1. Home
  2. Directory
  3. Texas
  4. Odessa
  5. Obstetrics Gynecology
  6. NPI Profile

DR. CHARLES AUBORN LIVELY M.D.
NPI 1326062589
Obstetrics & Gynecology in Odessa, TX

Active since July 27, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 45D0881498 · Microscopy
608 N MUSKINGUM AVE, ODESSA, TX 79761(432) 580-9168(432) 580-8221 Get Directions Write a Review

NPPES record last updated: December 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Charles Auborn Lively M.d. NPPES

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

DR. CHARLES AUBORN LIVELY M.D. (NPI 1326062589) is an individual obstetrics & gynecology provider in Odessa, Texas, licensed in Texas (H6384) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through September 14, 2026, and is affiliated with Medical Center Hospital.

NPPES Registry Identity

NPI1326062589
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. CHARLES AUBORN LIVELYCredential: M.D.
Location Address608 N MUSKINGUM AVEOdessa, TX 79761-4539
Mailing Address608 N Muskingum AveOdessa, TX 79761-4539 · (432) 580-9168 · Fax (432) 335-9217
Phone(432) 580-9168
Fax(432) 580-8221
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 1988
Enumeration DateJuly 27, 2006
Last NPPES UpdateDecember 15, 2020
NPPES CertifiedDecember 15, 2020
✔ NPI 1326062589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in TX · H6384
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.
608 N MUSKINGUM AVE, Odessa, TX 79761
Open in Google Maps ↗

Other Identifiers 1

Medicaid123169804TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare.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 Auborn Lively M.d. 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 ID8820135387
PECOS Enrollment IDI20100714000535
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 for Provider-Performed Microscopy Procedures (PPMP) 45D0881498

Charles A Lively MD PA · Odessa, TX
Active · expires Sep 14, 2026
CLIA Number45D0881498
Laboratory TypePhysician Office
Certificate Effective DateSeptember 15, 2024
Certificate Expiration DateSeptember 14, 2026
Laboratory DirectorCharles A. Lively
Laboratory Phone(432) 580-9168
Laboratory LocationCharles A Lively MD PA608 North Muskingum, Odessa, TX 79761
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 2

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.

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.
86 services40 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.
16 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Medical Center Hospital

Acute Care Hospitals · Odessa, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450132
Location500 W 4th StreetOdessa, TX 79761 · Ector County
Emergency services Birthing friendly

Midland Memorial Hospital

Acute Care Hospitals · Midland, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450133
Location400 Rosalind Redfern Grover ParkwayMidland, TX 79701 · Midland County
Emergency services Birthing friendly

Odessa Regional Medical Center

Acute Care Hospitals · Odessa, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450661
Location520 E 6th StreetOdessa, TX 79761 · Ector County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79761 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

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.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$7.08 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.

MRS. CRYSELDA ANN RUSSELL FNP-C
Nurse Practitioner (Family)
608 N MUSKINGUM AVE
ODESSA, TX 79761
Ector County (432) 580-9168
TESS NIX APRN, FNP-BC
Nurse Practitioner (Family)
608 N MUSKINGUM AVE
ODESSA, TX 79761
Ector County (432) 580-9168
CHARLES A LIVELY MD PA
Obstetrics & Gynecology (Obstetrics)
608 N MUSKINGUM AVE
ODESSA, TX 79761
Ector County (432) 580-9168

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 Lively's NPI number?

The NPI number for Charles Lively is 1326062589. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Charles Lively located?

Charles Lively practices at 608 N Muskingum Ave, Odessa, TX 79761. The listed phone number is (432) 580-9168.

What is Charles Lively's specialty?

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

Is Charles Lively enrolled in Medicare?

Yes. Charles Lively 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.

Does Charles Lively hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D0881498) is associated with this NPI, valid through September 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Charles Lively accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Charles Lively 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 Lively affiliated with any hospitals?

According to CMS data, Charles Lively is affiliated with Medical Center Hospital, Midland Memorial Hospital and Odessa Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Charles Lively was last updated on December 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.