Active NPI 1629012042 Individual Practitioner Male Practitioner

Dr. Thomas B. Charles , MD

Surgery • Bridgeton, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Charles, MD is a certified Surgery practicing in Bridgeton, MO. With approximately 40 years of clinical experience since graduating from Medical College Of Wisconsin in 1986, Dr. Charles delivers high-quality medical care to the local community at 12266 DEPAUL DR..

Dr. Charles is affiliated with Ssm Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist, insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation, moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

12266 Depaul Dr.
Suite 305

Bridgeton, MO 630442516

Telephone 3147700991

Fax 3147700692

Associated Practice Facility / Clinic

🏢 Surgical Arts Of St Louis,ltd Facility NPI 1710999115

Medicare Profile & Education

Medical School

Medical College Of Wisconsin

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Bridgeton, MO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

40 Yrs +12.6 yrs vs City Avg

City Avg: 27.4 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

15 Specialists

Practicing in Bridgeton, MO (766 Statewide)

Telehealth Adoption Rate

6.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

82.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Charles (40 Years) 40 Yrs

Bridgeton Specialty Average (27.4 Years) 27.4 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
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	51	45	$1483.00	$226.01
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	44	37	$730.00	$158.31
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	37	28	$135.00	$11.62
36907 Balloon dilation of dialysis segment with review by radiologist	33	26	$630.00	$137.42
93922 Ultrasound study of arm and leg arteries	33	32	$85.00	$11.32
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	29	29	$125.00	$19.91
93970 Ultrasound study of arm or leg veins with compression and maneuvers	26	24	$294.00	$31.33
93880 Ultrasound of both sides of head and neck blood flow	16	15	$327.00	$36.13
93926 Ultrasound of one leg arteries or artery grafts	13	11	$150.00	$21.97
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$190.00	$87.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93922 Ultrasound study of arm and leg arteries	66	55	$85.00	$11.70
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	65	58	$1180.77	$229.70
93970 Ultrasound study of arm or leg veins with compression and maneuvers	63	60	$294.00	$32.34
99213 Established patient office or other outpatient visit, typically 15 minutes	53	44	$182.00	$87.80
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	47	41	$125.00	$20.77
93880 Ultrasound of both sides of head and neck blood flow	45	41	$327.00	$37.27
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	40	36	$547.80	$161.60
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	38	31	$135.00	$12.16
36907 Balloon dilation of dialysis segment with review by radiologist	31	26	$591.13	$140.20
93926 Ultrasound of one leg arteries or artery grafts	28	21	$150.00	$22.16
93979 Ultrasound scan of blood flow of aorta, vena cava, bypass graphs, or one side of the groin or limited scan	19	19	$120.00	$22.45
36589 Removal of central venous catheter for infusion	17	17	$486.00	$74.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$363.00	$161.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	102	85	$1102.00	$235.65
93970 Ultrasound study of arm or leg veins with compression and maneuvers	79	75	$195.00	$33.51
99213 Established patient office or other outpatient visit, typically 15 minutes	64	56	$160.00	$89.76
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	51	43	$126.00	$12.46
36907 Balloon dilation of dialysis segment with review by radiologist	49	39	$468.00	$143.23
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	43	38	$494.00	$165.41
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	43	43	$125.00	$21.36
93880 Ultrasound of both sides of head and neck blood flow	39	37	$198.00	$38.57
93922 Ultrasound study of arm and leg arteries	30	28	$85.00	$12.12
93979 Ultrasound scan of blood flow of aorta, vena cava, bypass graphs, or one side of the groin or limited scan	15	13	$120.00	$23.34
93926 Ultrasound of one leg arteries or artery grafts	15	12	$150.00	$23.03
36589 Removal of central venous catheter for infusion	11	11	$387.00	$90.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$235.00	$111.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	138	106	$1102.00	$239.07
93970 Ultrasound study of arm or leg veins with compression and maneuvers	118	115	$195.00	$33.26
93922 Ultrasound study of arm and leg arteries	89	81	$85.00	$12.57
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	75	73	$125.00	$21.71
99213 Established patient office or other outpatient visit, typically 15 minutes	71	55	$157.39	$91.03
93880 Ultrasound of both sides of head and neck blood flow	68	66	$198.00	$38.21
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	58	42	$126.00	$12.41
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	51	46	$494.00	$167.89
36907 Balloon dilation of dialysis segment with review by radiologist	37	28	$468.00	$146.28
93985 Complete ultrasound of artery and vein blood flow pre-op assessment on both sides of body for hemodialysis access	34	34	$79.00	$36.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$232.14	$111.91
93979 Ultrasound scan of blood flow of aorta, vena cava, bypass graphs, or one side of the groin or limited scan	26	23	$120.00	$23.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	22	$228.20	$129.23
93926 Ultrasound of one leg arteries or artery grafts	23	22	$150.00	$23.42
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$284.80	$134.37
93990 Ultrasound of dialysis access	16	14	$155.00	$23.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$353.08	$156.77
36589 Removal of central venous catheter for infusion	11	11	$387.00	$91.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	143	118	$1247.89	$245.56
93970 Ultrasound study of arm or leg veins with compression and maneuvers	120	115	$185.08	$34.93
99213 Established patient office or other outpatient visit, typically 15 minutes	74	53	$148.00	$74.48
93922 Ultrasound study of arm and leg arteries	67	61	$78.43	$12.66
