CHARLES EDWARD BRODOWSKI – Ophthalmology Physician, NPI 1114489721

CHARLES EDWARD BRODOWSKI is a healthcare provider. based in Wynnewood, Pennsylvania. specializing in OPHTHALMOLOGY. They hold a License No. MD481032 (PA). The NPI Number for CHARLES EDWARD BRODOWSKI is 1114489721

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
CHARLES EDWARD BRODOWSKI
NPI
1114489721
Phone
(484) 476-2000
Address
100 LANCASTER AVE.
Enumeration Date
2 April 2019
Last Update Date
12 July 2023

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
2157812020
Graduation Year
2019 (7 years ago)
PAC ID
2466788203
Group Practice PAC ID
3173416237
Professional Enrollment ID
I20230516000540
Address ID
PA190074809BR216XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,144 OPHTHALMOLOGY in PA

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Provider Addresses for CHARLES EDWARD BRODOWSKI

  • 100 LANCASTER AVE.

    WYNNEWOOD, PA 19096

    Phone: (484) 476-2000

    Type: Mailing

  • Lankenau Medical Center, 100, East Lancaster Avenue, Wynnewood, Lower Merion Township, Montgomery County, Pennsylvania, 19096, United States

    WYNNEWOOD, PA 190963450

    Phone: (484) 476-2000

    Type: Location

  • 216 MILL ST

    BRISTOL, PA 190074809

    Phone: (215) 781-2020

    Fax: (215) 788-3504

    Type: Mailing

  • 100 E Lancaster Ave

    Wynnewood, PA 190963450

    Phone: (484) 476-2000

    Type: Location

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 $2,094.

Total Amount is formed as General ($2,094) + Research ($0) + Ownership ($0) = $2,094.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Alcon Vision LLC ($1,032).

Total Amount

$2,094

General + Research + Ownership

Payments

23

Total payment records

General Amount

$2,094

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: 2023-05-16

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
I20230516000540IOphthalmologyPATBD

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
92014Established patient complete exam of visual system346341$0
92134Imaging of retina138135$0
92133Imaging of optic nerve101100$0
92083Exam of visual field with extended testing7877$0
92012Established patient problem focused exam of visual system6764$0
View full utilization report →

Insurance plans in this area (ZIP 19096)

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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: 3173416237View full group profile
NameSpecialtyState
-PA
O P H T H A L M O L O G YPA
O P T O M E T R YPA
O P H T H A L M O L O G YPA
O P H T H A L M O L O G YPA
O P H T H A L M O L O G YPA
O P H T H A L M O L O G YPA
O P T O M E T R YPA
O P H T H A L M O L O G YPA
O P T O M E T R YPA

Reviews

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Frequently asked questions

What unique ID ties claims to CHARLES EDWARD BRODOWSKI?
NPI 1114489721 is assigned to CHARLES EDWARD BRODOWSKI under the national enumeration system.
Is CHARLES EDWARD BRODOWSKI's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is CHARLES EDWARD BRODOWSKI?
The page reflects Ophthalmology Physician for CHARLES EDWARD BRODOWSKI. Clinical services aligned with this taxonomy classification.
Where does public data place CHARLES EDWARD BRODOWSKI?
The snapshot lists Wynnewood, Pennsylvania for CHARLES EDWARD BRODOWSKI; download NPPES for the complete set.
Is CHARLES EDWARD BRODOWSKI a real provider?
This page reflects official NPPES data for NPI 1114489721. Always confirm identity and privileges with the practice and licensing boards.

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