MR. CHARLES MOSS HORTON (MD) – Family Medicine Physician, NPI 1386387538

MR. CHARLES MOSS HORTON (MD) is a healthcare provider. based in Fayetteville, Arkansas. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. E-18057 (AR). The NPI Number for MR. CHARLES MOSS HORTON (MD) is 1386387538

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
MR. CHARLES MOSS HORTON (MD)
NPI
1386387538
Phone
(479) 521-8260
Address
1125 N College Ave
Enumeration Date
15 April 2022
Last Update Date
7 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8704233355
Graduation Year
2022 (4 years ago)
PAC ID
2668971110
Group Practice PAC ID
9032022769
Professional Enrollment ID
I20250820001606
Address ID
AR726164303BE214XXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Digital endpointsOther names

1,499 FAMILY PRACTICE in AR

Provider Addresses for MR. CHARLES MOSS HORTON (MD)

  • 1125 N College Ave

    Fayetteville, AR 727031908

    Phone: (479) 521-8260

    Fax: (479) 444-7820

    Type: Location

  • 503 SYCAMORE ST

    BERRYVILLE, AR 726163611

    Phone: (870) 350-5555

    Type: Mailing

  • 1125 N COLLEGE AVE

    FAYETTEVILLE, AR 727031908

    Phone: (479) 521-8260

    Fax: (479) 444-7820

    Type: Location

  • PO BOX 776084

    CHICAGO, IL 606776084

    Phone: (870) 423-6661

    Type: Mailing

  • 207 CARTER ST

    BERRYVILLE, AR 726164303

    Phone: (870) 423-6661

    Fax: (870) 423-4374

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $61.

Total Amount is formed as General ($61) + Research ($0) + Ownership ($0) = $61.

Last reported payment date: 2024-07-17 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($61).

Total Amount

$61

General + Research + Ownership

Payments

4

Total payment records

General Amount

$61

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-08-20

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
I20250820001606IFamily PracticeARTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 72703)

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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: 9032022769View full group profile
NameSpecialtyState
Emergency MedicineKS
-AR
Internal Medicine, HospitalistAR
Emergency MedicineAR
Family Practice, Emergency MedicineAR
Certified Registered Nurse Anesthetist (Crna)AR
Internal Medicine, Pediatric MedicineAR
Emergency Medicine, Family PracticeCO

Reviews

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Frequently asked questions

What is the registry number for MR. CHARLES MOSS HORTON (MD)?
The registry entry for MR. CHARLES MOSS HORTON (MD) shows NPI 1386387538.
Is MR. CHARLES MOSS HORTON (MD)'s NPI status active today?
Active status means MR. CHARLES MOSS HORTON (MD)'s NPI record is not deactivated in the public file.
What type of care does MR. CHARLES MOSS HORTON (MD) provide?
MR. CHARLES MOSS HORTON (MD)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MR. CHARLES MOSS HORTON (MD)?
MR. CHARLES MOSS HORTON (MD) is associated with Fayetteville, Arkansas in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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