CHARLES T CAMPBELL (M.D.) – Anesthesiology Physician, NPI 1497962914

CHARLES T CAMPBELL (M.D.) is a healthcare provider. based in Davis, California. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. 101796-875 (WI). The NPI Number for CHARLES T CAMPBELL (M.D.) is 1497962914

Main info

Male
Sole Proprietor
37 Years Of Experience
Accepts Medicare Assignment
Name
CHARLES T CAMPBELL (M.D.)
NPI
1497962914
Phone
(818) 817-9832
Address
2120 COWELL BLVD
Enumeration Date
16 May 2007
Last Update Date
29 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3234337744
Graduation Year
1989 (37 years ago)
PAC ID
6507942034
Group Practice PAC ID
7810307998
Professional Enrollment ID
I20080325000282
Address ID
CA900363689LO5757XBLVD303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

6,371 ANESTHESIOLOGY in CA

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Provider Addresses for CHARLES T CAMPBELL (M.D.)

  • 2120, Cowell Boulevard, Davis, Yolo County, California, 95618, United States

    STE. 142

    DAVIS, CA 956187835

    Phone: (818) 817-9832

    Type: Location

  • 13700 MARINA POINTE DR

    UNIT 1606

    MARINA DEL REY, CA 902929271

    Phone: (310) 710-2489

    Type: Mailing

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: 2025-01-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20080325000282IAnesthesiologyCATBD
I20240528001768IAnesthesiologyWITBD
I20250131001834IAnesthesiologyIATBD

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
00811Anesthesia for other procedure on large bowel using an endoscope4040$0
00813Anesthesia for procedure on small and large bowel using an endoscope3838$0
00142Anesthesia for lens surgery2828$0
00812Anesthesia for exam of colon using an endoscope2525$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2222$0
View full utilization report →

Insurance plans in this area (ZIP 95618)

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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: 7810307998View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)TX
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA
Anesthesiology, Pain ManagementCA
Anesthesiology, Interventional Pain ManagementCA
Certified Registered Nurse Anesthetist (Crna)CA

Reviews

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Frequently asked questions

How do I look up CHARLES T CAMPBELL (M.D.) by NPI?
Use NPI 1497962914 when you need to reference CHARLES T CAMPBELL (M.D.) in forms, claims, or directories.
Does this profile mean CHARLES T CAMPBELL (M.D.) is currently active?
Yes — CHARLES T CAMPBELL (M.D.) appears active in the national provider directory.
What kind of provider is CHARLES T CAMPBELL (M.D.)?
The page reflects Anesthesiology Physician for CHARLES T CAMPBELL (M.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for CHARLES T CAMPBELL (M.D.)?
The page summarizes Davis, California for CHARLES T CAMPBELL (M.D.); expand the address list for detail.
How can I contact CHARLES T CAMPBELL (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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