$279.43	$79.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$109.27	$35.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	103	97	$136.95	$39.42
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	48	30	$212.84	$72.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	20	$109.27	$25.97
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	13	13	$1544.31	$88.40
47562 Removal of gallbladder using an endoscope	11	11	$3796.57	$684.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	185	135	$136.95	$38.98
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	38	16	$213.24	$71.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	12	$109.27	$25.25
47562 Removal of gallbladder using an endoscope	12	12	$3666.86	$671.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	183	130	$135.77	$37.69
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	35	19	$213.95	$69.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$107.94	$24.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	189	131	$132.96	$38.81
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	22	21	$92.26	$18.92
76937 Ultrasonic guidance for blood vessel access	20	19	$125.94	$14.37
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$401.70	$135.19
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	17	16	$3448.38	$259.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$106.09	$25.14
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$296.64	$100.59

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IL 036-119853

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License WI 37422020

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1457369480 (WI)

Commercial Insurance / Payer ID Dean Health Plan Hmo

11205

Hospital & Practice Group Affiliations

Edgerton Hospital And Health Services, Inc

11101 N Sherman Rd, Edgerton, WI 535349002

Phone: 6088843441

Blessing Hospital

927 Broadway St, Quincy, IL 623012719

Phone: 2172246423

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Austin Hake , MD

Psychiatry & Neurology - Neurology

NPI 1003077389

Doctor of Medicine (M.D.)

Dr. Kartikeya Tripathi , MD

Internal Medicine - Gastroenterology

NPI 1003269200

Doctor of Medicine (M.D.)

Dr. William Holt , MD

Orthopaedic Surgery

NPI 1023081502

Doctor of Medicine (M.D.)

Nicole Shields , MS, LCPC, QMHP

Counselor - Professional

NPI 1023104940

Master of Science, Licensed Clinical Professional Counselor, Qualified Mental Health Professional

Dr. Kristin Thompson , DPT

Physical Therapist

NPI 1023203031

Doctor of Physical Therapy

Kathleen Nelson , MS ED

Counselor - Professional

NPI 1033340203

Master of Science in Education

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active November 07, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 07, 2016

Registered at 1025 MAINE ST, QUINCY, IL 623014038 (Tel: 2172226550)

📍

Updated Business Mailing Address November 07, 2016

Registered at 1025 MAINE ST, QUINCY, IL 623014038 (Tel: 2172226550)

👤

Provider Name / Credentials Updated November 07, 2016

Recorded as PIERRE CHARLES, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 07, 2016

Surgery (License #036-119853 in IL)

🟢

Initial NPI Registration & Enumeration August 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1457369480

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 04, 2006

Last Update: November 07, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1025 Maine St

Quincy, IL 623014038

Phone: 2172226550

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.