CHARLES STANTON BUSSELL (MD) – Internal Medicine Physician, NPI 1306409438
Internal Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
13,290 INTERNAL MEDICINE in TX
Provider Addresses for CHARLES STANTON BUSSELL (MD)
2401 S 31ST ST # MS 01161B
TEMPLE, TX 765080001
Phone: (254) 724-2364
Type: Mailing
364 RICHLAND WEST CIR STE A
WACO, TX 767127919
Phone: (254) 537-0911
Fax: (254) 537-0313
Type: Location
PO BOX 844658
DALLAS, TX 752844658
Phone:
Type: Mailing
1605 S 31ST ST
TEMPLE, TX 765080001
Phone: (254) 215-0100
Fax: (254) 215-0636
Type: Location
PO BOX 23189
WACO, TX 767023189
Phone: (254) 537-0911
Fax: (254) 537-0313
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $2,175.
Total Amount is formed as General ($2,175) + Research ($0) + Ownership ($0) = $2,175.
Last reported payment date: 2024-11-11 • Largest payer in this snapshot: Boston Scientific Corporation ($1,626).
Total Amount
$2,175
General + Research + Ownership
Payments
15
Total payment records
General Amount
$2,175
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $1,626 |
| Ferring Pharmaceuticals Inc. | $172 |
| Phathom Pharmaceuticals, Inc. | $122 |
| Ardelyx, Inc. | $121 |
| ABBVIE INC. | $102 |
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: 2021-09-23
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 |
|---|---|---|---|---|
| I20210923000680 | I | Internal Medicine | TX | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 15 | 15 | $0 |
Insurance plans in this area (ZIP 76508)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| G A S T R O E N T E R O L O G Y | TX | |
| G A S T R O E N T E R O L O G Y | TX | |
| P A T H O L O G Y | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| G A S T R O E N T E R O L O G Y | TX | |
| P A T H O L O G Y | TX | |
| G A S T R O E N T E R O L O G Y | TX |
Reviews
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