DR. CHARLES WILLIAM PELTON O.D.
NPI 1962767665
Optometrist in De Soto, MO

Q: What is Charles Pelton's NPI number?

The NPI number for Charles Pelton is 1962767665. It was assigned to this individual provider in the NPPES registry on July 9, 2012.

Q: What is Charles Pelton's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Charles Pelton was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since July 09, 2012PECOS EnrolledAccepts Medicare Assignment

126 S MAIN ST, DE SOTO, MO 63020(636) 586-5406(636) 586-1969 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Charles William Pelton O.d. NPPES

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

DR. CHARLES WILLIAM PELTON O.D. (NPI 1962767665) is an individual optometrist in De Soto, Missouri, licensed in Missouri (2012017231) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS and is a graduate of University Of Missouri St Louis - School Of Optometry (2012).

NPPES Registry Identity

NPI1962767665

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. CHARLES WILLIAM PELTONCredential: O.D.

Location Address126 S MAIN STDe Soto, MO 63020-2104

Mailing Address126 S Main StDe Soto, MO 63020-2104 · (636) 586-5406 · Fax (636) 586-1969

Phone(636) 586-5406

Fax(636) 586-1969

Sole ProprietorNo

Medical School CMSUniversity Of Missouri St Louis - School Of OptometryGraduated 2012

Enumeration DateJuly 9, 2012

Last NPPES UpdateSeptember 22, 2025

NPPES CertifiedSeptember 22, 2025

✔ NPI 1962767665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in MO · 2012017231

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

126 S MAIN ST, De Soto, MO 63020

Open in Google Maps ↗

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 William Pelton O.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 ID143470146

PECOS Enrollment IDI20121029000649

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63020 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

$128.28 typical visit price

range $55.65 – $169.38

Typical copayment $32.07 (range $13.91 – $42.34)

Most-billed visit code 99204

Established Patient

$69.50 typical visit price

range $17.76 – $137.92

Typical copayment $17.37 (range $4.44 – $34.48)

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.

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.

DESOTO VISION CARE LLC

Eyewear Supplier

126 S MAIN ST
DE SOTO, MO 63020

Jefferson County (636) 586-5406

GENNADIY DAMESHEK O.D.

Optometrist

126 S MAIN ST
DE SOTO, MO 63020

Jefferson County (636) 586-5406

DE SOTO EYE CARE LLC

Optometrist

126 S MAIN ST
DE SOTO, MO 63020

Jefferson County (636) 586-5406

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 Pelton's NPI number?

The NPI number for Charles Pelton is 1962767665. It was assigned to this individual provider in the NPPES registry on July 9, 2012.

Where is Charles Pelton located?

Charles Pelton practices at 126 S Main St, De Soto, MO 63020. The listed phone number is (636) 586-5406.

What is Charles Pelton's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Charles Pelton enrolled in Medicare?

Yes. Charles Pelton 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 Pelton 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 9 other insurers list Charles Pelton 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.

When was this NPI record last updated?

The NPPES record for Charles Pelton was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.