DR. CHARLES E. FISKE (M.D.) – Radiation Oncology Physician, NPI 1013900331

DR. CHARLES E. FISKE (M.D.) is a healthcare provider. based in Oakland, California. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. G35057 (CA). The NPI Number for DR. CHARLES E. FISKE (M.D.) is 1013900331

Main info

Male
50 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHARLES E. FISKE (M.D.)
NPI
1013900331
Phone
(925) 274-4950
Address
411 30TH ST
Enumeration Date
23 August 2005
Last Update Date
5 February 2014

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Secondary Phone
4159226767
Graduation Year
1976 (50 years ago)
PAC ID
8426140898
Group Practice PAC ID
9830283761
Professional Enrollment ID
I20070815000755
Address ID
CA941181837SA3440XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,800 DIAGNOSTIC RADIOLOGY in CA

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Provider Addresses for DR. CHARLES E. FISKE (M.D.)

  • Petit café, 411, 30th Street, Pill Hill, Oakland, Alameda County, California, 94612, United States

    #508

    OAKLAND, CA 946093310

    Phone: (925) 274-4950

    Fax: (925) 274-4975

    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: 2007-08-15

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
I20070815000755IDiagnostic RadiologyCATBD

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
A9575Injection, gadoterate meglumine, 0.1 ml32,961188$0
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml13,993146$0
77067Screening mammography366366$0
77063Screening 3d breast mammography249249$0
71046X-ray of chest, 2 views213197$0
View full utilization report →

Insurance plans in this area (ZIP 94609)

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Provider's Procedures

DR. CHARLES E. FISKE (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYCA71250CT scan chest5957
DIAGNOSTIC RADIOLOGYCA73562X-ray of knee, 3 views173125
DIAGNOSTIC RADIOLOGYCA74177CT scan of abdomen and pelvis with contrast5649
DIAGNOSTIC RADIOLOGYCA76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle1211
DIAGNOSTIC RADIOLOGYCA93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers3939

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: 9830283761View full group profile
NameSpecialtyState
Diagnostic RadiologyIN
Diagnostic RadiologyID
Diagnostic RadiologyMA
Diagnostic Radiology, Interventional RadiologyCA
Diagnostic RadiologyID
Diagnostic RadiologyTX
Diagnostic RadiologyID
Diagnostic RadiologyMN
Diagnostic RadiologyCA
Diagnostic RadiologyVT

Reviews

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Frequently asked questions

What is the registry number for DR. CHARLES E. FISKE (M.D.)?
The registry entry for DR. CHARLES E. FISKE (M.D.) shows NPI 1013900331.
Is DR. CHARLES E. FISKE (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. CHARLES E. FISKE (M.D.) as active.
What services align with DR. CHARLES E. FISKE (M.D.)'s listing?
DR. CHARLES E. FISKE (M.D.)'s public classification highlights Radiation Oncology Physician. Clinical services aligned with this taxonomy classification.
Is DR. CHARLES E. FISKE (M.D.) tied to Oakland, California?
If you are local to Oakland, California, DR. CHARLES E. FISKE (M.D.) may be relevant to your search.
Can I export DR. CHARLES E. FISKE (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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