MS. CHARLOTTE ANN REBACK (M.D.) – Family Medicine Physician, NPI 1093765687

MS. CHARLOTTE ANN REBACK (M.D.) is a healthcare provider. based in Colchester, Vermont. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 0420009081 (VT). The NPI Number for MS. CHARLOTTE ANN REBACK (M.D.) is 1093765687

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
MS. CHARLOTTE ANN REBACK (M.D.)
NPI
1093765687
Phone
(802) 847-1170
Address
790 COLLEGE PKWY
Enumeration Date
12 May 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8028470000
Graduation Year
1991 (35 years ago)
PAC ID
6103834510
Group Practice PAC ID
3779491071
Professional Enrollment ID
I20060327000715
Address ID
VT054011473BU111XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

356 FAMILY PRACTICE in VT

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Provider Addresses for MS. CHARLOTTE ANN REBACK (M.D.)

  • Fanny Allen Hospital Library, 790, College Parkway, Colchester, Chittenden County, Vermont, 05439, United States

    COLCHESTER, VT 054463007

    Phone: (802) 847-1170

    Mailing address matches the actual address.

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: 2006-03-27

PECOS data refreshed: 2026-06-15

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
I20060327000715IFamily PracticeVTTBD

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 minutes5454$0
99204New patient office or other outpatient visit, 45-59 minutes4343$0
99203New patient office or other outpatient visit, 30-44 minutes1818$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1414$0
99213Established patient office or other outpatient visit, 20-29 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 05446)

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Provider's Procedures

MS. CHARLOTTE ANN REBACK (M.D.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEVT93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report2524

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: 3779491071View full group profile

Reviews

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Frequently asked questions

Does MS. CHARLOTTE ANN REBACK (M.D.) have a public NPI I can cite?
Public records show MS. CHARLOTTE ANN REBACK (M.D.) under NPI 1093765687.
Should I treat MS. CHARLOTTE ANN REBACK (M.D.) as an active provider?
Patients and plans typically see MS. CHARLOTTE ANN REBACK (M.D.) as active in the national extract.
What type of care does MS. CHARLOTTE ANN REBACK (M.D.) provide?
MS. CHARLOTTE ANN REBACK (M.D.)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MS. CHARLOTTE ANN REBACK (M.D.)?
MS. CHARLOTTE ANN REBACK (M.D.) is associated with Colchester, Vermont in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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