CHARLIE EDWARD EVANS MD
NPI 1104875475
Emergency Medicine in Ukiah, CA
About Charlie Edward Evans Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARLIE EDWARD EVANS MD (NPI 1104875475) is an individual emergency medicine provider in Ukiah, California, licensed in California (G51002) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Charlie Edward Evans Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Areas of Expertise CMS Part B claims 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95482 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
UKIAH, CA 95482
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 Charlie Evans's NPI number?
The NPI number for Charlie Evans is 1104875475. It was assigned to this individual provider in the NPPES registry on May 6, 2006.
Where is Charlie Evans located?
Charlie Evans practices at 275 Hospital Dr, Ukiah, CA 95482. The listed phone number is (707) 462-7900.
What is Charlie Evans's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Charlie Evans enrolled in Medicare?
Yes. Charlie Evans is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Charlie Evans was last updated on March 31, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.
# Charlie Edward Evans, MD · NPI 1104875475
Emergency Medicine physician in Ukiah, California. Individual provider, active in the CMS NPPES registry since May 6, 2006.
## Identity
- **NPI:** 1104875475 (Entity type: Individual)
- **Enumerated:** May 6, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** G51002 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 275 HOSPITAL DR, Ukiah, CA 95482-4531
- **Phone:** (707) 462-7900 · **Fax:** (707) 462-7947
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 31, 2008
- **Other identifiers:** Medicare UPIN A51871 (CA); Medicare ID-Type Unspecified 00A510022 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1104875475) · Data from the CMS NPPES public registry.