CHARLES M PERRICONE (MD) – Family Medicine Physician, NPI 1659345353

CHARLES M PERRICONE (MD) is a healthcare provider. based in Dallas, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. G8337 (TX). The NPI Number for CHARLES M PERRICONE (MD) is 1659345353

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
CHARLES M PERRICONE (MD)
NPI
1659345353
Phone
(903) 324-6450
Address
PO BOX 846098
Enumeration Date
17 February 2006
Last Update Date
29 May 2024

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS AT AUSTIN DELL MEDICAL SCHOOL
Secondary Phone
9036577583
Graduation Year
1980 (46 years ago)
PAC ID
8022089929
Group Practice PAC ID
3072426741
Professional Enrollment ID
I20100326000059
Address ID
TX756525985HE511XXSTXX401
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

8,705 FAMILY PRACTICE in TX

Provider Addresses for CHARLES M PERRICONE (MD)

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

    DALLAS, TX 752846098

    Phone: (903) 324-6450

    Type: Mailing

  • 105 ZEID BLVD

    HENDERSON, TX 756526070

    Phone: (903) 657-7583

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $297.

Total Amount is formed as General ($297) + Research ($0) + Ownership ($0) = $297.

Last reported payment date: 2024-10-08 • Largest payer in this snapshot: Exact Sciences Corporation ($167).

Total Amount

$297

General + Research + Ownership

Payments

8

Total payment records

General Amount

$297

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-08

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: 2026-02-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20100326000059IFamily PracticeTXTBD
I20260223001591IFamily PracticeMTTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes344182$0
36415Insertion of needle into vein for collection of blood sample335192$0
99213Established patient office or other outpatient visit, 20-29 minutes161119$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit111111$0
81003Automated urinalysis test4330$0
View full utilization report →

Insurance plans in this area (ZIP 75284)

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Provider's Procedures

CHARLES M PERRICONE (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINETX85610Blood test, clotting time2313

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: 3072426741View full group profile
NameSpecialtyState
General SurgeryAZ
Internal MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
-TX
E N D O C R I N O L O G YTX
Nurse PractitionerIL
-NC
Physician AssistantLA
Hospitalist, GastroenterologyTX

Reviews

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Frequently asked questions

How is CHARLES M PERRICONE (MD) identified in CMS data?
CMS-hosted NPPES data lists CHARLES M PERRICONE (MD) with NPI 1659345353.
Is CHARLES M PERRICONE (MD) still practicing?
CHARLES M PERRICONE (MD) is currently listed as active in the public NPI registry.
What is CHARLES M PERRICONE (MD) best known for clinically?
Directory data describes CHARLES M PERRICONE (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does CHARLES M PERRICONE (MD) serve?
CHARLES M PERRICONE (MD)'s listing highlights Dallas, Texas; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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