CHARLES GRANT DENNEHEY – Physician Assistant, NPI 1083253306

CHARLES GRANT DENNEHEY is a healthcare provider. based in Davenport, Iowa. specializing in Physician Assistant. They hold a License No. 085.007911 (IL). The NPI Number for CHARLES GRANT DENNEHEY is 1083253306

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
CHARLES GRANT DENNEHEY
NPI
1083253306
Phone
(563) 421-1000
Address
1227 E RUSHOLME ST
Enumeration Date
3 January 2020
Last Update Date
1 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5634411843
Graduation Year
2019 (7 years ago)
PAC ID
5597193854
Group Practice PAC ID
6103829338
Professional Enrollment ID
I20200319002061
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:6State licenses:2Digital endpointsOther names

Provider Addresses for CHARLES GRANT DENNEHEY

  • 1227 E RUSHOLME ST

    DAVENPORT, IA 528032459

    Phone: (563) 421-1000

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-03-19

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
I20200319002061IPhysician AssistantIATBD

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
99285Emergency department visit with high level of medical decision making271253$0
99284Emergency department visit with moderate level of medical decision making151146$0
99291Critical care, first 30-74 minutes6766$0
99283Emergency department visit with low level of medical decision making5250$0
View full utilization report →

Insurance plans in this area (ZIP 52803)

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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: 6103829338View full group profile
NameSpecialtyState
-IA
-IA
Interventional Cardiology, Cardiovascular Disease (Cardiology)IA
-IA
Emergency Medicine, Internal MedicineIA
-IA
Hospitalist, Interventional Pain Management, Family PracticeIA
Family Practice, Emergency MedicineIA
General SurgeryIL
H O S P I T A L I S TIL

Reviews

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Frequently asked questions

Where can patients find CHARLES GRANT DENNEHEY's NPI?
You can confirm CHARLES GRANT DENNEHEY with NPI 1083253306; it appears in the national provider directory.
Is CHARLES GRANT DENNEHEY's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does CHARLES GRANT DENNEHEY treat or focus on?
Patients typically see CHARLES GRANT DENNEHEY under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
What location shows for CHARLES GRANT DENNEHEY?
We surface Davenport, Iowa for CHARLES GRANT DENNEHEY based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.