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DR. RAGHAV CHAUDHARY MD
NPI 1235583329
Internal Medicine in Festus, MO

Active since April 15, 2016PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1400 US HIGHWAY 61, FESTUS, MO 63028(636) 933-5337 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 17, 2025, Sep 20, 2019 (2 updates tracked since 2019).

About Dr. Raghav Chaudhary Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RAGHAV CHAUDHARY MD (NPI 1235583329) is an individual internal medicine provider in Festus, Missouri, licensed in Missouri (2019024542) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1235583329
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. RAGHAV CHAUDHARYCredential: MD
Location Address1400 US HIGHWAY 61Festus, MO 63028-4100
Mailing Address1400 Us Highway 61Festus, MO 63028-4100 · (636) 933-5337
Phone(636) 933-5337
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateApril 15, 2016
Last NPPES UpdateNovember 17, 20252 updates tracked since enumeration
NPPES CertifiedNovember 17, 2025
✔ NPI 1235583329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MO · 2019024542
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1400 US HIGHWAY 61, Festus, MO 63028
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Raghav Chaudhary 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.

PECOS PAC ID9133451388
PECOS Enrollment IDI20191021003608
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
357 services159 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
142 services138 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
56 services35 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
54 services53 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
39 services39 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
27 services17 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Hospital St Louis

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260020
Location615 New Ballas RoadSaint Louis, MO 63141 · St. Louis County
Emergency services Birthing friendly

Mercy Hospital Jefferson

Acute Care Hospitals · Festus, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260023
Location1400 Us Highway 61Festus, MO 63028 · Jefferson County
Emergency services

Mercy Hospital Springfield

Acute Care Hospitals · Springfield, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260065
Location1235 E CherokeeSpringfield, MO 65804 · Greene County
Emergency services Birthing friendly

Ozarks Healthcare

Acute Care Hospitals · West Plains, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260078
Location1100 Kentucky AveWest Plains, MO 65775 · Howell County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63028 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers40 claims41 services$20.79 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers19 claims19 services$9.26 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers69 claims70 services$115.32 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier28 claims28 services$37.21 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MERCY HEALTH SERVICES, LLC
Pharmacy (Community/Retail Pharmacy)
1400 US HIGHWAY 61, STE G38
FESTUS, MO 63028
Jefferson County (636) 933-1600
KARTHIK IYER MD
Internal Medicine (Critical Care Medicine)
1400 US HIGHWAY 61
FESTUS, MO 63028
Jefferson County (636) 933-5337
MARTIAL FOTSO MD
Family Medicine
1400 US HIGHWAY 61
FESTUS, MO 63028
Jefferson County (636) 933-5337
MERCY HOSPITAL JEFFERSON
Medicare Defined Swing Bed Unit
1400 US HIGHWAY 61
FESTUS, MO 63028
Jefferson County (636) 933-1000
DR. ROBERT A. YUEN M.D.
Radiology (Vascular & Interventional Radiology)
1400 US HIGHWAY 61
FESTUS, MO 63028
Jefferson County (636) 933-1059
AMANDA RAE MCVEY BSN, CCRN
Nurse Anesthetist, Certified Registered
1400 US HIGHWAY 61
FESTUS, MO 63028
Jefferson County (636) 933-1033
MERCY CLINIC ADULT HOSPITALISTS- JEFFERSON, LLC
Internal Medicine
1400 US HIGHWAY 61
FESTUS, MO 63028
Jefferson County (314) 364-4200
HANNAH OBERLE
Physician Assistant
1400 US HIGHWAY 61
FESTUS, MO 63028
Jefferson County (636) 933-1111

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 Raghav Chaudhary's NPI number?

The NPI number for Raghav Chaudhary is 1235583329. It was assigned to this individual provider in the NPPES registry on April 15, 2016.

Where is Raghav Chaudhary located?

Raghav Chaudhary practices at 1400 Us Highway 61, Festus, MO 63028. The listed phone number is (636) 933-5337.

What is Raghav Chaudhary's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Raghav Chaudhary enrolled in Medicare?

Yes. Raghav Chaudhary 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.

What insurance does Raghav Chaudhary accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Raghav Chaudhary 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 Raghav Chaudhary affiliated with any hospitals?

According to CMS data, Raghav Chaudhary is affiliated with Mercy Hospital St Louis, Mercy Hospital Jefferson, Mercy Hospital Springfield and Ozarks Healthcare.

When was this NPI record last updated?

The NPPES record for Raghav Chaudhary was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.