DR. CHARLES M NIETO (M.D.) – Internal Medicine Physician, NPI 1992785653
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. CHARLES M NIETO (M.D.)
1360 S Potomac St
Aurora, CO 800124505
Phone: (303) 337-5575
Fax: (303) 745-6264
Type: Location
2960, Tongass Avenue, Ketchikan, Ketchikan Gateway, Alaska, 99901, United States
KETCHIKAN, AK 999015742
Phone: (907) 228-4900
Fax: (907) 228-4905
Type: Mailing
Wrenn Road, Ridgeville, Caswell County, North Carolina, 27314, United States
RIDGEVILLE, SC 294726921
Phone: (843) 688-5311
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $413.
Total Amount is formed as General ($413) + Research ($0) + Ownership ($0) = $413.
Last reported payment date: 2023-05-31 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($125).
Total Amount
$413
General + Research + Ownership
Payments
17
Total payment records
General Amount
$413
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-31
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2023-04-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20050718000512 | I | Family Practice | TX | TBD |
| I20230411000596 | I | Internal Medicine | NY | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 80012)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | TN | |
| Nurse Practitioner | MN | |
| - | AK | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | WA | |
| Nurse Practitioner | NM | |
| Family Practice | ME | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | AK |
Reviews
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