DR. CHARLES STEVENS M.D. NPI 1003001363
Anesthesiology (Pain Medicine) in El Centro, CA
About CHARLES STEVENS
Charles Stevens is a provider established in El Centro, California and his medical specialization is anesthesiology with more than 17 years of experience. The NPI number of Charles Stevens is 1003001363 and was 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 7 years ago. Charles Stevens is enrolled in PECOS and is registered with Medicare and accepts claims assignment. According to Medicare claims data the provider has hospital affiliations with El Centro Regional Medical Center, Pioneers Memorial Healthcare District, Yuma Regional Medical Center.
| NPI | 1003001363 |
| Provider Name | DR. CHARLES STEVENS M.D. |
| Provider Location Address | 1665 S IMPERIAL AVE STE D EL CENTRO, CA 92243 |
| Provider Mailing Address | 1665 S IMPERIAL AVE STE D EL CENTRO, CA 92243 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
| Graduation Year | 2003 |
| Is Sole Proprietor? | Yes |
| Is Organization Subpart? | N/A |
| Enumeration Date | 09-10-2007 |
| Last Update Date | 02-06-2013 |
Primary Taxonomy
| Taxonomy Code | 207LP2900X |
| Classification | Anesthesiology |
| Type | Allopathic & Osteopathic Physicians |
| Specialization | Pain Medicine |
| License No. | A104563 |
| License State | CA |
| Taxonomy Description | An 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. |
Business Address
DR. CHARLES STEVENS M.D.
1665 S IMPERIAL AVE STE D
EL CENTRO, CA
ZIP 92243
Phone: (760) 482-0212
Fax: (760) 482-0166
Mailing Address
DR. CHARLES STEVENS M.D.
1665 S IMPERIAL AVE STE D
EL CENTRO, CA
ZIP 92243
Phone: (760) 482-0212
Fax: (760) 482-0166
Medicare Participation
Clinician Utilization
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 Medicare specialty, excluding evaluation and management codes.
- 4567Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
- 1915Drug screen, other than chromatographic; any number of drug classes, by clia waived test or moderate complexity test, per patient encounter (HCPCS:G0434)
- 1054Injection, dexamethasone sodium phosphate, 1mg (HCPCS:J1100)
- 686Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance (HCPCS:64483)
- 154Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance (HCPCS:20611)
- 83Ultrasonic guidance imaging supervision and interpretation for insertion of needle (HCPCS:76942)
- 29Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
- 12Ultrasound study of arteries of both arms and legs (HCPCS:93922)
Hospital Affiliations
Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affilition the clinician must have provided services to at least three patients on three different dates in the last 12 months.
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) |
|---|---|---|---|---|
| EL CENTRO REGIONAL MEDICAL CENTER | 1415 ROSS AVENUE EL CENTRO, CA 92243 | (760) 339-7100 | Acute Care Hospitals | 050045 |
| PIONEERS MEMORIAL HEALTHCARE DISTRICT | 207 WEST LEGION ROAD BRAWLEY, CA 92227 | (760) 351-3333 | Acute Care Hospitals | 050342 |
| YUMA REGIONAL MEDICAL CENTER | 2400 SOUTH AVENUE A YUMA, AZ 85364 | (928) 336-7600 | Acute Care Hospitals | 030013 |
Secondary Taxonomies
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
| No. | Taxonomy Code | Type | Classification | Specialization | License No. | State | Primary |
|---|---|---|---|---|---|---|---|
| 1 | 207LP2900X | Allopathic & Osteopathic Physicians | Anesthesiology | Pain Medicine | 036.118504 | IL | No |
Taxonomy Description: an 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. | |||||||
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| ASO41Z | MEDICARE PIN (08) | CA |
| 7096338 | MEDICAID (05) | CA |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.