CHARLES ROBERT III COLLIER (PA-C) – Physician Assistant, NPI 1275969677

CHARLES ROBERT III COLLIER (PA-C) is a healthcare provider. based in Dayton, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 003838 (OH). The NPI Number for CHARLES ROBERT III COLLIER (PA-C) is 1275969677

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
CHARLES ROBERT III COLLIER (PA-C)
NPI
1275969677
Phone
(800) 726-3627
Address
332 CONGRESS PARK DR
Enumeration Date
18 September 2013
Last Update Date
18 September 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6145665000
Graduation Year
2013 (13 years ago)
PAC ID
8628203718
Group Practice PAC ID
8729976964
Professional Enrollment ID
I20131025000994
Address ID
OH432143908CO3535XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

5,032 PHYSICIAN ASSISTANT in OH

Provider Addresses for CHARLES ROBERT III COLLIER (PA-C)

  • 332 CONGRESS PARK DR

    DAYTON, OH 454594133

    Phone: (800) 726-3627

    Type: Mailing

  • 269 PORTLAND WAY S

    GALION, OH 448332312

    Phone: (419) 468-0733

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 31 Open Payments records for all available years, with a total value of $516.

Total Amount is formed as General ($516) + Research ($0) + Ownership ($0) = $516.

Last reported payment date: 2024-11-27 • Largest payer in this snapshot: Amgen Inc. ($166).

Total Amount

$516

General + Research + Ownership

Payments

31

Total payment records

General Amount

$516

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-27

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: 2013-10-25

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
I20131025000994IPhysician AssistantOHTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes2215$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes1814$0
View full utilization report →

Insurance plans in this area (ZIP 45459)

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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: 8729976964View full group profile
NameSpecialtyState
Interventional Radiology, Diagnostic RadiologyWI
Diagnostic RadiologyOH
-OH
Diagnostic RadiologyOH
Diagnostic RadiologyMN
Diagnostic RadiologyFL

Reviews

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Frequently asked questions

How do payers reference CHARLES ROBERT III COLLIER (PA-C)?
For CHARLES ROBERT III COLLIER (PA-C), use NPI 1275969677 as the unique 10-digit identifier.
Is CHARLES ROBERT III COLLIER (PA-C) still an active registrant?
CHARLES ROBERT III COLLIER (PA-C) carries an active NPI according to the public dataset.
What expertise is attributed to CHARLES ROBERT III COLLIER (PA-C)?
CHARLES ROBERT III COLLIER (PA-C)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
Is CHARLES ROBERT III COLLIER (PA-C) located near Dayton?
CHARLES ROBERT III COLLIER (PA-C) currently maps to Dayton, Ohio in this extract.
Can I trust this NPI listing for CHARLES ROBERT III COLLIER (PA-C)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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