CHARLES KEITH MCCORD P.A.
NPI 1215287420
Physician Assistant in Victorville, CA

Active since September 14, 2012PECOS EnrolledAccepts Medicare Assignment
16850 BEAR VALLEY RD, VICTORVILLE, CA 92395(760) 241-8000(760) 962-8021 Get Directions Write a Review

NPPES record last updated: January 4, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 4, 2019, Aug 25, 2017 (2 updates tracked since 2017).

About Charles Keith Mccord P.a. NPPES

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

CHARLES KEITH MCCORD P.A. (NPI 1215287420) is an individual physician assistant in Victorville, California, licensed in California (PA22512) and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS, is affiliated with Metro Nashville General Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1215287420
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameCHARLES KEITH MCCORDCredential: P.A.
Location Address16850 BEAR VALLEY RDVictorville, CA 92395-5794
Mailing Address1005 Dr Db Todd Jr BlvdNashville, TN 37208-3501 · (615) 327-5944 · Fax (615) 327-5597
Fax(760) 962-8021
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 14, 2012
Last NPPES UpdateJanuary 4, 20192 updates tracked since enumeration
NPI 1215287420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · PA22512
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

16850 BEAR VALLEY RD, Victorville, CA 92395

Accepted 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 Keith Mccord P.a. 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 ID9032369236
PECOS Enrollment IDI20180312002016
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.

Hospital Affiliations CMS Care Compare

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

Metro Nashville General Hospital

Acute Care Hospitals · Nashville, TN
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440111
Location1818 Albion StreetNashville, TN 37208 · Davidson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92395 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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 20

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

Internal Medicine
16850 BEAR VALLEY RD
VICTORVILLE, CA 92395
Nurse Practitioner (Family)
16850 BEAR VALLEY RD
VICTORVILLE, CA 92395
Internal Medicine
16850 BEAR VALLEY RD
VICTORVILLE, CA 92395
Physician Assistant
16850 BEAR VALLEY RD
VICTORVILLE, CA 92395
Student in an Organized Health Care Education/Training Program
16850 BEAR VALLEY RD
VICTORVILLE, CA 92395
Pharmacist
16850 BEAR VALLEY RD
VICTORVILLE, CA 92395
Family Medicine
16850 BEAR VALLEY RD
VICTORVILLE, CA 92395
Nurse Practitioner
16850 BEAR VALLEY RD
VICTORVILLE, CA 92395

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 Mccord's NPI number?

The NPI number for Charles Mccord is 1215287420. It was assigned to this individual provider in the NPPES registry on September 14, 2012.

Where is Charles Mccord located?

Charles Mccord practices at 16850 Bear Valley Rd, Victorville, CA 92395. The listed phone number is (760) 241-8000.

What is Charles Mccord's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Charles Mccord enrolled in Medicare?

Yes. Charles Mccord 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 Mccord accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 4 other insurers list Charles Mccord 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 Mccord affiliated with any hospitals?

According to CMS data, Charles Mccord is affiliated with Metro Nashville General Hospital.

When was this NPI record last updated?

The NPPES record for Charles Mccord was last updated on January 4, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.