CHARLES FLOYD MOTLEY JR. MD
NPI 1316948789
Internal Medicine in La Porte, IN

Q: What is Charles Motley's NPI number?

The NPI number for Charles Motley is 1316948789. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Q: What is Charles Motley's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Charles Motley was last updated on April 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since August 09, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 15D0355755 · Waiver

6916 W JOHNSON RD, LA PORTE, IN 46350(219) 872-7247(219) 879-8609 Get Directions Write a Review

NPPES record last updated: April 22, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Charles Floyd Motley Jr. Md NPPES

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

CHARLES FLOYD MOTLEY JR. MD (NPI 1316948789) is an individual internal medicine provider in La Porte, Indiana, licensed in Indiana (01030248B) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through August 31, 2026, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1979).

NPPES Registry Identity

NPI1316948789

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameCHARLES FLOYD MOTLEY JR.Credential: MD

Location Address6916 W JOHNSON RDLa Porte, IN 46350-8247

Mailing Address6916 W Johnson RdLa Porte, IN 46350-8247 · (219) 872-7247 · Fax (219) 879-8609

Phone(219) 872-7247

Fax(219) 879-8609

Sole ProprietorYes

Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1979

Enumeration DateAugust 9, 2005

Last NPPES UpdateApril 22, 2008

✔ NPI 1316948789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in IN · 01030248B

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 01030248A (IN)

6916 W JOHNSON RD, La Porte, IN 46350

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Other Identifiers 5

Medicare UPINC25150

Medicaid100163900AIN

Other000000316332Anthem Blue Cross

Medicare ID-Type Unspecified485990IN

Medicare ID-Type Unspecified945770FIN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Medica.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

Charles Floyd Motley Jr. 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 ID2365491982

PECOS Enrollment IDI20050823000339

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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D0355755

Charles F Motley MD · La Porte, IN

Active · expires Aug 31, 2026

CLIA Number15D0355755

Laboratory TypePhysician Office

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorDr. Charles F. Motley

Laboratory Phone(219) 872-7247

Laboratory LocationCharles F Motley MD6916 W Johnson Rd, La Porte, IN 46350

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46350 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers16 claims55 services$5.83 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

4 suppliers14 claims14 services$20.52 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 5

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

DIANE E SPOLJORIC FNP

Nurse Practitioner (Family)