DR. CHARLES RAYMOND STEVENS M.D.
NPI 1003001363
Anesthesiology - Pain Medicine in El Centro, CA


Quality Rating: 60 out of 100 score

NPI Status: Active since September 10, 2007

Contact Information

1665 S IMPERIAL AVE STE D
EL CENTRO, CA
ZIP 92243
Phone: (760) 482-0212
Fax: (760) 482-0166

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  • Individual
  • Male
  • Years of Experience 21
  • Anesthesiology
  • Pain Medicine
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About CHARLES STEVENS

Charles Stevens is a provider established in El Centro, California and his medical specialization is Anesthesiology with a focus in pain medicine with more than 21 years of experience. He graduated from University Of Arkansas College Of Medicine in 2003. The healthcare provider is registered in the NPI registry with number 1003001363 assigned on September 2007. The practitioner's primary taxonomy code is 207LP2900X with license number A104563 (CA). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI1003001363
Provider NameDR. CHARLES RAYMOND STEVENS M.D.
Location Address1665 S IMPERIAL AVE STE D EL CENTRO, CA 92243
Location Phone(760) 482-0212
Mailing Address1665 S IMPERIAL AVE STE D EL CENTRO, CA 92243
GenderMale
Entity TypeIndividual
Medical School NameUNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduation Year2003
Is Sole Proprietor?Yes
Enumeration Date09-10-2007
Last Update Date05-11-2021
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Charles Stevens is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 60, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

Location Map

Mailing Address

1665 S IMPERIAL AVE STE D
EL CENTRO, CA
ZIP 92243
Phone: (760) 482-0212
Fax: (760) 482-0166

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Anesthesiology Pain Medicine

Taxonomy Code207LP2900X
TypeAllopathic & Osteopathic Physicians
License No.A104563
License StateCA
Taxonomy DescriptionAn anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

Insurance Plans Accepted

The NPI profile data suggests this provider may be accepting health plans from these insurance companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
7096338MEDICAID (05)CA 

PECOS Enrollment and Medicare Participation Status

Charles Stevens is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 446319719

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20081103000096, I20120216000149, I20120718000803

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 60 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: N/A

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: N/A

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: N/A

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Clinician Services

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 5590

    Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)

  • 1388

    Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)

  • 327

    Testing for presence of drug (HCPCS:80305)

  • 317

    Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance (HCPCS:64483)

  • 133

    Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance (HCPCS:20611)

  • 85

    Injections of lower or sacral spine facet joint using imaging guidance (HCPCS:64493)

  • 78

    Injections of lower or sacral spine facet joint using imaging guidance (HCPCS:64494)

  • 50

    Ultrasonic guidance imaging supervision and interpretation for insertion of needle (HCPCS:76942)

  • 37

    Destruction of lower or sacral spinal facet joint nerves using imaging guidance (HCPCS:64635)

  • 36

    Injection of substance into spinal canal of lower back or sacrum using imaging guidance (HCPCS:62323)

  • 32

    Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)

  • 15

    Injection procedure into sacroiliac joint for anesthetic or steroid (HCPCS:27096)

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Charles Stevens is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
EL CENTRO REGIONAL MEDICAL CENTER1415 ROSS AVENUE
EL CENTRO, CA 92243
(760) 339-7100Acute Care Hospitals
PIONEERS MEMORIAL HEALTHCARE DISTRICT207 WEST LEGION ROAD
BRAWLEY, CA 92227
(760) 351-3333Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003001363
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003002312
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 0 + 2 + 3 + 1 + 2 + 24 = 37
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
40 - 37 = 33

The NPI number 1003001363 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1316323736 ARTURO GARCIA PA-C
Individual
Physician Assistant (Medical)1665 S IMPERIAL AVE STE D
EL CENTRO, CA 92243
(760) 482-0212
1104018159CHARLES R STEVENS M.D, APC
Organization
Anesthesiology (Pain Medicine)1665 S IMPERIAL AVE STE D
EL CENTRO, CA 92243
(760) 482-0212

Frequently Asked Questions

What is Dr. Charles Stevens M.D. NPI number?

The NPI number assigned to this healthcare provider is 1003001363, enumerated in the NPI registry as an "individual" on September 10, 2007

Where is the provider located?

The provider is located at 1665 S Imperial Ave Ste D El Centro, Ca 92243 and the phone number is (760) 482-0212

What is the provider specialty code?

The provider's speciality is Anesthesiology with taxonomy code 207LP2900X with a focus in Pain Medicine

How many years of experience does Dr. Charles Stevens M.D. have?

The provider has more than 21 years of experience. He graduated from University Of Arkansas College Of Medicine in 2003.

What insurance does Dr. Charles Stevens M.D. accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Is Dr. Charles Stevens M.D. registered in PECOS?

Yes, as of February 16, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What are some of the services provided by Dr. Charles Stevens M.D.?

The most common procedures or services performed by this practitioner are: Injection, triamcinolone acetonide, not otherwise specified, 10 mg, Injection, dexamethasone sodium phosphate, 1 mg, Testing for presence of drug, Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance, Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance, Injections of lower or sacral spine facet joint using imaging guidance, Injections of lower or sacral spine facet joint using imaging guidance, Ultrasonic guidance imaging supervision and interpretation for insertion of needle, Destruction of lower or sacral spinal facet joint nerves using imaging guidance, Injection of substance into spinal canal of lower back or sacrum using imaging guidance, Aspiration and/or injection of large joint or joint capsule and Injection procedure into sacroiliac joint for anesthetic or steroid.

Is Dr. Charles Stevens M.D. affiliated to any hospitals?

The practitioner is affiliated to the following hospital(s): EL CENTRO REGIONAL MEDICAL CENTER and PIONEERS MEMORIAL HEALTHCARE DISTRICT. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

How do I update my NPI information?

This NPI record was last updated on September 10, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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