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CHARLES A DEBRAH MD
NPI 1255362265
Obstetrics & Gynecology in Mason City, IA

Active since July 06, 2006PECOS EnrolledAccepts Medicare Assignment
1010 4TH ST SW, SUITE 32, MASON CITY, IA 50401(641) 428-5100(641) 428-5115 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 24, 2024, Nov 16, 2023, Apr 20, 2021 and 1 more (4 updates tracked since 2020).

About Charles A Debrah Md NPPES

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

CHARLES A DEBRAH MD (NPI 1255362265) is an individual obstetrics & gynecology provider in Mason City, Iowa, licensed in Iowa (33038) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Fort Walton-destin Hospital, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1255362265
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameCHARLES A DEBRAHCredential: MD
Location Address1010 4TH ST SW, SUITE 32Mason City, IA 50401-2857
Mailing Address621 S Illinois Ave, Suite 103Mason City, IA 50401-5489 · (641) 428-3041 · Fax (641) 428-3059
Phone(641) 428-5100
Fax(641) 428-5115
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateJuly 6, 2006
Last NPPES UpdateSeptember 24, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2024
✔ NPI 1255362265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in IA · 33038
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1010 4TH ST SW, Mason City, IA 50401
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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

Charles A Debrah 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 ID547363442
PECOS Enrollment IDI20230823001053
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 Debrah reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North Iowa Mercy Clinics
Same address
Obstetrics & Gynecology
1010 4TH ST SW STE 220
Mason City, IA 50401
  • Reassigned Medicare billing, Iowa enrollment
  • 420 clinicians in this Medicare group
NPI 1306857347 (641) 428-5100
Mason City Clinic PC
0.1 mi
Otolaryngology
250 S CRESCENT DR
Mason City, IA 50401
  • Reassigned Medicare billing, Iowa enrollment
  • 65 clinicians in this Medicare group
NPI 1043254055 (800) 622-1411
Mercy Specialty Clinic
164 mi
Family Medicine
1021 11TH ST
De Witt, IA 52742
  • Reassigned Medicare billing, Iowa enrollment
  • 183 clinicians in this Medicare group
NPI 1235793829 (563) 659-9294
Diana Health Fl P.A.
948 mi
Obstetrics & Gynecology
1046 MAR WALT DR, SUITE 200
Fort Walton Beach, FL 32547
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Diana Health Fl, PA
  • 98 clinicians in this Medicare group
NPI 1194591966 (850) 243-2229

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

Hospital Affiliations CMS Care Compare

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

Hca Florida Fort Walton-Destin Hospital

Acute Care Hospitals · Fort Walton Beach, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100223
Location1000 Mar-Walt DrFort Walton Beach, FL 32547 · Okaloosa County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50401 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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.

LAURA SPICER
Pharmacist
1010 4TH ST SW
MASON CITY, IA 50401
Cerro Gordo County (641) 422-6105
DR. CHAD M MCCAMBRIDGE MD
Family Medicine
1010 4TH ST SW, SUITE 340
MASON CITY, IA 50401
Cerro Gordo County (641) 428-7766
SIDDHARTH VERMA DO
Student in an Organized Health Care Education/Training Program
1010 4TH ST SW, STE 305
MASON CITY, IA 50401
Cerro Gordo County (641) 428-5700
LUAN M BARGMAN PA
Physician Assistant
1010 4TH ST SW, SUITE 120
MASON CITY, IA 50401
Cerro Gordo County (641) 428-6020
MAGNETIC RESONANCE SERVICES PTR
Clinic/Center (Magnetic Resonance Imaging (MRI))
1010 4TH ST SW, SUITE 100
MASON CITY, IA 50401
Cerro Gordo County (641) 424-0102
WILLIAM D MATTHEWS M.D.
Radiology (Diagnostic Radiology)
1010 4TH ST SW, SUITE 100
MASON CITY, IA 50401
Cerro Gordo County (641) 424-0102
MR. TONY GENE PALS PHARMD
Pharmacist
1010 4TH ST SW
MASON CITY, IA 50401
Cerro Gordo County (641) 422-6105
DANIEL MICHELSON MD
Student in an Organized Health Care Education/Training Program
1010 4TH ST SW, STE 340
MASON CITY, IA 50401
Cerro Gordo County (641) 428-7766

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 Debrah's NPI number?

The NPI number for Charles Debrah is 1255362265. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Charles Debrah located?

Charles Debrah practices at 1010 4th St SW Suite 32, Mason City, IA 50401. The listed phone number is (641) 428-5100.

What is Charles Debrah's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Charles Debrah enrolled in Medicare?

Yes. Charles Debrah 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 Debrah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Debrah reassigns Medicare benefits to 4 organizations: North Iowa Mercy Clinics (Mason City, IA), Mason City Clinic PC (Mason City, IA), Mercy Specialty Clinic (De Witt, IA) and Diana Health Fl P.A. (Fort Walton Beach, FL). 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 Debrah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Debrah accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 3 other insurers list Charles Debrah 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 Debrah affiliated with any hospitals?

According to CMS data, Charles Debrah is affiliated with Hca Florida Fort Walton-Destin Hospital.

When was this NPI record last updated?

The NPPES record for Charles Debrah was last updated on September 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.