CHARLES EMERSON (PA, ATC) – Medical Physician Assistant, NPI 1053863746
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,161 PHYSICIAN ASSISTANT in CO
Provider Addresses for CHARLES EMERSON (PA, ATC)
11820 Destination Dr
Broomfield, CO 800212518
Phone: (720) 848-0000
Fax: (303) 460-6197
Type: Location
12553, Blue Lagoon Trail, Hickory Lakes, Jacksonville, Duval County, Florida, 32225, United States
JACKSONVILLE, FL 322255221
Phone: (352) 316-3224
Type: Mailing
120, King Street, Jacksonville, Duval County, Florida, 32204, United States
JACKSONVILLE, FL 322042410
Phone: (904) 253-2785
Type: Location
PO BOX 110429
AURORA, CO 800420429
Phone:
Type: Mailing
12505 E 16TH AVE
AURORA, CO 800452545
Phone: (720) 848-0000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $13.
Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.
Last reported payment date: 2024-10-22 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($13).
Total Amount
$13
General + Research + Ownership
Payments
1
Total payment records
General Amount
$13
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $13 |
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: 2025-07-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20170109001197 | I | Physician Assistant | TX | TBD |
| I20220624002477 | I | Physician Assistant | MT | TBD |
| I20230718000634 | I | Physician Assistant | WY | TBD |
| I20250717004365 | I | Physician Assistant | CO | 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 |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 33 | 33 | $0 |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 23 | 23 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 23 | 22 | $0 |
| 87811 | Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 14 | 14 | $0 |
Insurance plans in this area (ZIP 80021)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WY | |
| Physician Assistant | NY | |
| Nurse Practitioner | TX | |
| Emergency Medicine | CO | |
| Physician Assistant | CO | |
| Physician Assistant | MT | |
| Nurse Practitioner | MN | |
| Physician Assistant | TX | |
| Physician Assistant | WV | |
| Physician Assistant | WY |
Reviews
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