CHARLES A BUNDY (MD) – Surgery Physician, NPI 1710982921
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
826 GENERAL SURGERY in WA
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Provider Addresses for CHARLES A BUNDY (MD)
PO BOX 850
PORT ANGELES, WA 983620146
Phone: (360) 565-9237
Fax: (360) 417-0127
Type: Mailing
Olympic Medical Center, 907, Georgiana Street, Port Angeles, Clallam County, Washington, 98362, United States
PORT ANGELES, WA 983623911
Phone: (360) 565-0999
Fax: (360) 417-0127
Type: Location
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: 2004-09-16
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 |
|---|---|---|---|---|
| I20040916000758 | I | General Surgery | WA | 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 |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 55 | 55 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 53 | 25 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 50 | 40 | $0 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 41 | 41 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 39 | 39 | $0 |
Insurance plans in this area (ZIP 98362)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WA | |
| - | WA | |
| Family Practice | WA | |
| - | NY | |
| Emergency Medicine | WA | |
| - | WA | |
| - | WA | |
| - | TN | |
| H E M A T O L O G Y/ O N C O L O G Y | CA | |
| Cardiovascular Disease (Cardiology) | WA |
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