CHARLES SCOTT NEEDHAM (M.D.) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1063435899
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
40 THORACIC SURGERY in NV
Provider Addresses for CHARLES SCOTT NEEDHAM (M.D.)
Channing Way, Channing Square, Idaho Falls, Bonneville County, Idaho, 83405, United States
SUITE 205A
IDAHO FALLS, ID 834048305
Phone: (208) 535-4567
Fax: (208) 535-4569
Type: Mailing
1301 Bertha Howe Ave Ste 6
Mesquite, NV 890277503
Phone: (435) 900-6001
Fax: (435) 900-6001
Type: Location
1841 E RIVERSIDE DR STE 102
ST GEORGE, UT 847907063
Phone: (435) 900-6001
Fax: (435) 900-6001
Type: Mailing
2805 VALENCIA DR
IDAHO FALLS, ID 834047597
Phone: (208) 525-9400
Fax: (208) 525-6151
Type: Mailing
3242, South Woodruff Avenue, Meadowood Apartments, Idaho Falls, Bonneville County, Idaho, 83404, United States
IDAHO FALLS, ID 834048305
Phone: (208) 535-4567
Fax: (208) 535-4569
Type: Location
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 $1,921.
Total Amount is formed as General ($1,921) + Research ($0) + Ownership ($0) = $1,921.
Last reported payment date: 2024-02-01 • Largest payer in this snapshot: Medtronic, Inc. ($1,567).
Total Amount
$1,921
General + Research + Ownership
Payments
20
Total payment records
General Amount
$1,921
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $1,567 |
| W. L. Gore & Associates, Inc. | $228 |
| Abbott Laboratories | $65 |
| Philips Electronics North America Corporation | $60 |
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: 2024-08-29
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 |
|---|---|---|---|---|
| I20060323000796 | I | Thoracic Surgery | MT | TBD |
| I20210505000371 | I | Thoracic Surgery | UT | TBD |
| I20240829002266 | I | Thoracic Surgery | NV | 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 |
|---|---|---|---|---|
| 99153 | Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes | 139 | 20 | $0 |
| 93925 | Ultrasound of leg arteries or artery grafts | 68 | 60 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 65 | 49 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 38 | 38 | $0 |
| 76937 | Ultrasonic guidance for blood vessel access | 32 | 20 | $0 |
Insurance plans in this area (ZIP 83404)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MT | |
| - | MT | |
| Physician Assistant | MT | |
| Nurse Practitioner | MT | |
| - | MT | |
| Critical Care (Intensivists), Pulmonary Disease | AZ | |
| - | TN | |
| U R O L O G Y | WA | |
| Nurse Practitioner | MT | |
| Pulmonary Disease | TN |
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