Active NPI 1326048935 Individual Practitioner Male Practitioner

Dr. Charles A Wetherington , MD

Neurological Surgery • Fenton, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Charles Wetherington, MD is a certified Neurological Surgery practicing in Fenton, MO. With approximately 34 years of clinical experience since graduating from Medical College Of Georgia School Of Medicine in 1992, Dr. Wetherington delivers high-quality medical care to the local community at 1055 BOWLES AVE STE 200.

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

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, insertion of cage or mesh device to spine bone and disc space during spine fusion. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1055 Bowles Ave Ste 200

Fenton, MO 630262308

Telephone 6364963900

Associated Practice Facility / Clinic

🏢 South County Anesthesia Associates, Ltd Facility NPI 1689947202

Medicare Profile & Education

Medical School

Medical College Of Georgia School Of Medicine

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Neurological Surgery in Fenton, MO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs Matches City Avg

City Avg: 34.0 Yrs

State Avg: 24.5 Yrs

Regional Practice Density

1 Specialists

Practicing in Fenton, MO (204 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

58.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wetherington (34 Years) 34 Yrs

Fenton Specialty Average (34.0 Years) 34.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	76	46	$110.00	$63.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$322.53	$119.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	23	$238.03	$91.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$168.80	$78.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	65	42	$100.40	$64.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	45	$192.72	$91.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$318.49	$129.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	76	76	$175.00	$130.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	69	55	$134.57	$94.04
99213 Established patient office or other outpatient visit, typically 15 minutes	51	34	$96.27	$65.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$115.00	$82.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	91	91	$182.64	$128.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	57	$130.02	$96.29
99213 Established patient office or other outpatient visit, typically 15 minutes	65	51	$86.85	$66.77
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	31	16	$822.00	$258.59
63048 Partial removal of spine bone with release of spinal cord and/or nerves	26	18	$2040.00	$204.51
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	24	24	$6480.00	$863.54
61783 Computer-assisted spinal procedure	11	11	$1020.00	$231.61
22842 Placement of stabilizing device to back, 3-6 spine bone segments	11	11	$4800.00	$762.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	107	75	$76.28	$51.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$94.47	$76.20
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$67.36	$49.28
20931 Donor bone graft for spine surgery	14	14	$1200.00	$113.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	135	85	$58.17	$50.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$84.10	$75.72
99202 New patient office or other outpatient visit, typically 20 minutes	30	30	$58.90	$51.02
29848 Release of wrist ligament using an endoscope	17	14	$1295.06	$475.27
20931 Donor bone graft for spine surgery	12	12	$1033.33	$111.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	199	119	$57.31	$48.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$86.30	$72.68
99202 New patient office or other outpatient visit, typically 20 minutes	52	52	$57.77	$48.78
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	23	13	$685.00	$249.47
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	20	20	$5400.00	$912.12
20931 Donor bone graft for spine surgery	17	17	$1000.00	$112.23
63048 Partial removal of spine bone with release of spinal cord and/or nerves	15	11	$1700.00	$200.79
61783 Computer-assisted spinal procedure	14	13	$850.00	$233.89
29848 Release of wrist ligament using an endoscope	14	12	$1280.00	$445.26
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	13	13	$97.00	$70.16
22633 Fusion of spine in lower back with partial removal of spine bone and disc	13	13	$5571.00	$1345.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	182	118	$55.51	$50.25
99202 New patient office or other outpatient visit, typically 20 minutes	100	100	$56.94	$49.08
22614 Fusion of additional segment of spine	71	14	$1475.00	$403.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	22	$27.00	$25.24
63048 Partial removal of spine bone with release of spinal cord and/or nerves	22	11	$1700.00	$217.50
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	19	11	$1400.00	$410.60
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	13	12	$6000.00	$1680.02
20931 Donor bone graft for spine surgery	13	13	$1000.00	$115.71
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	11	11	$5400.00	$1069.52

Medical Specialties & State Licenses

CMS Verified: 2020-11-24

Neurological Surgery Primary Specialty

NUCC Taxonomy Code: 207T00000X

State License MO 104062

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

204694509 (MO)

Hospital & Practice Group Affiliations

Ssm Medical Group Inc

6420 Clayton Rd, Saint Louis, MO 631171811

Ssm Medical Group Inc

1035 Bellevue Ave, Saint Louis, MO 631171843

Phone: 3149254770

Ssm Medical Group Inc

6420 Clayton Rd, Richmond Heights, MO 631171811

Phone: 3147688267

Ssm Medical Group Inc

1345 Smizer Mill Rd, Fenton, MO 630267305

Ssm Medical Group Inc

1055 Bowles Ave, Fenton, MO 630262308

Phone: 6364963900

Ssm Medical Group Inc

1015 Bowles Ave, Fenton, MO 630262394

Phone: 6364962000

Secondary Practice Locations

6725 Chippewa St

Saint Louis, MO 631092534

Phone: 3146447111

Practice Associates & Co-Workers

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

8 Associated Practitioners

Laura Howard

Nurse Practitioner - Family

NPI 1023498334

Dr. Bassam Malo , MD

Psychiatry & Neurology - Neurology

NPI 1205148293

Doctor of Medicine (M.D.)

Valerie Rasche , PA

Physician Assistant

NPI 1205392776

Physician Assistant

Danielle Blake

Nurse Practitioner

NPI 1265900450

Connie Pickering , ANP

Nurse Practitioner - Adult Health

NPI 1487812632

Adult Nurse Practitioner

Carley Roth

Nurse Practitioner

NPI 1639034424

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location November 24, 2020

Registered at 1055 BOWLES AVE STE 200, FENTON, MO 630262308 (Tel: 6364963900)

📍

Updated Business Mailing Address November 24, 2020

Registered at PO BOX 955534, SAINT LOUIS, MO 631955534

✅

NPI Profile Active July 05, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location July 05, 2016

Registered at 6725 CHIPPEWA ST, SAINT LOUIS, MO 631092534 (Tel: 3146447111)

📍

Updated Business Mailing Address July 05, 2016

Registered at 1055 BOWLES AVE, SUITE 200, FENTON, MO 630262308 (Tel: 6364963900)

👤

Provider Name / Credentials Updated July 05, 2016

Recorded as CHARLES WETHERINGTON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 05, 2016

Neurological Surgery (License #104062 in MO)

🟢

Initial NPI Registration & Enumeration July 26, 2005

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: 1326048935

Entity Type:

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

Enumeration Date: July 26, 2005

Last Update: November 24, 2020

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 955534

Saint Louis, MO 631955534

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.