DR. CHARLES PENVOSE DPM
NPI 1144853649
Podiatrist - Foot & Ankle Surgery in Newark, OH

Q: What is Charles Penvose's NPI number?

The NPI number for Charles Penvose is 1144853649. It was assigned to this individual provider in the NPPES registry on February 13, 2020.

Q: What is Charles Penvose's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for Charles Penvose was last updated on October 22, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 13, 2020PECOS EnrolledAccepts Medicare Assignment

1920 TAMARACK RD, NEWARK, OH 43055(740) 344-8286(740) 522-0094 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 10, 2024, May 13, 2024, Aug 16, 2023 and 4 more (7 updates tracked since 2020).

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About Dr. Charles Penvose Dpm NPPES

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

DR. CHARLES PENVOSE DPM (NPI 1144853649) is an individual foot & ankle surgery provider in Newark, Ohio, licensed in Ohio (36.003998) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS, is affiliated with Marietta Memorial Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1144853649

Entity TypeIndividualMale

Primary Taxonomy213ES0103X

Provider Legal NameDR. CHARLES PENVOSECredential: DPM

Location Address1920 TAMARACK RDNewark, OH 43055-2303

Mailing Address1920 Tamarack RdNewark, OH 43055-2303 · (740) 344-8286 · Fax (740) 522-0094

Phone(740) 344-8286

Fax(740) 522-0094

Sole ProprietorYes

Medical School CMSKent State University College Of Podiatric MedicineGraduated 2018

Enumeration DateFebruary 13, 2020

Last NPPES UpdateOctober 22, 20257 updates tracked since enumeration

NPPES CertifiedOctober 22, 2025

✔ NPI 1144853649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

Licenses✔ Licensed in OH · 36.003998✔ Licensed in GA · POD001444

1920 TAMARACK RD, Newark, OH 43055

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Secondary Practice Locations 3

Location 120 University Estates Blvd Unit 100Athens, OH 45701-2967 · Phone (740) 566-4640 · Fax (740) 566-4641

Location 22434 Richmiller Ln Unit CBelpre, OH 45714-1075 · Phone (740) 423-3207 · Fax (740) 423-3227

Location 3206 Columbus RD STE 303Athens, OH 45701-1316 · Phone (740) 423-3103 · Fax (740) 423-3117

Other Identifiers 1

Medicaid0444143OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., 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

Dr. Charles Penvose Dpm 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 ID6204267214

PECOS Enrollment IDI20210618001393

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 5

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 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.

104 services75 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.

84 services84 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.

70 services62 patients

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

58 services57 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.

44 services44 patients

Hospital Affiliations CMS Care Compare 2

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

Marietta Memorial Hospital

Acute Care Hospitals · Marietta, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360147

Location401 Matthew StreetMarietta, OH 45750 · Washington County

Emergency services Birthing friendly

Selby General Hospital

Critical Access Hospitals · Marietta, OH

OwnershipVoluntary non-profit - Private

CMS Certification Number361319

Location1106 Colegate DriveMarietta, OH 45750 · Washington County

Emergency services

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Other Providers at the Same Location NPPES 7

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

MISS AMANDA LEIGH QUISNO D.P.M.

Podiatrist (Foot & Ankle Surgery)