CHARLES TRAN M.D.
NPI 1396159836
Internal Medicine in Saint Louis, MO

Active since June 12, 2014PECOS EnrolledAccepts Medicare Assignment
615 S NEW BALLAS RD, INTERNAL MEDICINE, SAINT LOUIS, MO 63141(314) 509-5305(314) 251-4454 Get Directions Write a Review

NPPES record last updated: June 12, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Charles Tran M.d. NPPES

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

CHARLES TRAN M.D. (NPI 1396159836) is an individual internal medicine provider in Saint Louis, Missouri, licensed in Missouri (2014018102) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1396159836
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameCHARLES TRANCredential: M.D.
Location Address615 S NEW BALLAS RD, INTERNAL MEDICINESaint Louis, MO 63141-8221
Mailing Address615 S New Ballas Rd, Internal MedicineSaint Louis, MO 63141-8221 · (314) 509-5305 · Fax (314) 251-4454
Fax(314) 251-4454
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateJune 12, 2014
✔ NPI 1396159836 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 · 2014018102
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.
615 S NEW BALLAS RD, Saint Louis, MO 63141

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

Charles Tran M.d. 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 ID648497305
PECOS Enrollment IDI20170627003131
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Charles Tran reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
615 S NEW BALLAS RD, ADMINISTRATION BUILDING, 5TH FLOOR
Saint Louis, MO 63141
  • Reassigned Medicare billing, Missouri enrollment
  • 744 clinicians in this Medicare group
Clinic/Center
615 S NEW BALLAS RD
Saint Louis, MO 63141
  • Reassigned Medicare billing, Missouri enrollment
  • 435 clinicians in this Medicare group
Hospitalist
10010 KENNERLY RD, 3 SOUTHBRIDGE
Saint Louis, MO 63128
  • Reassigned Medicare billing, Missouri enrollment
  • Medicare enrollment name: St Anthonys Physician Organization Hospitalist Services Lc
  • 340 clinicians in this Medicare group
Rural Health
35 WINFIELD PLZ
Winfield, MO 63389
  • Reassigned Medicare billing, Missouri enrollment
  • 229 clinicians in this Medicare group
Internal Medicine
1400 US HIGHWAY 61
Festus, MO 63028
  • Reassigned Medicare billing, Missouri enrollment
  • 299 clinicians in this Medicare group
Hospitalist
901 E 5TH ST
Washington, MO 63090
  • Reassigned Medicare billing, Missouri enrollment
  • 261 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.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
274 services184 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
162 services162 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
53 services42 patients

Hospital Affiliations CMS Care Compare 5

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 Washington

Acute Care Hospitals · Washington, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260052
Location901 East 5th StreetWashington, MO 63090 · Franklin County
Emergency services

Mercy Hospital South

Acute Care Hospitals · Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260077
Location10010 Kennerly RoadSaint Louis, MO 63128 · St. Louis County
Emergency services

Missouri Baptist Medical Center

Acute Care Hospitals · Town And Country, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260108
Location3015 N Ballas RdTown And Country, MO 63131 · St. Louis County
Emergency services Birthing friendly

St Lukes Hospital

Acute Care Hospitals · Chesterfield, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260179
Location232 S Woods Mill RdChesterfield, MO 63017 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63141 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.

Referred Medical Equipment & Supplies CMS DME claims

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers16 claims33 services$6.19 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.

Nurse Practitioner (Family)
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
Nurse Practitioner (Family)
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
Internal Medicine
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
Internal Medicine
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
Anesthesiologist Assistant
615 S NEW BALLAS RD, DEPT OF ANESTHESIOLOGY
SAINT LOUIS, MO 63141
Dentist
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
Nurse Practitioner (Psychiatric/Mental Health)
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
Internal Medicine
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141

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 Charles Tran's NPI number?

The NPI number for Charles Tran is 1396159836. It was assigned to this individual provider in the NPPES registry on June 12, 2014.

Where is Charles Tran located?

Charles Tran practices at 615 S New Ballas Rd Internal Medicine, Saint Louis, MO 63141. The listed phone number is (314) 509-5305.

What is Charles Tran's specialty?

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

Is Charles Tran enrolled in Medicare?

Yes. Charles Tran 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 Charles Tran's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Tran reassigns Medicare benefits to 6 organizations: Mercy Clinic East Communities (Saint Louis, MO), Mercy Hospitals East Communities (Saint Louis, MO), St Anthonys Physician Organization Hospitalist Services, L.C. (Saint Louis, MO), Mercy Hospital Lincoln (Winfield, MO), Mercy Clinic Adult Hospitalists- Jefferson, LLC (Festus, MO) and 1 more organization, listed in the Medicare section above. 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 Charles Tran's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Tran accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Ambetter of Tennessee and 2 other insurers list Charles Tran 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 Charles Tran affiliated with any hospitals?

According to CMS data, Charles Tran is affiliated with Mercy Hospital St Louis, Mercy Hospital Washington, Mercy Hospital South, Missouri Baptist Medical Center and St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for Charles Tran was last updated on June 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.