CHARLES ANDERSON (MD) – Emergency Medicine Physician, NPI 1265546808

CHARLES ANDERSON (MD) is a healthcare provider. based in Dallas, Texas. specializing in EMERGENCY MEDICINE, FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. H2924 (TX). The NPI Number for CHARLES ANDERSON (MD) is 1265546808

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
CHARLES ANDERSON (MD)
NPI
1265546808
Phone
(800) 684-0806
Address
PO BOX 650823
Enumeration Date
19 August 2006
Last Update Date
15 December 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9795426500
Graduation Year
1989 (37 years ago)
PAC ID
4880507649
Group Practice PAC ID
1153470067
Professional Enrollment ID
I20031107000274
Address ID
TX789421451GI185XXDRXX300
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

4,050 EMERGENCY MEDICINE in TX

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Provider Addresses for CHARLES ANDERSON (MD)

  • Band Box Place, Dallas, Dallas County, Texas, 75244, United States

    DALLAS, TX 752650823

    Phone: (800) 684-0806

    Fax: (405) 844-1794

    Type: Mailing

  • Baylor Scott & White Medical Center – Brenham, 700, Medical Parkway, Brenham, Washington County, Texas, 77833, United States

    BRENHAM, TX 778335413

    Phone: (979) 337-5000

    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: 2003-11-07

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
I20031107000274IEmergency 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
99285Emergency department visit with high level of medical decision making129123$0
99284Emergency department visit with moderate level of medical decision making7472$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only7266$0
View full utilization report →

Insurance plans in this area (ZIP 75265)

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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: 1153470067View full group profile
NameSpecialtyState
Internal MedicineTX
Clinical PsychologistTX
-TX
P S Y C H I A T R YCA
Family PracticeTX
Clinical Social WorkerTX

Reviews

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Frequently asked questions

What is CHARLES ANDERSON (MD)'s NPI number?
CHARLES ANDERSON (MD)'s NPI is 1265546808 — the number used across U.S. healthcare to identify this provider.
Would CHARLES ANDERSON (MD) appear as active to a payer?
You can treat CHARLES ANDERSON (MD) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with CHARLES ANDERSON (MD)?
CHARLES ANDERSON (MD)'s record emphasizes Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for CHARLES ANDERSON (MD)?
Travel planning: use Dallas, Texas as the reference point for CHARLES ANDERSON (MD), then confirm.
Does CHARLES ANDERSON (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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