DR. DOROTHY N CHARLES MD
NPI 1194288779
Family Medicine in Ferguson, MO
About Dr. Dorothy N Charles Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DOROTHY N CHARLES MD (NPI 1194288779) is an individual family medicine provider in Ferguson, Missouri, licensed in Missouri (2025032016) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Alton Memorial Hospital, and is a graduate of Perelman School Of Med At The University Of Pennsylvania (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Dorothy N Charles Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Dorothy Charles reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Louis, MO 63107
- Reassigned Medicare billing, Missouri enrollment
- 85 clinicians in this Medicare group
Granite City, IL 62040
- Reassigned Medicare billing, Illinois enrollment
- 164 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Alton Memorial Hospital
Acute Care Hospitals · Alton, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63135 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FERGUSON, MO 63135
FERGUSON, MO 63135
SAINT LOUIS, MO 63135
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Dorothy Charles's NPI number?
The NPI number for Dorothy Charles is 1194288779. It was assigned to this individual provider in the NPPES registry on April 10, 2019.
Where is Dorothy Charles located?
Dorothy Charles practices at 3396 Pershall Rd, Ferguson, MO 63135. The listed phone number is (314) 814-8700.
What is Dorothy Charles's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Dorothy Charles enrolled in Medicare?
Yes. Dorothy Charles is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Dorothy Charles's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dorothy Charles reassigns Medicare benefits to 2 organizations: Affinia Healthcare (Saint Louis, MO) and Southern Illinois Healthcare Foundation, Inc (Granite City, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dorothy Charles's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dorothy Charles accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list Dorothy Charles as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Dorothy Charles affiliated with any hospitals?
According to CMS data, Dorothy Charles is affiliated with Alton Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Dorothy Charles was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Dorothy N Charles, MD · NPI 1194288779
Family Medicine physician in Ferguson, Missouri. Individual provider, active in the CMS NPPES registry since April 10, 2019.
## Identity
- **NPI:** 1194288779 (Entity type: Individual)
- **Enumerated:** April 10, 2019
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 2025032016 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 3396 PERSHALL RD, Ferguson, MO 63135-1407
- **Phone:** (314) 814-8700 · **Fax:** (314) 814-8589
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Affinia Healthcare (NPI 1093723959, Saint Louis, MO); Southern Illinois Healthcare Foundation, Inc (NPI 1326392747, Granite City, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Perelman School Of Med At The University Of Pennsylvania, class of 2019
## Record status
- **NPPES last updated:** September 29, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1194288779) · Data from the CMS NPPES public registry.