CHAD ERVIN CAMPBELL (D.O.) – Internal Medicine Physician, NPI 1811017999

CHAD ERVIN CAMPBELL (D.O.) is a healthcare provider. based in Melbourne, Florida. specializing in Internal Medicine Physician. They hold the professional credentials D.O.. They hold a License No. 005242 (AZ). The NPI Number for CHAD ERVIN CAMPBELL (D.O.) is 1811017999

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
CHAD ERVIN CAMPBELL (D.O.)
NPI
1811017999
Phone
(321) 728-6072
Address
1223 GATEWAY DR STE 2C
Enumeration Date
30 March 2007
Last Update Date
19 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4078923387
Graduation Year
2005 (21 years ago)
PAC ID
3476685041
Group Practice PAC ID
2365545662
Professional Enrollment ID
I20190913000673
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

Provider Addresses for CHAD ERVIN CAMPBELL (D.O.)

  • 1223 GATEWAY DR STE 2C

    MELBOURNE, FL 329012607

    Phone: (321) 728-6072

    Fax: (321) 434-7132

    Type: Location

  • 3300 S FISKE BLVD

    ROCKLEDGE, FL 329554306

    Phone: (321) 728-6072

    Fax: (321) 951-7408

    Type: Mailing

  • 690 S GOLDENROD RD

    ORLANDO, FL 328228108

    Phone: (407) 792-1144

    Fax: (407) 232-9807

    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 $133.

Total Amount is formed as General ($133) + Research ($0) + Ownership ($0) = $133.

Last reported payment date: 2023-06-16 • Largest payer in this snapshot: Abbott Laboratories ($133).

Total Amount

$133

General + Research + Ownership

Payments

1

Total payment records

General Amount

$133

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-16

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$133
View all Open Payments →|Open Payments Risk Radar →

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: 2019-09-13

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190913000673IInternal MedicineFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99212Established patient office or other outpatient visit, 10-19 minutes7114$0
View full utilization report →

Insurance plans in this area (ZIP 32901)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365545662View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm CHAD ERVIN CAMPBELL (D.O.)'s NPI?
Yes. CHAD ERVIN CAMPBELL (D.O.) is listed with NPI 1811017999 in the public NPI dataset.
Is CHAD ERVIN CAMPBELL (D.O.) still practicing?
CHAD ERVIN CAMPBELL (D.O.) is currently listed as active in the public NPI registry.
What is CHAD ERVIN CAMPBELL (D.O.) best known for clinically?
Directory data describes CHAD ERVIN CAMPBELL (D.O.) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does CHAD ERVIN CAMPBELL (D.O.) serve?
CHAD ERVIN CAMPBELL (D.O.)'s listing highlights Melbourne, Florida; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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