1. Home
  2. Directory
  3. New York
  4. Stony Brook
  5. Neurological Surgery
  6. NPI Profile

DR. CHARLES BAZEMORE MIKELL III M.D.
NPI 1124254917
Neurological Surgery in Stony Brook, NY

Active since June 07, 2009PECOS EnrolledAccepts Medicare Assignment
98.52/100
CMS Quality Rating
HSC T12, ROOM 080, STONY BROOK, NY 11794(631) 444-1116 Get Directions Write a Review

NPPES record last updated: September 27, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Charles Bazemore Mikell Iii M.d. NPPES

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

DR. CHARLES BAZEMORE MIKELL III M.D. (NPI 1124254917) is an individual neurological surgery provider in Stony Brook, New York, licensed in New York (273606) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Suny/stony Brook University Hospital, and is a graduate of University Of Missouri, Columbia School Of Medicine (2009).

NPPES Registry Identity

NPI1124254917
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. CHARLES BAZEMORE MIKELL IIICredential: M.D.
Location AddressHSC T12, ROOM 080Stony Brook, NY 11794-8122
Mailing AddressHsc T12, Room 080Stony Brook, NY 11794-8122 · (631) 444-1116
Phone(631) 444-1116
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2009
Enumeration DateJune 7, 2009
Last NPPES UpdateSeptember 27, 2016
✔ NPI 1124254917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Licenses✔ Licensed in NY · 273606✔ Licensed in KY · TP008
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
HSC T12, Stony Brook, NY 11794
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Charles Bazemore Mikell Iii M.d. 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 ID7416247648
PECOS Enrollment IDI20161027001096
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.

Medicare Billing Reassignment

Medicare enrollment records show Charles Mikell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New York Spine & Brain Surgery, University Faculty Practice Corporatio
0.5 mi
Neurological Surgery
SUNY @ STONY BROOK, HSC, L12, RM 080
Stony Brook, NY 11794
  • Reassigned Medicare billing, New York enrollment
  • 27 clinicians in this Medicare group
NPI 1154376309 (631) 444-1116

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

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.
109 services83 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
81 services81 patients
Insertion of spinal neurostimulator electrode array through skin 63650
This procedure involves placing a small device, called a neurostimulator electrode array, under your skin near your spine. It delivers mild electrical signals to your spinal cord, helping to manage chronic pain.
26 services13 patients
Computer-assisted procedure inside brain 61781
A computer-assisted brain procedure uses advanced technology for precise navigation within the brain. A computer creates a 3D model of your brain to help the surgeon accurately target the area needing treatment, improving safety and effectiveness.
20 services19 patients
Insertion or replacement of spinal neurostimulator generator or receiver 63685
The insertion of a spinal neurostimulator generator or receiver is a procedure to manage chronic pain. A small device is implanted under your skin, which sends mild electrical signals to your spinal cord. These signals disrupt pain signals, helping to reduce discomfort.
16 services16 patients
Use of operating microscope 69990
An operating microscope is a device that magnifies small areas, allowing surgeons to see fine details clearly during procedures. It's often used for delicate operations like eye or nerve surgery, improving precision and outcomes.
14 services13 patients

Hospital Affiliations CMS Care Compare

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

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11794 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

98.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.85
Promoting Interoperability100
Improvement Activities40

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 Mikell's NPI number?

The NPI number for Charles Mikell is 1124254917. It was assigned to this individual provider in the NPPES registry on June 7, 2009.

Where is Charles Mikell located?

Charles Mikell practices at Hsc T12 Room 080, Stony Brook, NY 11794. The listed phone number is (631) 444-1116.

What is Charles Mikell's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Charles Mikell enrolled in Medicare?

Yes. Charles Mikell 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.

Which organization bills Medicare for Charles Mikell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Mikell reassigns Medicare benefits to New York Spine & Brain Surgery, University Faculty Practice Corporatio (Stony Brook, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charles Mikell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Charles Mikell affiliated with any hospitals?

According to CMS data, Charles Mikell is affiliated with Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Charles Mikell was last updated on September 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.