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CHARLES PFISTER M.D.
NPI 1528592011
Surgery in Louisville, KY

Active since April 12, 2017PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
4950 NORTON HEALTHCARE BLVD STE 300, LOUISVILLE, KY 40241(502) 394-6395(502) 394-6396 Get Directions Write a Review

NPPES record last updated: August 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 25, 2023, Nov 14, 2022, Apr 12, 2017 (3 updates tracked since 2017).

About Charles Pfister M.d. NPPES

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

CHARLES PFISTER M.D. (NPI 1528592011) is an individual surgery provider in Louisville, Kentucky, licensed in Kentucky (TP635) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Norton Hospitals, Inc, and is a graduate of University Of Louisville School Of Medicine (2017).

NPPES Registry Identity

NPI1528592011
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameCHARLES PFISTERCredential: M.D.
Location Address4950 NORTON HEALTHCARE BLVD STE 300Louisville, KY 40241-2848
Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 588-9490 · Fax (502) 272-5116
Phone(502) 394-6395
Fax(502) 394-6396
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2017
Enumeration DateApril 12, 2017
Last NPPES UpdateAugust 25, 20233 updates tracked since enumeration
NPPES CertifiedAugust 25, 2023
✔ NPI 1528592011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in KY · TP635✔ Licensed in OR · MD212060
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4950 NORTON HEALTHCARE BLVD STE 300, Louisville, KY 40241
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Charles Pfister 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 ID7315212776
PECOS Enrollment IDI20231010003618
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 10

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.
98 services42 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.
40 services40 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
18 services18 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
16 services16 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.
16 services16 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40241 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
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 Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

DR. JOSHUA STEPHEN DAY MD
Surgery
4950 NORTON HEALTHCARE BLVD STE 300
LOUISVILLE, KY 40241
Jefferson County (502) 394-6395
JENNY R HUGHES LCSW
Social Worker (Clinical)
4950 NORTON HEALTHCARE BLVD STE 300
LOUISVILLE, KY 40241
Jefferson County (502) 446-5610
LESANNE ADAMS LCSW
Social Worker (Clinical)
4950 NORTON HEALTHCARE BLVD STE 300
LOUISVILLE, KY 40241
Jefferson County (502) 446-5610
MR. ROBERT CECIL MATTHEWS II CST/CFA/KCSA
Specialist/Technologist, Other (Surgical Technologist)
4950 NORTON HEALTHCARE BLVD STE 300
LOUISVILLE, KY 40241
Jefferson County (502) 394-6395

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 Pfister's NPI number?

The NPI number for Charles Pfister is 1528592011. It was assigned to this individual provider in the NPPES registry on April 12, 2017.

Where is Charles Pfister located?

Charles Pfister practices at 4950 Norton Healthcare Blvd Ste 300, Louisville, KY 40241. The listed phone number is (502) 394-6395.

What is Charles Pfister's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Charles Pfister enrolled in Medicare?

Yes. Charles Pfister 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 Pfister accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Charles Pfister 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 Pfister affiliated with any hospitals?

According to CMS data, Charles Pfister is affiliated with Norton Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Charles Pfister was last updated on August 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.