1. Home
  2. Directory
  3. Missouri
  4. Cape Girardeau
  5. Internal Medicine
  6. NPI Profile

DR. CHARLES E LAVALLE M.D.
NPI 1477537975
Internal Medicine - Infectious Disease in Cape Girardeau, MO

Active since November 30, 2005PECOS EnrolledAccepts Medicare Assignment
211 SAINT FRANCIS DR, ATTN: INFECTIOUS DISEASE DEPT, CAPE GIRARDEAU, MO 63703(573) 331-3000(573) 331-3000 Get Directions Write a Review

NPPES record last updated: June 6, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Charles E Lavalle M.d. NPPES

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

DR. CHARLES E LAVALLE M.D. (NPI 1477537975) is an individual infectious disease provider in Cape Girardeau, Missouri, licensed in Missouri (115503) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Barnes Jewish Hospital, and is a graduate of University Of Missouri, Columbia School Of Medicine (1998).

NPPES Registry Identity

NPI1477537975
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. CHARLES E LAVALLECredential: M.D.
Location Address211 SAINT FRANCIS DR, ATTN: INFECTIOUS DISEASE DEPTCape Girardeau, MO 63703-5049
Mailing AddressPo Box 191850, Attn: Debbie StraussSaint Louis, MO 63119-7850 · (314) 821-8055 · Fax (314) 821-1833
Phone(573) 331-3000
Fax(573) 331-3000
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 1998
Enumeration DateNovember 30, 2005
Last NPPES UpdateJune 6, 2014
✔ NPI 1477537975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in MO · 115503
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
211 SAINT FRANCIS DR, Cape Girardeau, MO 63703
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINH83388MO
Medicare ID-Type Unspecified207801200MO · Individual
Medicare ID-Type Unspecified002013845MO · Medicare Individual

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.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. Charles E Lavalle 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 ID8325005812
PECOS Enrollment IDI20041216000310
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

3

Medicare enrollment records show Charles Lavalle reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medical Specialists Of Southeast Missouri, PC
Same address
General Acute Care Hospital
211 SAINT FRANCIS DR, ATTN INFECTIOUS DISEASE DEPT
Cape Girardeau, MO 63703
  • Reassigned Medicare billing, Missouri enrollment
  • 2 clinicians in this Medicare group
NPI 1629052063 (573) 331-3000
Southeast Missouri Hospital Physicians, LLC
1.8 mi
Family Medicine
1701 LACEY ST
Cape Girardeau, MO 63701
  • Reassigned Medicare billing, Missouri enrollment
  • 470 clinicians in this Medicare group
NPI 1558311522 (573) 331-6880
Missouri Delta Medical Center
28 mi
Internal Medicine
1008 N MAIN ST
Sikeston, MO 63801
  • Reassigned Medicare billing, Missouri enrollment
  • 203 clinicians in this Medicare group
NPI 1508967860 (573) 471-1600

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 9

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.
1,219 services251 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.
566 services192 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
319 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.
207 services204 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.
53 services50 patients
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.
35 services29 patients

Hospital Affiliations CMS Care Compare 5

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

Barnes Jewish Hospital

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260032
LocationOne Barnes-Jewish Hospital PlazaSaint Louis, MO 63110 · St. Louis City County
Emergency services Birthing friendly

Mercy Hospital Southeast

Acute Care Hospitals · Cape Girardeau, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260110
Location1701 Lacey StCape Girardeau, MO 63701 · Cape Girardeau County
Emergency services Birthing friendly

Missouri Delta Medical Center

Acute Care Hospitals · Sikeston, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260113
Location1008 North Main StSikeston, MO 63801 · Scott County
Emergency services Birthing friendly

Mercy Hospital Stoddard

Acute Care Hospitals · Dexter, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260160
Location1200 N One Mile RdDexter, MO 63841 · Stoddard County
Emergency services

Saint Francis Medical Center

Acute Care Hospitals · Cape Girardeau, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260183
Location211 St Francis DrCape Girardeau, MO 63703 · Cape Girardeau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63703 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

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.

LISA M ZOELLNER-GULLETTE FNP
Nurse Practitioner (Family)
211 SAINT FRANCIS DR
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 331-5770
JESSICA H LEMMONS
Obstetrics & Gynecology
211 SAINT FRANCIS DR
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 339-1166
DR. NEFRETITI MER-EN-RA GARRISON-NORTH MD
Internal Medicine
211 SAINT FRANCIS DR
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 331-5770
GIUSEPPE GALATI CRNA
Nurse Anesthetist, Certified Registered
211 SAINT FRANCIS DR
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 331-5150
JULIANNE MARIE WHEELOCK PA-C
Physician Assistant
211 SAINT FRANCIS DR
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 331-5110
STEPHEN E DAILEY CRNA
Nurse Anesthetist, Certified Registered
211 SAINT FRANCIS DR
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 331-3000
MELISSA KELLEY
Registered Nurse (Lactation Consultant)
211 SAINT FRANCIS DR
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 331-5480
AYOTUNDE B FADAYOMI MD
Anesthesiology (Pain Medicine)
211 SAINT FRANCIS DR
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 331-5329

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 Lavalle's NPI number?

The NPI number for Charles Lavalle is 1477537975. It was assigned to this individual provider in the NPPES registry on November 30, 2005.

Where is Charles Lavalle located?

Charles Lavalle practices at 211 Saint Francis Dr Attn: Infectious Disease Dept, Cape Girardeau, MO 63703. The listed phone number is (573) 331-3000.

What is Charles Lavalle's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Charles Lavalle enrolled in Medicare?

Yes. Charles Lavalle 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 Lavalle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Lavalle reassigns Medicare benefits to 3 organizations: Medical Specialists Of Southeast Missouri, PC (Cape Girardeau, MO), Southeast Missouri Hospital Physicians, LLC (Cape Girardeau, MO) and Missouri Delta Medical Center (Sikeston, MO). 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 Lavalle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Lavalle 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 Charles Lavalle 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 Lavalle affiliated with any hospitals?

According to CMS data, Charles Lavalle is affiliated with Barnes Jewish Hospital, Mercy Hospital Southeast, Missouri Delta Medical Center, Mercy Hospital Stoddard and Saint Francis Medical Center.

When was this NPI record last updated?

The NPPES record for Charles Lavalle was last updated on June 6, 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.