CHARLES BRADY HUMPHREY (PA) – Physician Assistant, NPI 1881874394
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,491 PHYSICIAN ASSISTANT in TX
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Provider Addresses for CHARLES BRADY HUMPHREY (PA)
919 HIDDEN RDG
IRVING, TX 750383813
Phone: (469) 282-2711
Fax: (469) 282-2609
Type: Mailing
2604, Saint Michael Drive, Texarkana, Bowie County, Texas, 75503, United States
STE 425
TEXARKANA, TX 755032379
Phone: (903) 614-5600
Fax: (903) 614-5630
Type: Location
1002 TEXAS BLVD STE 400
TEXARKANA, TX 755015113
Phone: (903) 838-5500
Fax: (903) 838-7402
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $42.
Total Amount is formed as General ($42) + Research ($0) + Ownership ($0) = $42.
Last reported payment date: 2023-06-22 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($42).
Total Amount
$42
General + Research + Ownership
Payments
1
Total payment records
General Amount
$42
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $42 |
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: 2005-06-14
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 |
|---|---|---|---|---|
| I20050614001469 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 33508 | Harvest of vein using an endoscope | 37 | 37 | $0 |
| 33533 | Coronary artery bypass using artery graft, 1 graft | 36 | 36 | $0 |
| 33518 | Coronary artery bypass using vein or artery graft, 2 grafts | 16 | 16 | $0 |
| 33519 | Coronary artery bypass using vein or artery graft, 3 grafts | 13 | 13 | $0 |
Insurance plans in this area (ZIP 75038)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | TX | 33518 | Combined multiple vein and artery heart artery bypasses | 17 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | AZ | |
| Internal Medicine | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| E N D O C R I N O L O G Y | TX | |
| Nurse Practitioner | IL | |
| - | NC | |
| Physician Assistant | LA | |
| Hospitalist, Gastroenterology | TX |
Reviews
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