DR. CHARLES UPSHUR NOTTINGHAM MD
NPI 1821352428
Urology in Washington, MO

Q: What is Charles Nottingham's NPI number?

The NPI number for Charles Nottingham is 1821352428. It was assigned to this individual provider in the NPPES registry on June 27, 2012.

Q: What is Charles Nottingham's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Active since June 27, 2012PECOS EnrolledAccepts Medicare Assignment

79.29/100

CMS Quality Rating

901 PATIENTS FIRST DR STE 3400, WASHINGTON, MO 63090(636) 239-5155 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 25, 2024, Apr 10, 2024, Nov 29, 2021 and 2 more (5 updates tracked since 2018).

On this page

About Dr. Charles Upshur Nottingham Md NPPES

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

DR. CHARLES UPSHUR NOTTINGHAM MD (NPI 1821352428) is an individual urology provider in Washington, Missouri, licensed in Missouri (2020017663) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and is a graduate of Virginia Commonwealth University, School Of Medicine (2012).

NPPES Registry Identity

NPI1821352428

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameDR. CHARLES UPSHUR NOTTINGHAMCredential: MD

Location Address901 PATIENTS FIRST DR STE 3400Washington, MO 63090-4700

Mailing Address901 Patients First Dr Ste 3400Washington, MO 63090-4700 · (636) 239-5155

Phone(636) 239-5155

Sole ProprietorNo

Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 2012

Enumeration DateJune 27, 2012

Last NPPES UpdateAugust 28, 20245 updates tracked since enumeration

NPPES CertifiedAugust 28, 2024

✔ NPI 1821352428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in MO · 2020017663

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

901 PATIENTS FIRST DR STE 3400, Washington, MO 63090

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Other Identifiers 1

Medicaid200084519MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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

Dr. Charles Upshur Nottingham Md 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 ID4385946284

PECOS Enrollment IDI20200701000448

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 19

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.

165 services138 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

75 services71 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

46 services46 patients

Insertion of stent in ureter using an endoscope 52332

This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.

38 services37 patients

Complete laser fragmentation of prostate including control of bleeding using an endoscope 52649

This procedure involves using a special scope and a laser to break down an enlarged gland in the lower body, improving comfort and function. It also includes managing any bleeding that may occur during this process.

38 services37 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.

34 services34 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.

33 services25 patients

Crushing of stone of ureter with insertion of stent using an endoscope 52356

This procedure involves using a thin, flexible tube (endoscope) to locate and break down kidney stones in the ureter. After this, a small tube (stent) is inserted to help maintain an open pathway for urine to flow.

30 services26 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

30 services25 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

25 services23 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

20 services20 patients

Removal or manipulation of stone in ureter or kidney using an endoscope 52352

This procedure involves using a thin, flexible instrument called an endoscope to locate and remove or break down stones in the urinary tract. It's a non-invasive method that helps to alleviate discomfort and improve urinary function.

18 services18 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

16 services16 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

14 services14 patients

Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope 52310

This is a procedure to remove an object, stone, or tube from your urinary tract. An endoscope, a thin, flexible tube with a light and camera, is used to locate and remove the object. It is a safe and effective way to address the issue.

14 services14 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.

14 services14 patients

Complex surgical treatment of kidney stone with imaging guidance 50081

This procedure involves using a thin tube (endoscope) to either remove or break down large kidney stones, or to place a small device (stent) that helps keep the urinary tract open. This is done to alleviate pain and improve kidney function.

12 services12 patients

Telephone medical discussion with physician, 5-10 minutes 99441

A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.

12 services12 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

11 services11 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

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 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

Barnes-Jewish West County Hospital

Acute Care Hospitals · Creve Coeur, MO

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260162

Location12634 Olive BoulevardCreve Coeur, MO 63141 · St. Louis County

Emergency services

Missouri Baptist Sullivan Hospital

Critical Access Hospitals · Sullivan, MO

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number261337

Location751 Sappington Bridge RdSullivan, MO 63080 · Franklin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63090 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

$65.71 typical visit price

range $16.30 – $131.05

Typical copayment $16.42 (range $4.07 – $32.76)

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.

79.29/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

71.46

Promoting Interoperability

100

Improvement Activities

Cost

59.51

Other Providers at the Same Location NPPES 3

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

AMANDA HEISEL NP-C

Nurse Practitioner (Primary Care)

901 PATIENTS FIRST DR STE 3400
WASHINGTON, MO 63090

Franklin County (636) 239-5155

DR. BRIAN M BENWAY MD

Urology

901 PATIENTS FIRST DR STE 3400
WASHINGTON, MO 63090

Franklin County (636) 239-5155

CHARLES MCCLELLAND GILL JR. MD

Urology

901 PATIENTS FIRST DR STE 3400
WASHINGTON, MO 63090

Franklin County (636) 239-5155

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 Nottingham's NPI number?

The NPI number for Charles Nottingham is 1821352428. It was assigned to this individual provider in the NPPES registry on June 27, 2012.

Where is Charles Nottingham located?

Charles Nottingham practices at 901 Patients First Dr Ste 3400, Washington, MO 63090. The listed phone number is (636) 239-5155.

What is Charles Nottingham's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Charles Nottingham enrolled in Medicare?

Yes. Charles Nottingham 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 Nottingham 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 Nottingham 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 Nottingham affiliated with any hospitals?

According to CMS data, Charles Nottingham is affiliated with Mercy Hospital St Louis, Barnes Jewish Hospital, Mercy Hospital Washington, Barnes-Jewish West County Hospital and Missouri Baptist Sullivan Hospital.

When was this NPI record last updated?

The NPPES record for Charles Nottingham was last updated on August 28, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.