MR. CODY RANDY CHARLTON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1720182710
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,359 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in FL
Provider Addresses for MR. CODY RANDY CHARLTON (CRNA)
28703 Alessandria Cir
Bonita Springs, FL 341358277
Phone: (801) 471-3893
Type: Location
1034 N 500 W
Provo, UT 846043337
Phone: (801) 357-7850
Type: Location
Farmington Post Office, 113, Elm Street, Farmington, Dakota County, Minnesota, 55024, United States
FARMINGTON, NM 874996210
Phone: (505) 609-2258
Fax: (505) 609-2259
Type: Mailing
PO BOX 3570
SALT LAKE CITY, UT 841103570
Phone: (801) 727-2056
Fax: (770) 701-6675
Type: Mailing
San Juan Regional Medical Center, 801, West Maple Street, Farmington, San Juan County, New Mexico, 87401, United States
FARMINGTON, NM 874015630
Phone: (505) 609-2258
Fax: (505) 609-2259
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 $14.
Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.
Last reported payment date: 2023-10-27 • Largest payer in this snapshot: Boston Scientific Corporation ($14).
Total Amount
$14
General + Research + Ownership
Payments
1
Total payment records
General Amount
$14
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $14 |
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: 2019-06-12
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 |
|---|---|---|---|---|
| I20150618000185 | I | Certified Registered Nurse Anesthetist (Crna) | TX | TBD |
| I20171030002168 | I | Certified Registered Nurse Anesthetist (Crna) | NM | TBD |
| I20190612002703 | I | Certified Registered Nurse Anesthetist (Crna) | UT | 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 34135)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CERTIFIED REGISTERED NURSE ANESTHET | NM | 00790 | Anesthesia for procedure in upper abdomen including use of an endoscope | 29 | 29 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Radiation Oncology | TX | |
| U R O L O G Y | TX | |
| Physician Assistant | TX | |
| - | TX | |
| Physician Assistant | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| Internal Medicine | TX | |
| Internal Medicine | TX | |
| Nurse Practitioner | TX |
Reviews
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