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	64	56	$126.00	$12.45
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	63	62	$118.17	$22.46
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	54	50	$552.06	$174.54
93880 Ultrasound of both sides of head and neck blood flow	54	52	$184.96	$40.24
36907 Balloon dilation of dialysis segment with review by radiologist	51	43	$529.02	$151.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$220.00	$104.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	26	$218.00	$108.09
93979 Ultrasound scan of blood flow of aorta, vena cava, bypass graphs, or one side of the groin or limited scan	25	22	$117.60	$25.04
36589 Removal of central venous catheter for infusion	23	23	$387.00	$92.56
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$274.68	$138.58
93926 Ultrasound of one leg arteries or artery grafts	18	16	$145.67	$24.65
93985 Complete ultrasound of artery and vein blood flow pre-op assessment on both sides of body for hemodialysis access	16	16	$79.00	$39.32
36903 Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment with review by radiologist	14	14	$3969.57	$328.29
93990 Ultrasound of dialysis access	13	12	$140.69	$25.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	134	105	$112.49	$73.16
93922 Ultrasound study of arm and leg arteries	94	88	$38.36	$12.43
93880 Ultrasound of both sides of head and neck blood flow	91	90	$93.09	$40.77
93970 Ultrasound study of arm or leg veins with compression and maneuvers	88	88	$106.63	$34.74
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	75	73	$70.61	$22.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	73	73	$164.03	$105.48
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	44	43	$202.98	$137.82
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	39	36	$602.05	$250.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	26	$171.33	$108.17
G0365 Vessel mapping of vessels for hemodialysis access (services for preoperative vessel mapping prior to creation of hemodialysis access using an autogenous hemodialysis conduit, including arterial inflow and venous outflow)	25	25	$26.20	$12.55
93990 Ultrasound of dialysis access	23	22	$52.43	$25.17
93979 Ultrasound scan of blood flow of aorta, vena cava, bypass graphs, or one side of the groin or limited scan	22	21	$51.36	$25.11
93926 Ultrasound of one leg arteries or artery grafts	22	19	$61.64	$22.86
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	21	19	$106.00	$12.52
35301 Removal of blood clot and portion of artery of neck	15	15	$3318.00	$1179.72
36821 Relocation of arm vein with connection to arm artery, open procedure	12	12	$1118.67	$691.37
93923 Complete ultrasound study of arm and leg arteries	11	11	$68.00	$22.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	142	114	$101.00	$71.14
93880 Ultrasound of both sides of head and neck blood flow	129	124	$91.00	$39.87
93970 Ultrasound study of arm or leg veins with compression and maneuvers	115	114	$104.00	$34.55
93922 Ultrasound study of arm and leg arteries	107	98	$37.00	$12.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	82	82	$150.00	$104.35
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	73	72	$68.00	$22.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	36	$61.00	$43.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	27	$148.00	$105.79
93979 Ultrasound scan of blood flow of aorta, vena cava, bypass graphs, or one side of the groin or limited scan	32	26	$50.00	$24.41
93990 Ultrasound of dialysis access	28	27	$51.00	$24.05
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	26	23	$560.00	$246.59
G0365 Vessel mapping of vessels for hemodialysis access (services for preoperative vessel mapping prior to creation of hemodialysis access using an autogenous hemodialysis conduit, including arterial inflow and venous outflow)	24	24	$25.00	$12.35
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$103.00	$70.56
93923 Complete ultrasound study of arm and leg arteries	20	19	$68.00	$22.22
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$190.53	$136.11
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	16	16	$380.00	$163.47
36821 Relocation of arm vein with connection to arm artery, open procedure	14	14	$1100.00	$660.00
36907 Balloon dilation of dialysis segment with review by radiologist	14	14	$325.00	$151.18
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	13	12	$105.00	$12.69
93926 Ultrasound of one leg arteries or artery grafts	13	11	$60.00	$24.37
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$272.00	$201.56
36589 Removal of central venous catheter for infusion	12	12	$322.00	$106.94
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	12	12	$4875.00	$952.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93970 Ultrasound study of arm or leg veins with compression and maneuvers	129	121	$104.00	$34.29
99213 Established patient office or other outpatient visit, typically 15 minutes	121	99	$101.00	$71.35
93880 Ultrasound of both sides of head and neck blood flow	118	117	$91.00	$40.04
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	103	95	$68.00	$21.90
93922 Ultrasound study of arm and leg arteries	91	82	$37.00	$12.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	76	70	$61.00	$42.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	73	73	$150.00	$104.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	30	$148.00	$105.03
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	30	29	$560.00	$220.47
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	29	$186.00	$135.63
99202 New patient office or other outpatient visit, typically 20 minutes	28	28	$103.00	$73.16
93979 Ultrasound scan of blood flow of aorta, vena cava, bypass graphs, or one side of the groin or limited scan	27	26	$50.00	$25.00
99231 Follow-up hospital inpatient care per day, typically 15 minutes	24	17	$55.00	$38.87
99221 Initial hospital inpatient care per day, typically 30 minutes	19	19	$137.00	$100.55
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	18	18	$4875.00	$957.13
93923 Complete ultrasound study of arm and leg arteries	16	16	$68.00	$22.45
93926 Ultrasound of one leg arteries or artery grafts	15	12	$60.00	$24.28
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	12	12	$380.00	$148.12
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	12	11	$105.00	$12.27

