DR. CHARLES JOSEPH ALLDERDICE (M.D.) – Interventional Cardiology Physician, NPI 1104262096
Interventional Cardiology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
758 CARDIOVASCULAR DISEASE (CARDIOLOGY) in TN
Provider Addresses for DR. CHARLES JOSEPH ALLDERDICE (M.D.)
1924 ALCOA HIGHWAY
DEPARTMENT OF MEDICINE U-114 GSM, UTMCK
KNOXVILLE, TN 37920
Phone: (865) 305-9340
Type: Mailing
9320 PARK WEST BLVD
KNOXVILLE, TN 379234301
Phone: (865) 373-7100
Fax: (865) 374-2029
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $174.
Total Amount is formed as General ($174) + Research ($0) + Ownership ($0) = $174.
Last reported payment date: 2024-04-29 • Largest payer in this snapshot: Shockwave Medical, Inc ($103).
Total Amount
$174
General + Research + Ownership
Payments
4
Total payment records
General Amount
$174
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Shockwave Medical, Inc | $103 |
| Abbott Laboratories | $49 |
| ATRICURE, INC. | $21 |
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: 2020-08-12
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 |
|---|---|---|---|---|
| I20200812001042 | I | Interventional Cardiology | TN | 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 |
|---|---|---|---|---|
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 1,057 | 921 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 408 | 398 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 243 | 224 | $0 |
| 85610 | Blood test, clotting time | 197 | 17 | $0 |
| 93793 | Anticoagulant management of patient taking warfarin | 195 | 20 | $0 |
Insurance plans in this area (ZIP 37920)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TN | |
| P S Y C H I A T R Y | TN | |
| - | TN | |
| Nurse Practitioner | TN | |
| P S Y C H I A T R Y | TN | |
| Nurse Practitioner | TN | |
| P S Y C H I A T R Y | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| - | TN |
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