DR. CHARLTON WOODLY (DPM) – Primary Podiatric Medicine Podiatrist, NPI 1609833268

DR. CHARLTON WOODLY (DPM) is a healthcare provider. based in Fort worth, Texas. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 1764 (TX). The NPI Number for DR. CHARLTON WOODLY (DPM) is 1609833268

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHARLTON WOODLY (DPM)
NPI
1609833268
Phone
(817) 596-5077
Address
5505 Milford Dr
Enumeration Date
27 April 2006
Last Update Date
21 August 2022

Doctor Profile

Medical School Name
NEW YORK COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
9725525599
Graduation Year
2003 (23 years ago)
PAC ID
4587696117
Group Practice PAC ID
6800173204
Professional Enrollment ID
I20051219000442
Address ID
TX751268607FO124XX80XX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,097 PODIATRY in TX

Provider Addresses for DR. CHARLTON WOODLY (DPM)

  • 5505 Milford Dr

    Fort Worth, TX 761374972

    Phone: (817) 596-5077

    Type: Location

  • 7208 GLENVIEW DR

    RICHLAND HILLS, TX 761808693

    Phone: (817) 284-8271

    Fax: (817) 284-2940

    Type: Mailing

  • 5505, Milford Drive, Fort Worth, Tarrant County, Texas, 76137, United States

    FORT WORTH, TX 761374972

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $392.

Total Amount is formed as General ($392) + Research ($0) + Ownership ($0) = $392.

Last reported payment date: 2024-06-25 • Largest payer in this snapshot: Nevro Corp. ($258).

Total Amount

$392

General + Research + Ownership

Payments

9

Total payment records

General Amount

$392

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-25

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: 2005-12-19

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
I20051219000442IPodiatryTXTBD

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
11721Removal of fingernails or toenails, 6 or more nails296129$0
99213Established patient office or other outpatient visit, 20-29 minutes234113$0
11056Removal of noncancer thickened skin growth, 2-4 growths14391$0
99203New patient office or other outpatient visit, 30-44 minutes6464$0
73630X-ray of foot, minimum of 3 views4133$0
View full utilization report →

Insurance plans in this area (ZIP 76137)

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Provider's Procedures

DR. CHARLTON WOODLY (DPM) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYTX11042Removal of skin and tissue first 20 sq cm or less4811
PODIATRYTX11056Removal of 2 to 4 thickened skin growths8347

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: 6800173204View full group profile
NameSpecialtyState
-PA
-TX
Thoracic Surgery, Vascular SurgeryTX
Interventional Radiology, Diagnostic RadiologyTX
P O D I A T R YTX
P O D I A T R YKS
P O D I A T R YTX
-MA
Physician AssistantTX
General SurgeryOK

Reviews

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Frequently asked questions

Is DR. CHARLTON WOODLY (DPM) listed with a National Provider Identifier?
Yes — DR. CHARLTON WOODLY (DPM) has NPI 1609833268 on file in the registry.
Active or inactive — what applies to DR. CHARLTON WOODLY (DPM)?
You should see DR. CHARLTON WOODLY (DPM) as active in CMS-hosted NPPES data.
What area of care is associated with DR. CHARLTON WOODLY (DPM)?
DR. CHARLTON WOODLY (DPM)'s record emphasizes Primary Podiatric Medicine Podiatrist. Clinical services aligned with this taxonomy classification.
Is DR. CHARLTON WOODLY (DPM) associated with Fort Worth?
Public fields place DR. CHARLTON WOODLY (DPM) around Fort Worth, Texas. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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