CHARLES BENJAMIN IV PALMER (D.O.) – Gynecologic Oncology Physician, NPI 1801090626
Gynecologic Oncology Physician
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NPPES metrics only — not quality of care.
631 OBSTETRICS/GYNECOLOGY in KY
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Provider Addresses for CHARLES BENJAMIN IV PALMER (D.O.)
East Broadway, Louisville, Jefferson County, Kentucky, 40204, United States
LOUISVILLE, KY 40202
Phone: (502) 629-2500
Fax: (502) 629-2055
Type: Location
35 Monument Rd
Suite 206
York, PA 174035074
Phone: (717) 851-6120
Fax: (717) 851-6129
Type: Location
315 E Broadway Fl 4
Louisville, KY 40202
Phone: (502) 629-2500
Fax: (502) 629-2055
Type: Location
10200 FOREST GREEN BLVD STE 112
LOUISVILLE, KY 402235167
Phone: (877) 866-7123
Type: Location
Music Box Theatre, 3733, North Southport Avenue, Wrigleyville, Lake View, Lakeview, Chicago, Lake View Township, Cook County, Illinois, 60613, United States
CHICAGO, IL 606776347
Phone: (502) 272-5052
Fax: (502) 629-6217
Type: Mailing
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: 2019-08-07
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 |
|---|---|---|---|---|
| I20190807001579 | I | Obstetrics/Gynecology | 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 |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 1,214 | 337 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 862 | 294 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 846 | 172 | $0 |
| 99307 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | 485 | 176 | $0 |
| 11043 | Removal of muscle and/or tissue, 20.0 sq cm or less | 239 | 57 | $0 |
Insurance plans in this area (ZIP 40202)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, Peripheral Vascular Disease | NJ | |
| Family Practice, Peripheral Vascular Disease | NJ | |
| Family Practice | KY | |
| Peripheral Vascular Disease, General Surgery, Family Practice | FL | |
| - | VA | |
| - | FL | |
| Nurse Practitioner | NV | |
| Obstetrics/Gynecology, Family Practice | MN | |
| General Surgery | IA | |
| - | MS |
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