DR. CHARLES HAVILAND MIZE (M.D.) – Emergency Medicine Physician, NPI 1689834012
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
839 EMERGENCY MEDICINE in CT
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Provider Addresses for DR. CHARLES HAVILAND MIZE (M.D.)
27, Halls Point Road, Stony Creek, Branford, New Haven County, Connecticut, 06405, United States
BRANFORD, CT 064055704
Phone:
Type: Mailing
Bridgeport Hospital, 267, Grant Street, Historic East Side, Bridgeport, Fairfield County, Connecticut, 06610, United States
BRIDGEPORT, CT 066102805
Phone: (203) 384-3256
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: 2024-11-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140501001003 | I | Emergency Medicine | CT | TBD |
| I20210304001119 | I | Emergency Medicine | VI | TBD |
| I20241113004069 | I | Emergency Medicine | AK | 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 |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 54 | 53 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 25 | 23 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 23 | 23 | $0 |
| 99291 | Critical care, first 30-74 minutes | 18 | 18 | $0 |
Insurance plans in this area (ZIP 06405)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | AK | |
| Family Practice | AK | |
| Family Practice | OR | |
| Emergency Medicine, Family Practice | CA | |
| Emergency Medicine | NH | |
| Family Practice | OR | |
| Family Practice | AK | |
| Emergency Medicine | AK | |
| Family Practice | AK | |
| Family Practice, Emergency Medicine | AK |
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