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CHARLES EDWARD WALL JR. MD
NPI 1073717955
Surgery in Starkville, MS

Active since June 13, 2007PECOS EnrolledAccepts Medicare Assignment
102 DOCTORS PARK, STARKVILLE, MS 39759(662) 615-3800(662) 615-3807 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 6, 2025, Jul 10, 2018 (2 updates tracked since 2018).

About Charles Edward Wall Jr. Md NPPES

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

CHARLES EDWARD WALL JR. MD (NPI 1073717955) is an individual surgery provider in Starkville, Mississippi, licensed in Mississippi (19801) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Och Regional Medical Center, and is a graduate of University Of Mississippi School Of Medicine (2002).

NPPES Registry Identity

NPI1073717955
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameCHARLES EDWARD WALL JR.Credential: MD
Location Address102 DOCTORS PARKStarkville, MS 39759-2570
Mailing Address350 N Humphreys BlvdMemphis, TN 38120-2177 · (901) 226-4003 · Fax (901) 227-8591
Phone(662) 615-3800
Fax(662) 615-3807
Sole ProprietorNo
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 2002
Enumeration DateJune 13, 2007
Last NPPES UpdateOctober 6, 20252 updates tracked since enumeration
NPPES CertifiedOctober 6, 2025
✔ NPI 1073717955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MS · 19801
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
102 DOCTORS PARK, Starkville, MS 39759
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Other Identifiers 3

Other511-65666AL · Bcbs
Other102I029294AL · Medicare
Medicaid175531AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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 Edward Wall Jr. 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 ID1355434440
PECOS Enrollment IDI20070905000756
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 10

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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
108 services90 patients
Limited ultrasound scan of 1 breast 76642
A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.
74 services69 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.
59 services59 patients
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.
58 services50 patients
Biopsy of breast and placement of locating device using ultrasound, first growth 19083
A breast biopsy with locating device placement involves taking a small sample from an unusual growth, using ultrasound for precise targeting. This sample is studied for any abnormal cells. A locating device is also placed to mark the area for future reference.
25 services24 patients
Aspiration of abscess, blood, or cyst 10160
Aspiration is a procedure where a needle is carefully inserted into an area of abnormal growth or swelling (like an abscess, blood clot, or cyst) to remove fluid. This helps in reducing pain, facilitating healing, and testing the fluid if needed.
23 services23 patients

Hospital Affiliations CMS Care Compare 3

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

Och Regional Medical Center

Acute Care Hospitals · Starkville, MS
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250050
Location400 Hospital Road /Mail PO Box 1506Starkville, MS 39759 · Oktibbeha County
Emergency services Birthing friendly

Bmh-Golden Triangle

Acute Care Hospitals · Columbus, MS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250100
Location2520 5th Street NColumbus, MS 39705 · Lowndes County
Emergency services Birthing friendly

Mississippi Baptist Medical Center

Acute Care Hospitals · Jackson, MS
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250102
Location1225 N State StJackson, MS 39202 · Hinds County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39759 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
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.

Other Providers at the Same Location NPPES 4

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

OCH GENERAL SURGERY ASSOCIATES
Clinic/Center (Medical Specialty)
102 DOCTORS PARK
STARKVILLE, MS 39759
Oktibbeha County (662) 615-3781
OCH CENTER FOR BREAST HEALTH
Clinic/Center (Medical Specialty)
102 DOCTORS PARK
STARKVILLE, MS 39759
Oktibbeha County (662) 615-3800
DR. JAMES TRAVIS METHVIN DO
Surgery
102 DOCTORS PARK
STARKVILLE, MS 39759
Oktibbeha County (662) 615-3781
ELLEN MCGUFFEY CPNP
Nurse Practitioner
102 DOCTORS PARK
STARKVILLE, MS 39759
Oktibbeha County (662) 323-0999

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Wall's NPI number?

The NPI number for Charles Wall is 1073717955. It was assigned to this individual provider in the NPPES registry on June 13, 2007.

Where is Charles Wall located?

Charles Wall practices at 102 Doctors Park, Starkville, MS 39759. The listed phone number is (662) 615-3800.

What is Charles Wall's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Charles Wall enrolled in Medicare?

Yes. Charles Wall is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Charles Wall accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Charles Wall as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Charles Wall affiliated with any hospitals?

According to CMS data, Charles Wall is affiliated with Och Regional Medical Center, Bmh-Golden Triangle and Mississippi Baptist Medical Center.

When was this NPI record last updated?

The NPPES record for Charles Wall was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.