CHARLES F JR. DRYDEN (MD) – Emergency Medicine Physician, NPI 1255371522

CHARLES F JR. DRYDEN (MD) is a healthcare provider. based in Frisco, Texas. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. J8523 (TX). The NPI Number for CHARLES F JR. DRYDEN (MD) is 1255371522

Main info

Male
Sole Proprietor
32 Years Of Experience
Accepts Medicare Assignment
Name
CHARLES F JR. DRYDEN (MD)
NPI
1255371522
Phone
(972) 963-3039
Address
12505 LEBANON RD
Enumeration Date
7 June 2006
Last Update Date
1 March 2011

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
2144433000
Graduation Year
1994 (32 years ago)
PAC ID
3375599988
Group Practice PAC ID
8921444514
Professional Enrollment ID
I20050328000302
Address ID
TX752042833DA2727XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,050 EMERGENCY MEDICINE in TX

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Provider Addresses for CHARLES F JR. DRYDEN (MD)

  • Baylor Scott & White Medical Center – Centennial, 12505, Lebanon Road, Frisco, Collin County, Texas, 75035, United States

    EMERGENCY DEPARTMENT

    FRISCO, TX 75035

    Phone: (972) 963-3039

    Mailing address matches the actual address.

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: 2005-03-28

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
I20050328000302IEmergency MedicineTXTBD

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
J1100Injection, dexamethasone sodium phosphate, 1 mg11011$0
99284Emergency department visit with moderate level of medical decision making9994$0
99285Emergency department visit with high level of medical decision making3939$0
99213Established patient office or other outpatient visit, 20-29 minutes3131$0
96372Injection of drug or substance under skin or into muscle2717$0
View full utilization report →

Insurance plans in this area (ZIP 75035)

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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: 8921444514View full group profile
NameSpecialtyState
Emergency MedicineTX
Emergency MedicineTX
Emergency MedicineGA
Emergency MedicineMI
Family Practice, Emergency MedicineTX
Emergency MedicineTX
Family Practice, Emergency Medicine, Emergency Medicine, Family Practice, Osteopathic Manipulative MedicineTX
Emergency MedicineTX
Family Practice, Emergency Medicine, HospitalistLA
Emergency MedicineTX

Reviews

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Frequently asked questions

How do I look up CHARLES F JR. DRYDEN (MD) by NPI?
Use NPI 1255371522 when you need to reference CHARLES F JR. DRYDEN (MD) in forms, claims, or directories.
Is CHARLES F JR. DRYDEN (MD) currently active in the NPI registry?
CMS-published data lists CHARLES F JR. DRYDEN (MD) as an active registrant.
What kind of provider is CHARLES F JR. DRYDEN (MD)?
The page reflects Emergency Medicine Physician for CHARLES F JR. DRYDEN (MD). Clinical services aligned with this taxonomy classification.
Does CHARLES F JR. DRYDEN (MD) practice in Texas?
You will see Frisco, Texas on file for CHARLES F JR. DRYDEN (MD) alongside any extra practice locations.
Is CHARLES F JR. DRYDEN (MD) a real provider?
This page reflects official NPPES data for NPI 1255371522. Always confirm identity and privileges with the practice and licensing boards.

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