CHARLES WALLER (MD) – General Practice Physician, NPI 1306841341
General Practice Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
77 GENERAL PRACTICE in KY
Loading map...
Provider Addresses for CHARLES WALLER (MD)
218, Bass Lane, Benton, Saline County, Arkansas, 72019, United States
BENTON, KY 420255824
Phone: (270) 556-3239
Fax: (270) 354-5865
Type: Mailing
Bass Lane, Benton, Saline County, Arkansas, 72015, United States
BENTON, KY 420255824
Phone: (270) 556-3239
Fax: (270) 354-5865
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2004-06-01
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040601000835 | I | General Practice | KY | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 54 | 53 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 30 | 29 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 25 | 24 | $0 |
Insurance plans in this area (ZIP 42025)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| Infectious Disease, Internal Medicine | TN | |
| Internal Medicine | TN | |
| Internal Medicine, Infectious Disease | TN | |
| Internal Medicine | CA | |
| Physician Assistant | KY | |
| Internal Medicine | AL | |
| Family Practice | KY | |
| Internal Medicine | TN | |
| Internal Medicine | TN |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.