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DR. CHARLES THOMAS MOLTA MD
NPI 1225253792
Internal Medicine - Rheumatology in Lewiston, ME

Active since April 17, 2007PECOS EnrolledAccepts Medicare Assignment
71.78/100
CMS Quality Rating
685 SABATTUS ST, LEWISTON, ME 04240(207) 784-1699(207) 784-7554 Get Directions Write a Review

NPPES record last updated: January 29, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 10, 2024, May 16, 2019 (2 updates tracked since 2019).

About Dr. Charles Thomas Molta Md NPPES

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

DR. CHARLES THOMAS MOLTA MD (NPI 1225253792) is an individual rheumatology provider in Lewiston, Maine, licensed in Ohio (35053258) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Metrohealth System, and maintains a secondary practice location in Hershey.

NPPES Registry Identity

NPI1225253792
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. CHARLES THOMAS MOLTACredential: MD
Location Address685 SABATTUS STLewiston, ME 04240-3831
Mailing Address685 Sabattus StLewiston, ME 04240-3831 · (207) 784-1699 · Fax (207) 784-7554
Phone(207) 784-1699
Fax(207) 784-7554
Sole ProprietorYes
Medical School CMSOtherGraduated 1983
Enumeration DateApril 17, 2007
Last NPPES UpdateJanuary 29, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2025
✔ NPI 1225253792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Licenses✔ Licensed in OH · 35053258✔ Licensed in PA · MD433419✔ Licensed in ME · MD28543
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
685 SABATTUS ST, Lewiston, ME 04240
Open in Google Maps ↗

Secondary Practice Location 1

Location 1500 University DrHershey, PA 17033-2360 · Phone (800) 243-1455

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Molina Healthcare and more.Insurance ›

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 Thomas Molta 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 ID9739133968
PECOS Enrollment IDI20050310000021
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 Reassignments

4

Medicare enrollment records show Charles Molta reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Central Maine Medical Center
Same address
Urgent Care
685 SABATTUS ST
Lewiston, ME 04240
  • Reassigned Medicare billing, Maine enrollment
  • 920 clinicians in this Medicare group
NPI 1063136786 (207) 795-5050
Central Maine Clinical Associates Corporation
1.6 mi
Family Medicine
364 MAIN STREET
Lewiston, ME 04240
  • Reassigned Medicare billing, Maine enrollment
  • 33 clinicians in this Medicare group
NPI 1356676688 (207) 795-5709
Provider Profile
386 mi
Rheumatology
100 E LANCASTER AVE, SUITE 137 LANKENAU MEDICAL BLDG.
Wynnewood, PA 19096
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 6 clinicians in this Medicare group
NPI 1225065774 (610) 896-8400
The Metrohealth System
613 mi
Multi-Specialty
2500 METROHEALTH DR
Cleveland, OH 44109
  • Reassigned Medicare billing, Ohio enrollment
  • 2,147 clinicians in this Medicare group
NPI 1053353896 (216) 957-2442

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

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.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Metrohealth System

Acute Care Hospitals · Cleveland, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360059
Location2500 Metrohealth DriveCleveland, OH 44109 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04240 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
$123.23 typical visit price
range $53.26 – $162.77
Typical copayment $30.80 (range $13.31 – $40.69)
Most-billed visit code 99204
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
Most-billed visit code 99214
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.

71.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality48.32
Promoting Interoperability100
Improvement Activities40
Cost57.63

Other Providers at the Same Location NPPES 2

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

CENTRAL MAINE MEDICAL CENTER
Clinic/Center (Urgent Care)
685 SABATTUS ST
LEWISTON, ME 04240
Androscoggin County (207) 795-5050
CENTRAL MAINE MEDICAL CENTER
Clinic/Center (Infusion Therapy)
685 SABATTUS ST
LEWISTON, ME 04240
Androscoggin County (207) 795-2929

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 Molta's NPI number?

The NPI number for Charles Molta is 1225253792. It was assigned to this individual provider in the NPPES registry on April 17, 2007.

Where is Charles Molta located?

Charles Molta practices at 685 Sabattus St, Lewiston, ME 04240. The listed phone number is (207) 784-1699.

What is Charles Molta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Charles Molta enrolled in Medicare?

Yes. Charles Molta 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 organizations bill Medicare for Charles Molta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Molta reassigns Medicare benefits to 4 organizations: Central Maine Medical Center (Lewiston, ME), Central Maine Clinical Associates Corporation (Lewiston, ME), (Wynnewood, PA) and The Metrohealth System (Cleveland, OH). Each 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 Molta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Molta accept?

Health plans from CareSource, MedMutual, Molina Healthcare and Taro Health list Charles Molta 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 Molta affiliated with any hospitals?

According to CMS data, Charles Molta is affiliated with Metrohealth System.

When was this NPI record last updated?

The NPPES record for Charles Molta was last updated on January 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.