CHARLES BISHOP MD
NPI 1023428653
Orthopaedic Surgery in Gallipolis, OH

Q: What is Charles Bishop's NPI number?

The NPI number for Charles Bishop is 1023428653. It was assigned to this individual provider in the NPPES registry on May 5, 2014.

Q: What is Charles Bishop's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Charles Bishop was last updated on November 25, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 05, 2014PECOS EnrolledAccepts Medicare Assignment

82.09/100

CMS Quality Rating

100 JACKSON PIKE, GALLIPOLIS, OH 45631(855) 446-5937(740) 446-5448 Get Directions Write a Review

NPPES record last updated: November 25, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 25, 2020, Jul 23, 2019 (2 updates tracked since 2019).

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About Charles Bishop Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES BISHOP MD (NPI 1023428653) is an individual orthopaedic surgery provider in Gallipolis, Ohio, licensed in Ohio (35.135793) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with Holzer Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1023428653

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameCHARLES BISHOPCredential: MD

Location Address100 JACKSON PIKEGallipolis, OH 45631-1560

Mailing Address90 Jackson PikeGallipolis, OH 45631-1562 · (740) 446-5387

Phone(855) 446-5937

Fax(740) 446-5448

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateMay 5, 2014

Last NPPES UpdateNovember 25, 20202 updates tracked since enumeration

NPPES CertifiedNovember 25, 2020

✔ NPI 1023428653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in OH · 35.135793

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

100 JACKSON PIKE, Gallipolis, OH 45631

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Other Identifiers 1

Medicaid0360453OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Charles Bishop Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365779253

PECOS Enrollment IDI20190815001597

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

366 services223 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

253 services156 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

173 services139 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

70 services70 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

52 services52 patients

Aspiration and/or injection of fluid from medium joint 20605

This procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.

20 services16 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

20 services20 patients

Release of wrist ligament using an endoscope 29848

This procedure involves using a small camera, called an endoscope, to view and treat a tight wrist ligament. The endoscope is inserted through a tiny incision, reducing recovery time and scarring. It helps to relieve pain and improve wrist function.

19 services15 patients

Aspiration and/or injection of fluid from small joint 20600

This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.

16 services14 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

15 services15 patients

Release and/or relocation of elbow nerve 64718

This procedure involves adjusting the position of a nerve in your elbow to alleviate discomfort or improve function. The nerve is carefully moved from its original location and placed in a less strained position. This can help reduce pain and improve arm movement.

15 services11 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

13 services11 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Holzer Medical Center

Acute Care Hospitals · Gallipolis, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360054

Location100 Jackson PikeGallipolis, OH 45631 · Gallia County

Emergency services Birthing friendly

Holzer Medical Center Jackson

Critical Access Hospitals · Jackson, OH

OwnershipVoluntary non-profit - Private

CMS Certification Number361320

Location500 Burlington RoadJackson, OH 45640 · Jackson County

Emergency services

Rivers Health

Acute Care Hospitals · Point Pleasant, WV

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510012

Location2520 Valley DrivePoint Pleasant, WV 25550 · Mason County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45631 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.09/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

80.93

Promoting Interoperability

Improvement Activities

Cost

54.55

Reported Quality Measures

Breast Cancer Screening

67%566 patients3/55-star benchmark: 93%

Closing the Referral Loop: Receipt of Specialist Report

58%271 patients3/55-star benchmark: 87%

Colorectal Cancer Screening

58%1,098 patients3/55-star benchmark: 88%

Controlling High Blood Pressure

72%883 patients4/55-star benchmark: 91%

Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)

84%51 patients4/55-star benchmark: 99%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

23%346 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

54%3,132 patients2/55-star benchmark: 100%

e-Prescribing

71%194 patients1/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

68%772 patients3/55-star benchmark: 100%

Functional Status Assessment for Total Hip Replacement

0%26 patients

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

36%1,678 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

5%1,425 patients1/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 78% · 1,840 patients

Patients screened: 83% · 1,840 patients

72%341 patients3/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

82%728 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

79%806 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 1% · 769 patients

Patients totalRate: 24% · 811 patients

27%811 patients2/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

1 supplier15 claims15 services$61.51 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSEPH D. CRUM D.O.

Emergency Medicine