DR. CHARLES XIAODONG MA (M.D.) – Endocrinology, Diabetes & Metabolism Physician, NPI 1174979611

DR. CHARLES XIAODONG MA (M.D.) is a healthcare provider. based in Springfield, Massachusetts. specializing in ENDOCRINOLOGY. They hold the professional credentials M.D.. They hold a License No. 68083 (CT). The NPI Number for DR. CHARLES XIAODONG MA (M.D.) is 1174979611

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHARLES XIAODONG MA (M.D.)
NPI
1174979611
Phone
(413) 794-0000
Address
759 Chestnut St
Enumeration Date
13 May 2016
Last Update Date
25 May 2021

Doctor Profile

Medical School Name
UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Secondary Phone
2033848681
Graduation Year
2016 (10 years ago)
PAC ID
6608160056
Group Practice PAC ID
8022905322
Professional Enrollment ID
I20210630003476
Address ID
CT068253506FA1931XTPKE400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

549 ENDOCRINOLOGY in MA

Provider Addresses for DR. CHARLES XIAODONG MA (M.D.)

  • 759 Chestnut St

    Springfield, MA 011991001

    Phone: (413) 794-0000

    Type: Location

  • 111 E 210TH ST

    BRONX, NY 104672401

    Phone: (718) 920-2017

    Type: Mailing

  • 111 E 210th St

    Bronx, NY 104672401

    Phone: (718) 920-2017

    Fax: (718) 920-5202

    Type: Location

  • Montefiore Medical Center West Campus Moses Division Hospital, 111, East 210th Street, The Bronx, Bronx County, New York, 10467, United States

    BRONX, NY 104672401

    Phone: (718) 920-2017

    Fax: (718) 920-5202

    Type: Location

  • 249 DANBURY RD

    WILTON, CT 068974010

    Phone: (203) 852-2270

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $462.

Total Amount is formed as General ($462) + Research ($0) + Ownership ($0) = $462.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Radius Health, Inc. ($87).

Total Amount

$462

General + Research + Ownership

Payments

19

Total payment records

General Amount

$462

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2021-06-30

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
I20210630003476IEndocrinologyCTTBD

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
J0897Injection, denosumab, 1 mg4,02453$0
99214Established patient office or other outpatient visit, 30-39 minutes416225$0
82962Blood glucose (sugar) test performed by hand-held instrument20499$0
99204New patient office or other outpatient visit, 45-59 minutes103103$0
83036Hemoglobin a1c level10072$0
View full utilization report →

Insurance plans in this area (ZIP 01199)

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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: 8022905322View full group profile
NameSpecialtyState
Nurse PractitionerCT
Internal MedicineNY
N E U R O L O G YCT
Physician AssistantCT
Physician AssistantCT
Internal MedicineCT
P O D I A T R YCT
P O D I A T R YCT
Physical Medicine And Rehabilitation, NeurologyCT
Internal MedicineCT

Reviews

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Frequently asked questions

How do payers reference DR. CHARLES XIAODONG MA (M.D.)?
For DR. CHARLES XIAODONG MA (M.D.), use NPI 1174979611 as the unique 10-digit identifier.
Active or inactive — what applies to DR. CHARLES XIAODONG MA (M.D.)?
You should see DR. CHARLES XIAODONG MA (M.D.) as active in CMS-hosted NPPES data.
What kind of doctor is DR. CHARLES XIAODONG MA (M.D.)?
DR. CHARLES XIAODONG MA (M.D.) is associated with Endocrinology, Diabetes & Metabolism Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with DR. CHARLES XIAODONG MA (M.D.)?
Directory geography for DR. CHARLES XIAODONG MA (M.D.) centers on Springfield, Massachusetts.
When was this NPI issued?
Enumeration for DR. CHARLES XIAODONG MA (M.D.) is noted as May 13, 2016 where the registry provides it.

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