CHARLES C HUMPHREY (M.D.) – Diagnostic Radiology Physician, NPI 1164402640
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
200 DIAGNOSTIC RADIOLOGY in ME
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Provider Addresses for CHARLES C HUMPHREY (M.D.)
Central Maine Medical Center, 300, Main Street, Lewiston, Androscoggin County, Maine, 04240, United States
LEWISTON, ME 042407007
Phone: (207) 795-2400
Type: Location
12, Bates Street, Lewiston, Androscoggin County, Maine, 04240, United States
SUITE C
LEWISTON, ME 042407675
Phone: (207) 786-3571
Fax: (207) 783-3362
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: 2005-06-06
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 |
|---|---|---|---|---|
| I20050606000545 | I | Diagnostic Radiology | ME | 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 |
|---|---|---|---|---|
| 77067 | Screening mammography | 519 | 519 | $0 |
| 77063 | Screening 3d breast mammography | 411 | 411 | $0 |
| 71046 | X-ray of chest, 2 views | 219 | 205 | $0 |
| 71045 | X-ray of chest, 1 view | 164 | 138 | $0 |
| 70450 | Ct scan head or brain without contrast | 101 | 100 | $0 |
Insurance plans in this area (ZIP 04240)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology, Interventional Radiology | ME | |
| Diagnostic Radiology | ME | |
| Diagnostic Radiology, Interventional Radiology | ME | |
| Diagnostic Radiology | ME | |
| - | NY | |
| Diagnostic Radiology | WI | |
| Diagnostic Radiology, Interventional Radiology | ME | |
| Interventional Radiology, Diagnostic Radiology | ME |
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