CHARLES TATE WOODWARD (DO) – Family Medicine Physician, NPI 1760606917

CHARLES TATE WOODWARD (DO) is a healthcare provider. based in Edmond, Oklahoma. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 18955 (MT). The NPI Number for CHARLES TATE WOODWARD (DO) is 1760606917

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
CHARLES TATE WOODWARD (DO)
NPI
1760606917
Phone
(405) 826-2256
Address
1745 W 33RD ST
Enumeration Date
12 April 2007
Last Update Date
5 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2709083839
Graduation Year
2004 (22 years ago)
PAC ID
5395839294
Group Practice PAC ID
2062859002
Professional Enrollment ID
I20250108001638
Address ID
KY420016717PA4570XDRXX302
Telehealth
Yes

Contacts

Secure Messaging
krmcmedicalrecords@krhdirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

1,775 FAMILY PRACTICE in OK

Provider Addresses for CHARLES TATE WOODWARD (DO)

  • 1745 W 33RD ST

    EDMOND, OK 730133831

    Phone: (405) 826-2256

    Fax: (800) 308-0241

    Type: Mailing

  • 310 SUNNYVIEW LN

    KALISPELL, MT 599013129

    Phone: (406) 751-5310

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $2,745.

Total Amount is formed as General ($2,745) + Research ($0) + Ownership ($0) = $2,745.

Last reported payment date: 2024-09-10 • Largest payer in this snapshot: Neuronetics, Inc. ($2,163).

Total Amount

$2,745

General + Research + Ownership

Payments

23

Total payment records

General Amount

$2,745

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-10

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: 2025-01-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20120904000638IFamily PracticeMTTBD
I20190130002827IFamily PracticeOKTBD
I20250108001638IFamily PracticeKYTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes351137$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes15793$0
99238Hospital discharge day management, 30 minutes or less106105$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes7875$0
99239Hospital discharge day management, more than 30 minutes4341$0
View full utilization report →

Insurance plans in this area (ZIP 73013)

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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: 2062859002View full group profile
NameSpecialtyState
Physician AssistantMT

Reviews

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Frequently asked questions

What unique ID ties claims to CHARLES TATE WOODWARD (DO)?
NPI 1760606917 is assigned to CHARLES TATE WOODWARD (DO) under the national enumeration system.
Is CHARLES TATE WOODWARD (DO) currently active in the NPI registry?
CMS-published data lists CHARLES TATE WOODWARD (DO) as an active registrant.
What field does CHARLES TATE WOODWARD (DO) work in?
You can think of CHARLES TATE WOODWARD (DO) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does CHARLES TATE WOODWARD (DO) practice in Oklahoma?
You will see Edmond, Oklahoma on file for CHARLES TATE WOODWARD (DO) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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