CANDACE DONYUSHA CHARLES (PA) – Physician Assistant, NPI 1922284504
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for CANDACE DONYUSHA CHARLES (PA)
4965 STONE FALLS CTR STE 7
O FALLON, IL 622697803
Phone: (618) 726-2500
Type: Location
3 PROFESSIONAL DR
STE B
ALTON, IL 620025067
Phone: (618) 465-7177
Fax: (618) 465-7176
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 130 Open Payments records for all available years, with a total value of $2,503.
Total Amount is formed as General ($2,503) + Research ($0) + Ownership ($0) = $2,503.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($717).
Total Amount
$2,503
General + Research + Ownership
Payments
130
Total payment records
General Amount
$2,503
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2013-10-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-10-31 (951 days ago).
Enrollment records
1
Earliest due date
2023-10-31
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 |
|---|---|---|---|---|
| I20131009000416 | I | Physician Assistant | IL | 2023-10-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 930 | 193 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 205 | 30 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 74 | 41 | $0 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 31 | 15 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 29 | 29 | $0 |
Insurance plans in this area (ZIP 62269)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Pain Management, Anesthesiology | IL | |
| Physical Therapist In Private Practice | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | MO | |
| - | TN | |
| Nurse Practitioner | IL |
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