DR. CHARLES THOMAS SR. GRAD (MD) – Internal Medicine Physician, NPI 1093723322

DR. CHARLES THOMAS SR. GRAD (MD) is a healthcare provider. based in Clarks summit, Pennsylvania. specializing in GASTROENTEROLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. MD014268E (PA). The NPI Number for DR. CHARLES THOMAS SR. GRAD (MD) is 1093723322

Main info

Male
54 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHARLES THOMAS SR. GRAD (MD)
NPI
1093723322
Phone
(570) 586-9578
Address
5 STONYBROOK RD
Enumeration Date
3 August 2006
Last Update Date
11 September 2025

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5709610171
Graduation Year
1972 (54 years ago)
PAC ID
2860452489
Group Practice PAC ID
6800870882
Professional Enrollment ID
I20111115000087
Address ID
PA185082616SC201XXDRXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:19State licenses:1Digital endpointsOther names

1,182 GASTROENTEROLOGY in PA

Provider Addresses for DR. CHARLES THOMAS SR. GRAD (MD)

  • 5 STONYBROOK RD

    CLARKS SUMMIT, PA 184111166

    Phone: (570) 586-9578

    Type: Mailing

  • 201 SMALLACOMBE DR

    SCRANTON, PA 185082616

    Phone: (570) 961-0171

    Fax: (570) 207-2411

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 73 Open Payments records for all available years, with a total value of $1,445.

Total Amount is formed as General ($1,445) + Research ($0) + Ownership ($0) = $1,445.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Celgene Corporation ($246).

Total Amount

$1,445

General + Research + Ownership

Payments

73

Total payment records

General Amount

$1,445

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

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: 2011-11-15

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
I20111115000087IGastroenterologyPATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes286141$0
99213Established patient office or other outpatient visit, 20-29 minutes8862$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope4644$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare4545$0
45378Diagnostic exam of large bowel using a flexible endoscope2724$0
View full utilization report →

Insurance plans in this area (ZIP 18411)

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Provider's Procedures

DR. CHARLES THOMAS SR. GRAD (MD) performs procedures in GASTROENTEROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYPA45378Diagnostic examination of large bowel using an endoscope6760
GASTROENTEROLOGYPA45385Removal of polyps or growths of large bowel using an endoscope2121

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: 6800870882View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. CHARLES THOMAS SR. GRAD (MD)?
DR. CHARLES THOMAS SR. GRAD (MD) — NPI 1093723322 — is the standard way to identify this listing.
Is DR. CHARLES THOMAS SR. GRAD (MD) still practicing?
DR. CHARLES THOMAS SR. GRAD (MD) is currently listed as active in the public NPI registry.
What taxonomy line describes DR. CHARLES THOMAS SR. GRAD (MD)?
For research purposes, treat DR. CHARLES THOMAS SR. GRAD (MD) as Internal Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does DR. CHARLES THOMAS SR. GRAD (MD) serve?
DR. CHARLES THOMAS SR. GRAD (MD)'s listing highlights Clarks Summit, Pennsylvania; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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