CHARLES PHILLIP BLAIR VANDERPOOL MD
NPI 1033266820
Pediatrics - Pediatric Gastroenterology in Indianapolis, IN

NPI Status: Active since January 04, 2007

Contact Information

705 RILEY HOSPITAL DR
ROC 4210
INDIANAPOLIS, IN
ZIP 46202
Phone: (317) 944-3774
Fax: (317) 944-8521

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  • Individual
  • Male
  • Pediatrics
  • Pediatric Gastroenterology
  • Accepts Insurance
  • PECOS Enrolled

About CHARLES VANDERPOOL

This page provides the complete NPI Profile along with additional information for Charles Vanderpool, a pediatrician established in Indianapolis, Indiana with a medical specialization in Pediatrics, focusing in pediatric gastroenterology . The healthcare provider is registered in the NPI registry with number 1033266820 assigned on January 2007. The practitioner's primary taxonomy code is 2080P0206X with license number 01069261A (IN). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1033266820
Provider Name
CHARLES PHILLIP BLAIR VANDERPOOL MD
Gender
Male
Entity Type
Individual
Location Address
705 RILEY HOSPITAL DR ROC 4210 INDIANAPOLIS, IN 46202
Location Phone
(317) 944-3774
Location Fax
(317) 944-8521
Mailing Address
PO BOX 1026 INDIANAPOLIS, IN 46206
Mailing Phone
(317) 274-1201
Mailing Fax
(317) 944-8521
Is Sole Proprietor?
No
Enumeration Date
01-04-2007
Last Update Date
11-23-2020
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A pediatrician like Charles Vanderpool is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics Pediatric Gastroenterology

Taxonomy Code
2080P0206X
Type
Allopathic & Osteopathic Physicians
License No.
01069261A
License State
IN
Taxonomy Description
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze First 7500 $25 Generic Drugs - HMO
  • Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Gold 1500 $15 Generic Drugs - HMO
  • Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Select Drugs - HMO
  • Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
  • Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
  • Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • HSA Eligible Bronze 6000 - HMO
  • Low Premium Bronze 9200 $25 Generic Drugs - HMO
  • Low Premium Bronze 9200 $25 Generic Drugs Adult Vision & Fitness - HMO
  • Low Premium Silver 6000 $3 Generic Drugs - HMO
  • Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - HMO
  • Platinum Zero $5 Generic Drugs - HMO
  • Platinum Zero $5 Generic Drugs Adult Vision & Fitness - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
201020420MEDICAID (05)IN 

Medicare Participation & PECOS Enrollment Status

Charles Vanderpool is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 46202 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $122.49
  • Minimum New Patient Price $53.07
  • Maximum New Patient Price $161.76
  • Average New Patient Copayment $30.62
  • Minimum New Patient Copayment $13.26
  • Maximum New Patient Copayment $40.44

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $94.22
  • Minimum Established Patient Price $16.93
  • Maximum Established Patient Price $132.22
  • Average Established Patient Copayment $23.55
  • Minimum Established Patient Copayment $4.23
  • Maximum Established Patient Copayment $33.05

