DR. CHARLES E. GREESON (M.D.) – Dermatology Physician, NPI 1003919994

DR. CHARLES E. GREESON (M.D.) is a healthcare provider. based in San angelo, Texas. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. P1758 (TX). The NPI Number for DR. CHARLES E. GREESON (M.D.) is 1003919994

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHARLES E. GREESON (M.D.)
NPI
1003919994
Phone
(325) 658-1511
Address
PO BOX 22000
Enumeration Date
6 September 2006
Last Update Date
7 July 2015

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
3257471511
Graduation Year
2000 (26 years ago)
PAC ID
4880839331
Group Practice PAC ID
0840103727
Professional Enrollment ID
I20130404000081
Address ID
TX769035919SA120XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,284 DERMATOLOGY in TX

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Provider Addresses for DR. CHARLES E. GREESON (M.D.)

  • San Angelo, Villa Residencial Santa Fe 3ra Sección, Pórticos de San Antonio, Municipio de Tijuana, Baja California, 22664, Mexico

    SAN ANGELO, TX 769027200

    Phone: (325) 658-1511

    Fax: (325) 481-2166

    Type: Mailing

  • 120, East Beauregard Avenue, Downtown, San Angelo, Tom Green County, Texas, 76903, United States

    SAN ANGELO, TX 769035919

    Phone: (325) 658-1511

    Fax: (325) 481-2166

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 45 Open Payments records for all available years, with a total value of $979.

Total Amount is formed as General ($979) + Research ($0) + Ownership ($0) = $979.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($162).

Total Amount

$979

General + Research + Ownership

Payments

45

Total payment records

General Amount

$979

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: 2013-04-04

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
I20130404000081IDermatologyTXTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes695539$0
17003Destruction of precancer skin growth, 2-14 growths655263$0
17000Destruction of precancer skin growth, 1 growth522442$0
99212Established patient office or other outpatient visit, 10-19 minutes410378$0
11102Biopsy of related skin growth, first growth333293$0
View full utilization report →

Insurance plans in this area (ZIP 76902)

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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: 0840103727View full group profile
NameSpecialtyState
-TX
Physical Therapist In Private PracticeTX
-TX
-OR
Physician AssistantTX
A N E S T H E S I O L O G YTX
-TX
G A S T R O E N T E R O L O G YTX
A N E S T H E S I O L O G YTX
-TX

Reviews

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Frequently asked questions

What is the standard ID for DR. CHARLES E. GREESON (M.D.) in the U.S.?
In the U.S., DR. CHARLES E. GREESON (M.D.) is identified by NPI 1003919994.
Should I treat DR. CHARLES E. GREESON (M.D.) as an active provider?
Patients and plans typically see DR. CHARLES E. GREESON (M.D.) as active in the national extract.
How should patients interpret DR. CHARLES E. GREESON (M.D.)'s specialty?
The extract shows Dermatology Physician for DR. CHARLES E. GREESON (M.D.). Clinical services aligned with this taxonomy classification.
Can patients visit DR. CHARLES E. GREESON (M.D.) in San Angelo, Texas?
For routing, start with San Angelo, Texas for DR. CHARLES E. GREESON (M.D.), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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