CHARLES A SHULL (M.D.) – Emergency Medicine Physician, NPI 1669418224
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
21,511 INTERNAL MEDICINE in CA
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Provider Addresses for CHARLES A SHULL (M.D.)
1580, Dominguez Ranch Road, Corona, Riverside County, California, 92882, United States
CORONA, CA 928827908
Phone:
Type: Mailing
Ridgecrest Regional Hospital, 1081, North China Lake Boulevard, Ridgecrest, Kern County, California, 93555, United States
1081 N.CHINA LAKE ROAD
RIDGECREST, CA 93555
Phone: (760) 446-3551
Type: Location
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: 2004-09-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040927000775 | I | Internal Medicine | CA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 295 | 256 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 135 | 124 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 26 | 26 | $0 |
| 99291 | Critical care, first 30-74 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 92882)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CA | |
| Nurse Practitioner | CA | |
| - | WV | |
| Internal Medicine | CA | |
| Certified Registered Nurse Anesthetist (Crna) | NM | |
| - | CA | |
| - | CA | |
| - | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA |
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