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: August 09, 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 Anna Hospital Corporation D/b/a Union County 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
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

Other Identifiers 3

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

Accepted 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. 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.

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.

Anna Hospital Corporation D/B/A Union County Hospital

Critical Access Hospitals · Anna, IL
OwnershipProprietary
CMS Certification Number141342
Location517 North Main StreetAnna, IL 62906 · Union County
Emergency services

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.

Nurse Practitioner (Family)
211 SAINT FRANCIS DR
CAPE GIRARDEAU, MO 63703
Obstetrics & Gynecology
211 SAINT FRANCIS DR
CAPE GIRARDEAU, MO 63703
Internal Medicine
211 SAINT FRANCIS DR
CAPE GIRARDEAU, MO 63703
Nurse Anesthetist, Certified Registered
211 SAINT FRANCIS DR
CAPE GIRARDEAU, MO 63703
Physician Assistant
211 SAINT FRANCIS DR
CAPE GIRARDEAU, MO 63703
Nurse Anesthetist, Certified Registered
211 SAINT FRANCIS DR
CAPE GIRARDEAU, MO 63703
Registered Nurse (Lactation Consultant)
211 SAINT FRANCIS DR
CAPE GIRARDEAU, MO 63703
Anesthesiology (Pain Medicine)
211 SAINT FRANCIS DR
CAPE GIRARDEAU, MO 63703

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.

What insurance does Charles Lavalle 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 4 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 Anna Hospital Corporation D/B/A Union County 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.