CHARLES HOMOLKA (M.D.) – Anesthesiology Physician, NPI 1114907664
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,340 ANESTHESIOLOGY in FL
Provider Addresses for CHARLES HOMOLKA (M.D.)
12511 WORLD PLAZA LN BLDG 50
FORT MYERS, FL 339073991
Phone: (239) 939-2622
Fax: (239) 939-0151
Type: Location
11760 HAMPTON GREENS DR
FORT MYERS, FL 339138325
Phone: (239) 939-2622
Fax: (239) 939-0151
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $132.
Total Amount is formed as General ($132) + Research ($0) + Ownership ($0) = $132.
Last reported payment date: 2024-07-18 • Largest payer in this snapshot: Heron Therapeutics, Inc. ($104).
Total Amount
$132
General + Research + Ownership
Payments
5
Total payment records
General Amount
$132
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Heron Therapeutics, Inc. | $104 |
| Medline Industries LP | $28 |
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: 2011-06-10
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 |
|---|---|---|---|---|
| I20110610000306 | I | Anesthesiology | 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 |
|---|---|---|---|---|
| 76942 | Ultrasonic guidance for needle placement | 91 | 90 | $0 |
| 64447 | Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve) | 85 | 85 | $0 |
| 64415 | Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus) | 65 | 65 | $0 |
| 64999 | Other procedure on nervous system | 55 | 55 | $0 |
| 64450 | Injection of anesthetic agent and/or steroid into other nerve or branch | 35 | 34 | $0 |
Insurance plans in this area (ZIP 33907)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | OR | |
| - | FL | |
| A N E S T H E S I O L O G Y | FL | |
| A N E S T H E S I O L O G Y | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| - | FL | |
| - | GA | |
| - | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| - | FL |
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