DR. CHARLES MICHAEL ROESEL (MD) – Family Medicine Physician, NPI 1124003389

DR. CHARLES MICHAEL ROESEL (MD) is a healthcare provider. based in Sitka, Alaska. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. MD20793 (OR). The NPI Number for DR. CHARLES MICHAEL ROESEL (MD) is 1124003389

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHARLES MICHAEL ROESEL (MD)
NPI
1124003389
Phone
(907) 747-1722
Address
209 MOLLER AVE
Enumeration Date
9 December 2005
Last Update Date
22 December 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9079662411
Graduation Year
1994 (32 years ago)
PAC ID
7113976382
Group Practice PAC ID
1456265362
Professional Enrollment ID
I20180202001744
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for DR. CHARLES MICHAEL ROESEL (MD)

  • Sitka Long-Term Care, 209, Moller Avenue, Sitka, Alaska, 99835, United States

    SITKA, AK 998357142

    Phone: (907) 747-1722

    Fax: (907) 747-1755

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-02-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180202001744IFamily PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes277136$0
99213Established patient office or other outpatient visit, 20-29 minutes138101$0
View full utilization report →

Insurance plans in this area (ZIP 99835)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1456265362View full group profile

Reviews

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Frequently asked questions

Where can patients find DR. CHARLES MICHAEL ROESEL (MD)'s NPI?
You can confirm DR. CHARLES MICHAEL ROESEL (MD) with NPI 1124003389; it appears in the national provider directory.
Is DR. CHARLES MICHAEL ROESEL (MD) currently active in the NPI registry?
CMS-published data lists DR. CHARLES MICHAEL ROESEL (MD) as an active registrant.
Does DR. CHARLES MICHAEL ROESEL (MD) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for DR. CHARLES MICHAEL ROESEL (MD). Clinical services aligned with this taxonomy classification.
Where does public data place DR. CHARLES MICHAEL ROESEL (MD)?
The snapshot lists Sitka, Alaska for DR. CHARLES MICHAEL ROESEL (MD); download NPPES for the complete set.
Is DR. CHARLES MICHAEL ROESEL (MD) a real provider?
This page reflects official NPPES data for NPI 1124003389. Always confirm identity and privileges with the practice and licensing boards.

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