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DR. CHARLES MICHAEL SHIPLEY DO
NPI 1730811043
Family Medicine in Saint Louis, MO

Active since June 27, 2022PECOS EnrolledAccepts Medicare Assignment
12680 OLIVE BLVD STE 100, SAINT LOUIS, MO 63141(314) 251-8900(314) 251-8901 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 15, 2025, May 5, 2025, Jul 3, 2023 (3 updates tracked since 2023).

About Dr. Charles Michael Shipley Do NPPES

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

DR. CHARLES MICHAEL SHIPLEY DO (NPI 1730811043) is an individual family medicine provider in Saint Louis, Missouri, licensed in Missouri (2023026701) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and maintains a secondary practice location in Saint Charles.

NPPES Registry Identity

NPI1730811043
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CHARLES MICHAEL SHIPLEYCredential: DO
Location Address12680 OLIVE BLVD STE 100Saint Louis, MO 63141-6322
Mailing Address12680 Olive Blvd Ste 100Saint Louis, MO 63141-6322 · (314) 251-8900 · Fax (314) 251-8901
Phone(314) 251-8900
Fax(314) 251-8901
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2022
Enumeration DateJune 27, 2022
Last NPPES UpdateAugust 15, 20253 updates tracked since enumeration
NPPES CertifiedAugust 15, 2025
✔ NPI 1730811043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MO · 2023026701
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
12680 OLIVE BLVD STE 100, Saint Louis, MO 63141
Open in Google Maps ↗

Secondary Practice Location 1

Location 12138 1st Capitol DrSaint Charles, MO 63301-5804 · Phone (636) 534-4498

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 Michael Shipley Do 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 ID7911387527
PECOS Enrollment IDI20240126001800
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.

Hospital Affiliations CMS Care Compare 2

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 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

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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 5

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

DR. MICHELE T BELLAMY MD
Internal Medicine
12680 OLIVE BLVD STE 100
CREVE COEUR, MO 63141
St. Louis County (314) 251-8900
ADRIANNE NICOLE SIMPSON APRN-CNP
Nurse Practitioner (Family)
12680 OLIVE BLVD STE 100
SAINT LOUIS, MO 63141
St. Louis County (314) 251-8900
SOFIYA AZIM DO
Internal Medicine
12680 OLIVE BLVD STE 100
SAINT LOUIS, MO 63141
St. Louis County (314) 251-8900
PAIGE FRANKE PA
Physician Assistant
12680 OLIVE BLVD STE 100
SAINT LOUIS, MO 63141
St. Louis County (314) 251-8900
JOHN E VERNON MD
Internal Medicine
12680 OLIVE BLVD STE 100
SAINT LOUIS, MO 63141
St. Louis County (314) 251-8900

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 Shipley's NPI number?

The NPI number for Charles Shipley is 1730811043. It was assigned to this individual provider in the NPPES registry on June 27, 2022.

Where is Charles Shipley located?

Charles Shipley practices at 12680 Olive Blvd Ste 100, Saint Louis, MO 63141. The listed phone number is (314) 251-8900.

What is Charles Shipley's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Charles Shipley enrolled in Medicare?

Yes. Charles Shipley 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.

Is Charles Shipley affiliated with any hospitals?

According to CMS data, Charles Shipley is affiliated with Mercy Hospital St Louis and Mercy Hospital South.

When was this NPI record last updated?

The NPPES record for Charles Shipley was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.