CHARLES M. WASSERMAN (DO) – Family Medicine Physician, NPI 1093753949
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
360 GERIATRIC MEDICINE in PA
Provider Addresses for CHARLES M. WASSERMAN (DO)
7500 CENTRAL AVE STE 104
PHILADELPHIA, PA 191112431
Phone: (215) 742-0712
Fax: (215) 742-5218
Type: Location
721, Skippack Pike, Blue Bell, Whitpain Township, Montgomery County, Pennsylvania, 19422, United States
SUITE 3
BLUE BELL, PA 194221700
Phone: (215) 793-0600
Fax: (215) 793-0759
Type: Mailing
6449, Rising Sun Avenue, Lawndale, Northeast Philadelphia, Philadelphia, Philadelphia County, Pennsylvania, 19012, United States
PHILADELPHIA, PA 191115228
Phone: (215) 745-9203
Fax: (215) 745-2983
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2010-01-14
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 |
|---|---|---|---|---|
| I20100114000428 | I | Family Practice | 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 | 464 | 246 | $0 |
| 96127 | Assessment of emotional or behavioral problems | 228 | 171 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 148 | 98 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 127 | 23 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 127 | 127 | $0 |
Insurance plans in this area (ZIP 19111)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | PA | 90670 | Pneumococcal vaccine for injection into muscle | 16 | 16 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | PA | |
| Family Practice | PA | |
| Internal Medicine | PA | |
| Internal Medicine, Endocrinology | PA | |
| Family Practice | PA | |
| - | PA | |
| Nurse Practitioner | PA | |
| - | PA | |
| - | PA | |
| Internal Medicine | PA |
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