DR. CHARLEEN L. ISE (MD) – Undersea and Hyperbaric Medicine (Preventive Medicine) Physician, NPI 1053427716
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. CHARLEEN L. ISE (MD)
PO BOX 530968
ST PETERSBURG, FL 337470968
Phone: (727) 823-2188
Fax: (727) 828-0723
Type: Mailing
1120, Pinellas Bayway South, Tierra Verde, Pinellas County, Florida, 33715, United States
STE 200
TIERRA VERDE, FL 337151505
Phone: (727) 867-5480
Fax: (727) 867-5470
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 $250.
Total Amount is formed as General ($250) + Research ($0) + Ownership ($0) = $250.
Last reported payment date: 2023-03-23 • Largest payer in this snapshot: Sanara MedTech Inc. ($250).
Total Amount
$250
General + Research + Ownership
Payments
1
Total payment records
General Amount
$250
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sanara MedTech Inc. | $250 |
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: 2005-06-20
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 |
|---|---|---|---|---|
| I20050620000355 | I | Family Practice | FL | 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 |
|---|---|---|---|---|
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 110 | 53 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 48 | 32 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 39 | 30 | $0 |
| 97597 | Removal of tissue from wound, 20.0 sq cm or less | 15 | 14 | $0 |
Insurance plans in this area (ZIP 33747)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | FL | 11042 | Removal of skin and tissue first 20 sq cm or less | 81 | 31 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | FL | |
| General Surgery | FL | |
| Emergency Medicine | FL | |
| Vascular Surgery, General Surgery | FL | |
| - | FL | |
| Cardiac Surgery, Thoracic Surgery, Cardiovascular Disease (Cardiology) | FL | |
| Internal Medicine | FL | |
| General Surgery | FL | |
| - | FL | |
| General Surgery | FL |
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