STACEY CHARLES MD
NPI 1255940417
Family Medicine in Indianapolis, IN

Q: What is Stacey Charles's NPI number?

The NPI number for Stacey Charles is 1255940417. It was assigned to this individual provider in the NPPES registry on July 23, 2020.

Q: What is Stacey Charles's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Stacey Charles was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since July 23, 2020PECOS EnrolledAccepts Medicare Assignment

720 ESKENAZI AVE FL 2, INDIANAPOLIS, IN 46202(317) 880-7000 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 15, 2025, Apr 26, 2024, Oct 2, 2023 and 4 more (7 updates tracked since 2020).

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About Stacey Charles Md NPPES

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

STACEY CHARLES MD (NPI 1255940417) is an individual family medicine provider in Indianapolis, Indiana, licensed in Indiana (01090538A) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with Eskenazi Health, and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1255940417

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameSTACEY CHARLESCredential: MD

Location Address720 ESKENAZI AVE FL 2Indianapolis, IN 46202-5189

Mailing AddressPo Box 637764Cincinnati, OH 45263-7764 · (317) 880-3939

Phone(317) 880-7000

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateJuly 23, 2020

Last NPPES UpdateSeptember 15, 20257 updates tracked since enumeration

NPPES CertifiedSeptember 15, 2025

✔ NPI 1255940417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IN · 01090538A

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

720 ESKENAZI AVE FL 2, Indianapolis, IN 46202

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Secondary Practice Location 1

Location 11040 Wishard BlvdIndianapolis, IN 46202-2872 · Phone (317) 962-8893

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Stacey Charles 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 ID8224453717

PECOS Enrollment IDI20230809001162

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.

Eskenazi Health

Acute Care Hospitals · Indianapolis, IN

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number150024

Location720 Eskenazi AvenueIndianapolis, IN 46202 · Marion County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

Other Providers at the Same Location NPPES 18

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

AMBER THOMAS PA

Physician Assistant