DR. ELLIS B CHARLES (M.D.) – Psychiatry Physician, NPI 1013046341
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. ELLIS B CHARLES (M.D.)
63 LONGVIEW AVE
RANDOLPH, NJ 078693008
Phone: (973) 895-5062
Type: Mailing
90 WASHINGTON ST
EAST ORANGE, NJ 070171050
Phone: (973) 672-2555
Fax: (973) 672-2529
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 47 Open Payments records for all available years, with a total value of $1,154.
Total Amount is formed as General ($1,154) + Research ($0) + Ownership ($0) = $1,154.
Last reported payment date: 2024-11-07 • Largest payer in this snapshot: ABBVIE INC. ($894).
Total Amount
$1,154
General + Research + Ownership
Payments
47
Total payment records
General Amount
$1,154
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $894 |
| Janssen Pharmaceuticals, Inc | $110 |
| Alkermes, Inc. | $77 |
| ITI, Inc. | $27 |
| Otsuka America Pharmaceutical, Inc. | $17 |
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: 2011-06-27
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 |
|---|---|---|---|---|
| I20110627000700 | I | Psychiatry | NJ | 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 |
|---|---|---|---|---|
| 90832 | Psychotherapy, 30 minutes | 89 | 20 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 18 | 18 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 15 | 12 | $0 |
Insurance plans in this area (ZIP 07869)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHIATRY | NJ | 90792 | Psychiatric diagnostic evaluation with medical services | 16 | 15 |
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