DR. CHARLES THOMAS SR. GRAD (MD) – Internal Medicine Physician, NPI 1093723322
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
Loading prescription activity...
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
| Company | Amount |
|---|---|
| Celgene Corporation | $246 |
| E.R. Squibb & Sons, L.L.C. | $245 |
| ABBVIE INC. | $96 |
| Janssen Biotech, Inc. | $95 |
| QOL Medical, LLC | $67 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20111115000087 | I | Gastroenterology | PA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 286 | 141 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 88 | 62 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 46 | 44 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 45 | 45 | $0 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 27 | 24 | $0 |
Insurance plans in this area (ZIP 18411)
Loading plans...
Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | PA | |
| Nurse Practitioner | PA | |
| Nurse Practitioner | PA | |
| - | PA | |
| - | PA | |
| Internal Medicine | PA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.