DR. CHARLES B IDOM JR. M.D., FACS
NPI 1316943210
Urology in Dalton, GA

Active since June 24, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1434 BROADRICK DR, DALTON, GA 30720(706) 278-5961(706) 275-0280 Get Directions Write a Review

NPPES record last updated: September 11, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Charles B Idom Jr. M.d., Facs NPPES

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

DR. CHARLES B IDOM JR. M.D., FACS (NPI 1316943210) is an individual urology provider in Dalton, Georgia, licensed in Georgia (050482) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Hamilton Medical Center, and is a graduate of University Of Mississippi School Of Medicine (1994).

NPPES Registry Identity

NPI1316943210
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. CHARLES B IDOM JR.Credential: M.D., FACS
Location Address1434 BROADRICK DRDalton, GA 30720-3009
Mailing Address1434 Broadrick DrDalton, GA 30720-3009 · (706) 278-5961 · Fax (706) 275-0280
Fax(706) 275-0280
Sole ProprietorYes
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 1994
Enumeration DateJune 24, 2005
Last NPPES UpdateSeptember 11, 2017
NPI 1316943210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in GA · 050482
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1434 BROADRICK DR, Dalton, GA 30720

Other Identifiers 5

Medicare NSC5860450001GA
Medicare PIN34-BDDHKGA
Medicaid00931312AGA
Other340019475GA · Railroad Medicare
Medicare UPINH15460GA

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

Dr. Charles B Idom Jr. M.d., Facs 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 ID6901883131
PECOS Enrollment IDI20040706000559
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.

Areas of Expertise CMS Part B claims 33

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
3,000 services30 patients
Manual urinalysis test with examination using microscope, non-automated 81000
A manual urinalysis test involves studying a urine sample under a microscope. This non-automated method helps identify any abnormal substances present. It's a useful tool for detecting potential health concerns early. The process is simple and non-invasive.
916 services507 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
668 services420 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
421 services270 patients
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.
408 services274 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
389 services250 patients

Hospital Affiliations CMS Care Compare

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

Hamilton Medical Center

Acute Care Hospitals · Dalton, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110001
Location1200 Memorial DriveDalton, GA 30720 · Whitfield County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30720 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
100%104 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
3 suppliers12 claims2,490 services$6.10 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

Physician Assistant
1434 BROADRICK DR
DALTON, GA 30720
Urology
1434 BROADRICK DR
DALTON, GA 30720
Urology
1434 BROADRICK DR
DALTON, GA 30720

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 Idom's NPI number?

The NPI number for Charles Idom is 1316943210. It was assigned to this individual provider in the NPPES registry on June 24, 2005.

Where is Charles Idom located?

Charles Idom practices at 1434 Broadrick Dr, Dalton, GA 30720. The listed phone number is (706) 278-5961.

What is Charles Idom's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Charles Idom enrolled in Medicare?

Yes. Charles Idom 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 Idom accept?

Health plans from Alliant Health Plans, Inc. list Charles Idom 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 Idom affiliated with any hospitals?

According to CMS data, Charles Idom is affiliated with Hamilton Medical Center.

When was this NPI record last updated?

The NPPES record for Charles Idom was last updated on September 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.