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MR. CHARLES WESLEY WHITE
NPI 1275247124
Physician Assistant in Fayetteville, WV

Active since January 05, 2023PECOS EnrolledAccepts Medicare Assignment
113 DEERFIELD LN, FAYETTEVILLE, WV 25840(304) 890-1167 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 2, 2025, Jan 5, 2023 (2 updates tracked since 2023).

About Mr. Charles Wesley White NPPES

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

MR. CHARLES WESLEY WHITE (NPI 1275247124) is an individual physician assistant in Fayetteville, West Virginia and active in the NPI registry since January 2023. He is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1275247124
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. CHARLES WESLEY WHITE
Location Address113 DEERFIELD LNFayetteville, WV 25840-6799
Mailing Address113 Deerfield LnFayetteville, WV 25840-6799 · (304) 890-1167
Phone(304) 890-1167
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 5, 2023
Last NPPES UpdateJuly 2, 20252 updates tracked since enumeration
NPPES CertifiedJuly 2, 2025
✔ NPI 1275247124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
113 DEERFIELD LN, Fayetteville, WV 25840
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Secondary Practice Locations 5

Location 1800 Pennsylvania AveCharleston, WV 25302-3351 · Phone (304) 388-5432
Location 21400 Hospital DrHurricane, WV 25526-9202 · Phone (304) 757-1700
Location 3501 Morris StCharleston, WV 25301-1326 · Phone (304) 388-5432
Location 4415 Morris St Ste 309Charleston, WV 25301-1853 · Phone (304) 388-3290
Location 53200 MacCorkle Ave SECharleston, WV 25304-1227 · Phone (304) 388-5432

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.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

Mr. Charles Wesley White 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 ID7416486378
PECOS Enrollment IDI20250122003350
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.

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510022
Location501 Morris StreetCharleston, WV 25301 · Kanawha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25840 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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.

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 White's NPI number?

The NPI number for Charles White is 1275247124. It was assigned to this individual provider in the NPPES registry on January 5, 2023.

Where is Charles White located?

Charles White practices at 113 Deerfield Ln, Fayetteville, WV 25840. The listed phone number is (304) 890-1167.

What is Charles White's specialty?

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

Is Charles White enrolled in Medicare?

Yes. Charles White 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 White accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Charles White 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 White affiliated with any hospitals?

According to CMS data, Charles White is affiliated with Charleston Area Medical Center.

When was this NPI record last updated?

The NPPES record for Charles White was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.