DR. CHARLES A III BEVAN (MD) – Emergency Medicine Physician, NPI 1164600904

DR. CHARLES A III BEVAN (MD) is a healthcare provider. based in Lewiston, Maine. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 01065537A (IN). The NPI Number for DR. CHARLES A III BEVAN (MD) is 1164600904

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHARLES A III BEVAN (MD)
NPI
1164600904
Phone
(207) 795-2200
Address
300 MAIN ST
Enumeration Date
4 February 2008
Last Update Date
12 November 2025

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Secondary Phone
2077950111
Graduation Year
2007 (19 years ago)
PAC ID
8224216114
Group Practice PAC ID
2567379563
Professional Enrollment ID
I20150921000351
Address ID
ME042407027LE300XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience83
Completeness85
Years active:18State licenses:3Digital endpointsOther names

403 EMERGENCY MEDICINE in ME

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Provider Addresses for DR. CHARLES A III BEVAN (MD)

  • Central Maine Medical Center, 300, Main Street, Lewiston, Androscoggin County, Maine, 04240, United States

    DEPT OF EMERGENCY MEDICINE

    LEWISTON, ME 042407027

    Phone: (207) 795-2200

    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: 2015-09-21

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
I20150921000351IEmergency MedicineMETBD

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
99284Emergency department visit with moderate level of medical decision making8684$0
99285Emergency department visit with high level of medical decision making5656$0
99283Emergency department visit with low level of medical decision making3131$0
View full utilization report →

Insurance plans in this area (ZIP 04240)

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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: 2567379563View full group profile
NameSpecialtyState
-AL
P O D I A T R YME
Certified Registered Nurse Anesthetist (Crna)ME
Nurse PractitionerME
-ME
-OR
-ME
Critical Care (Intensivists), Sleep Medicine, Critical Care (Intensivists), Pulmonary Disease, Pulmonary DiseaseME
-NH
Nurse PractitionerME

Reviews

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Frequently asked questions

What number should I use to identify DR. CHARLES A III BEVAN (MD) for billing?
Administrative and clinical systems typically use NPI 1164600904 for DR. CHARLES A III BEVAN (MD).
Is DR. CHARLES A III BEVAN (MD)'s NPI status active today?
Active status means DR. CHARLES A III BEVAN (MD)'s NPI record is not deactivated in the public file.
What type of care does DR. CHARLES A III BEVAN (MD) provide?
DR. CHARLES A III BEVAN (MD)'s profile centers on Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. CHARLES A III BEVAN (MD)?
DR. CHARLES A III BEVAN (MD) shows a connection to Lewiston, Maine in registry-derived data.
Can I export DR. CHARLES A III BEVAN (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.