MR. CHARLES WALTER DEBROSSE (M.D.) – Allergy & Immunology Physician, NPI 1700043155

MR. CHARLES WALTER DEBROSSE (M.D.) is a healthcare provider. based in Centerville, Ohio. specializing in PEDIATRIC MEDICINE, ALLERGY/IMMUNOLOGY. They hold the professional credentials M.D.. They hold a License No. 35.089171 (OH). The NPI Number for MR. CHARLES WALTER DEBROSSE (M.D.) is 1700043155

Main info

Male
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
MR. CHARLES WALTER DEBROSSE (M.D.)
NPI
1700043155
Phone
(513) 636-4200
Address
8039 WASHINGTON VILLAGE DR
Enumeration Date
21 May 2008
Last Update Date
17 March 2026

Doctor Profile

Medical School Name
UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Secondary Phone
9374358999
Graduation Year
2005 (21 years ago)
PAC ID
2163586405
Group Practice PAC ID
7517864499
Professional Enrollment ID
I20090130000380
Address ID
OH454581877CE8039XDRXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:18State licenses:2Digital endpointsOther names

1,709 PEDIATRIC MEDICINE in OH

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Provider Addresses for MR. CHARLES WALTER DEBROSSE (M.D.)

  • 8039 WASHINGTON VILLAGE DR

    STE 100

    CENTERVILLE, OH 454581877

    Phone: (513) 636-4200

    Type: Mailing

  • Cincinnati Children’s Hospital Medical Center, 3333, Burnet Avenue, Pill Hill, Corryville, Cincinnati, Hamilton County, Ohio, 45229-3026, United States

    CINCINNATI, OH 452293026

    Phone: (513) 636-4200

    Type: Location

  • 8039 WASHINGTON VILLAGE DR, SUITE 100, DAYTON, OH 45458

    DAYTON, OH 45458

    Phone: (937) 435-8999

    Fax: (937) 435-4211

    Type: Mailing

  • 8039 WASHINGTON VILLAGE DR, SUITE 100

    DAYTON, OH 45458

    Phone: (937) 435-8999

    Fax: (937) 435-4211

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 141 Open Payments records for all available years, with a total value of $74,478.

Total Amount is formed as General ($74,478) + Research ($0) + Ownership ($0) = $74,478.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($67,002).

Total Amount

$74,478

General + Research + Ownership

Payments

141

Total payment records

General Amount

$74,478

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2009-01-30

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
I20090130000380IAllergy/ImmunologyOHTBD

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
95004Test for allergy using allergenic extract1,98142$0
95165Professional service for preparation and provision of 1 or more antigens99578$0
95117Professional service for multiple injections of allergen751111$0
95024Test for allergy using allergenic extract injected into skin29828$0
95115Professional service for single injection of allergen21239$0
View full utilization report →

Insurance plans in this area (ZIP 45458)

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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: 7517864499View full group profile
NameSpecialtyState
Allergy/Immunology, Pediatric MedicineOH
Nurse PractitionerOH
Physician AssistantOH
-OH

Reviews

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Frequently asked questions

What NPI should I save for MR. CHARLES WALTER DEBROSSE (M.D.)?
Save NPI 1700043155 if you need a stable reference for MR. CHARLES WALTER DEBROSSE (M.D.).
Is MR. CHARLES WALTER DEBROSSE (M.D.) active in the national directory?
MR. CHARLES WALTER DEBROSSE (M.D.)'s public NPI profile is in an active state.
Does MR. CHARLES WALTER DEBROSSE (M.D.) list a primary specialty?
If you are matching referrals, note Allergy & Immunology Physician for MR. CHARLES WALTER DEBROSSE (M.D.). Clinical services aligned with this taxonomy classification.
Where is MR. CHARLES WALTER DEBROSSE (M.D.)'s primary listing?
We display Centerville, Ohio because that is what the record indicates for MR. CHARLES WALTER DEBROSSE (M.D.).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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