Medical Specialties & State Licenses

CMS Verified: 2020-11-03

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MO 100363

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

203411509 (MO)

Commercial Insurance / Payer ID Railroad Medicare

770000196 (MO)

Commercial Insurance / Payer ID Illinois Medicare Pin

L90344 (IL)

Commercial Insurance / Payer ID Illinois Medicare Pin

L90347 (IL)

Hospital & Practice Group Affiliations

Ssm Medical Group Inc

12266 De Paul Dr, Bridgeton, MO 630442514

Phone: 3147700991

Practice Associates & Co-Workers

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

17 Associated Practitioners

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Surgery - Vascular Surgery

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Doctor of Medicine (M.D.)

Dr. Kyle Christensen , DO

Surgery

NPI 1164804035

Doctor of Osteopathic Medicine (D.O.)

Dr. Thomas Bocchini , MD

Radiology - Vascular & Interventional Radiology

NPI 1194765578

Doctor of Medicine (M.D.)

Dr. Anil Srivastava , MD

Surgery

NPI 1205920220

Doctor of Medicine (M.D.)

Dr. Joshua Glaser , MD

Surgery

NPI 1235245598

Doctor of Medicine (M.D.)

Dr. Thanh-Mai Vo , MD

Internal Medicine - Nephrology

NPI 1235367160

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address November 03, 2020

Registered at PO BOX 955534, SAINT LOUIS, MO 631952516

✅

NPI Profile Active October 29, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location October 29, 2007

Registered at 12266 DEPAUL DR., SUITE 305, BRIDGETON, MO 630442516 (Tel: 3147700991)

📍

Updated Business Mailing Address October 29, 2007

Registered at 12266 DEPAUL DR., SUITE 305, BRIDGETON, MO 630442516 (Tel: 3147700991)

👤

Provider Name / Credentials Updated October 29, 2007

Recorded as THOMAS CHARLES, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 29, 2007

Surgery (License #100363 in MO)

🟢

Initial NPI Registration & Enumeration June 15, 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: 1629012042

Entity Type:

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

Enumeration Date: June 15, 2006

Last Update: November 03, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 955534

Saint Louis, MO 631952516

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.