DR. CHARLES T DEWBERRY (DO) – Dermatology Physician, NPI 1992728802

DR. CHARLES T DEWBERRY (DO) is a healthcare provider. based in Lady lake, Florida. specializing in DERMATOLOGY. They hold the professional credentials DO. They hold a License No. OS8732 (FL). The NPI Number for DR. CHARLES T DEWBERRY (DO) is 1992728802

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHARLES T DEWBERRY (DO)
NPI
1992728802
Phone
(855) 353-7546
Address
836 County Road 466
Enumeration Date
25 July 2006
Last Update Date
27 March 2018

Doctor Profile

Medical School Name
R FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Secondary Phone
3527504614
Graduation Year
2000 (26 years ago)
PAC ID
6204895113
Group Practice PAC ID
3173663374
Professional Enrollment ID
I20091030000221
Address ID
FL321598804LA836XXCRXX201
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,366 DERMATOLOGY in FL

Provider Addresses for DR. CHARLES T DEWBERRY (DO)

  • 836 County Road 466

    Lady Lake, FL 32159

    Phone: (855) 353-7546

    Fax: (863) 294-2767

    Type: Location

  • 6020 Park Blvd N

    Pinellas Park, FL 337813228

    Phone: (727) 548-9196

    Fax: (727) 545-4678

    Type: Location

  • 931 S US HIGHWAY 41

    INVERNESS, FL 344506860

    Phone: (855) 353-7546

    Fax: (863) 294-2767

    Type: Location

  • 1450, 6th Street Southeast, Winter Haven, Polk County, Florida, 33880, United States

    WINTER HAVEN, FL 338804505

    Phone: (855) 353-7546

    Fax: (863) 294-2767

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $528.

Total Amount is formed as General ($528) + Research ($0) + Ownership ($0) = $528.

Last reported payment date: 2024-09-23 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($151).

Total Amount

$528

General + Research + Ownership

Payments

20

Total payment records

General Amount

$528

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-23

Latest reported date

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: 2009-10-30

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
I20091030000221IDermatologyFLTBD

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
17003Destruction of precancer skin growth, 2-14 growths3,104492$0
99213Established patient office or other outpatient visit, 20-29 minutes1,352887$0
17000Destruction of precancer skin growth, 1 growth778608$0
11102Biopsy of related skin growth, first growth563475$0
17110Destruction of skin growth, 1-14 growths472418$0
View full utilization report →

Insurance plans in this area (ZIP 32159)

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Provider's Procedures

DR. CHARLES T DEWBERRY (DO) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYFL11101Biopsy of each additional growth of skin and/or tissue337240
DERMATOLOGYFL13132Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet3635
DERMATOLOGYFL14060Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips2222
DERMATOLOGYFL17003Destruction of 2-14 skin growths3698580

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: 3173663374View full group profile
NameSpecialtyState
Nurse PractitionerFL
Physician AssistantFL
Physician AssistantFL
-FL
Nurse PractitionerFL
Physician AssistantNC
Micrographic Dermatologic Surgery (Mds), DermatologyFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Where can patients find DR. CHARLES T DEWBERRY (DO)'s NPI?
You can confirm DR. CHARLES T DEWBERRY (DO) with NPI 1992728802; it appears in the national provider directory.
Does this profile mean DR. CHARLES T DEWBERRY (DO) is currently active?
Yes — DR. CHARLES T DEWBERRY (DO) appears active in the national provider directory.
Does DR. CHARLES T DEWBERRY (DO) list a primary specialty?
If you are matching referrals, note Dermatology Physician for DR. CHARLES T DEWBERRY (DO). Clinical services aligned with this taxonomy classification.
What location shows for DR. CHARLES T DEWBERRY (DO)?
We surface Lady Lake, Florida for DR. CHARLES T DEWBERRY (DO) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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