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for CHARLES PHILLIP BLAIR VANDERPOOL MD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1033266820
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2063461284
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 4 + 6 + 1 + 2 + 8 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1033266820 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1306815402 KATHLEEN M O'NEIL MD
Individual
Pediatrics (Pediatric Rheumatology)705 RILEY HOSPITAL DR RR 307
INDIANAPOLIS, IN 46202
(317) 274-2172
1245295690 DAVID C DELGADO M.D.
Individual
Pediatrics (Pediatric Hematology-Oncology)705 RILEY HOSPITAL DR ROC 4340
INDIANAPOLIS, IN 46202
(317) 944-5552
1255389334 DONALD P ORR MD
Individual
Pediatrics (Adolescent Medicine)705 RILEY HOSPITAL DR MSA 2
INDIANAPOLIS, IN 46202
(317) 274-8812
1700835253 GREGORY A WILSON MD
Individual
Pediatrics705 RILEY HOSPITAL DR RI 1601
INDIANAPOLIS, IN 46202
(317) 944-4842
1952355398 DOUGLAS J GAEBLER LCSW
Individual
Social Worker705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
(317) 944-2066
1922049790 CHRISTINE M RACHES PSY.D.
Individual
Psychologist (Clinical Child & Adolescent)705 RILEY HOSPITAL DR RI 5837
INDIANAPOLIS, IN 46202
(317) 944-8167
1760413991 STEVEN J STEINER MD
Individual
Pediatrics (Pediatric Gastroenterology)705 RILEY HOSPITAL DR ROC 4210
INDIANAPOLIS, IN 46202
(317) 944-3774
1275567729 JAMES D ULM M.D.
Individual
Otolaryngology705 RILEY HOSPITAL DR SUITE 0860
INDIANAPOLIS, IN 46202
(317) 948-3226
1366457830 LUCILLE ANN PAPILE MD
Individual
Pediatrics (Neonatal-Perinatal Medicine)705 RILEY HOSPITAL DR RR 208
INDIANAPOLIS, IN 46202
(317) 274-4715
1295743086 BENJAMIN D BAUER MD
Individual
Pediatrics705 RILEY HOSPITAL DR STE 1721
INDIANAPOLIS, IN 46202
(317) 962-8067
1154331601 HEIDI S NEUBURGER
Individual
Audiologist (Assistive Technology Practitioner)705 RILEY HOSPITAL DR 0860
INDIANAPOLIS, IN 46202
(317) 948-5818
1992715452GENERAL OTORHINOLARYNGOLOGICAL FOUNDATION, INC.
Organization
Otolaryngology705 RILEY HOSPITAL DR 0860
INDIANAPOLIS, IN 46202
(317) 630-8970
1871600668 JULIE K KECK MD
Individual
Pediatrics (Developmental - Behavioral Pediatrics)705 RILEY HOSPITAL DR RI 1601
INDIANAPOLIS, IN 46202
(317) 274-4842
1619085602 ROGER A HURWITZ MD
Individual
Pediatrics (Pediatric Cardiology)705 RILEY HOSPITAL DR RR 127
INDIANAPOLIS, IN 46202
(317) 274-8906
1871602995 HOWARD EIGEN MD
Individual
Pediatrics (Pediatric Critical Care Medicine)705 RILEY HOSPITAL DR RI 2117
INDIANAPOLIS, IN 46202
(317) 274-7208
1396854345 WILLIAM MA MD
Individual
Pediatrics (Pediatric Critical Care Medicine)705 RILEY HOSPITAL DR ROC 4270
INDIANAPOLIS, IN 46202
(317) 278-7738
1184734527 JAMES S HILL MD
Individual
Pediatrics (Pediatric Hematology-Oncology)705 RILEY HOSPITAL DR ROC 4340
INDIANAPOLIS, IN 46202
(317) 944-5611
1932219375 PAUL R HAUT MD
Individual
Pediatrics (Pediatric Hematology-Oncology)705 RILEY HOSPITAL DR ROC 4340
INDIANAPOLIS, IN 46202
(317) 944-5552
1710097142 ROBERT J FALLON MD, PHD
Individual
Pediatrics (Pediatric Hematology-Oncology)705 RILEY HOSPITAL DR ROC 4340
INDIANAPOLIS, IN 46202
(317) 944-5611
1649375205 CHARMIAN A QUIGLEY MD
Individual
Pediatrics (Pediatric Endocrinology)705 RILEY HOSPITAL DR RI 5960
INDIANAPOLIS, IN 46202
(317) 944-3889

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033266820, enumerated in the NPI registry as an "individual" on January 04, 2007

The provider is located at 705 Riley Hospital Dr Roc 4210 Indianapolis, In 46202 and the phone number is (317) 944-3774

The provider's speciality is Pediatrics with taxonomy code 2080P0206X with a focus in Pediatric Gastroenterology

The provider might be accepting Accepts: CareSource, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $122.49 with an average copayment of $30.62 for new patient appointments. Established patients should expect a typical charge of $94.22 and an average copayment of 23.55. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on January 04, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.