CHARLES TADASHI UPDEGROVE MD
NPI 1376195685
Emergency Medicine in Fort Myers, FL

Q: What is Charles Updegrove's NPI number?

The NPI number for Charles Updegrove is 1376195685. It was assigned to this individual provider in the NPPES registry on July 16, 2019.

Q: What is Charles Updegrove's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Charles Updegrove was last updated on August 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 July 16, 2019PECOS EnrolledAccepts Medicare Assignment

2776 CLEVELAND AVE, FORT MYERS, FL 33901(239) 343-1614(239) 343-3695 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 8, 2024, Jul 31, 2024, Jul 16, 2019 (3 updates tracked since 2019).

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About Charles Tadashi Updegrove Md NPPES

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

CHARLES TADASHI UPDEGROVE MD (NPI 1376195685) is an individual emergency medicine provider in Fort Myers, Florida, licensed in Florida (ME167349) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS, is affiliated with Orlando Health, and maintains a secondary practice location in Orlando.

NPPES Registry Identity

NPI1376195685

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameCHARLES TADASHI UPDEGROVECredential: MD

Location Address2776 CLEVELAND AVEFort Myers, FL 33901-5864

Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-1614 · Fax (239) 343-3695

Phone(239) 343-1614

Fax(239) 343-3695

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJuly 16, 2019

Last NPPES UpdateAugust 8, 20243 updates tracked since enumeration

NPPES CertifiedAugust 8, 2024

✔ NPI 1376195685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in FL · ME167349

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License TRN29508 (FL)

2776 CLEVELAND AVE, Fort Myers, FL 33901

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Secondary Practice Location 1

Location 11414 Kuhl Ave # Mp31Orlando, FL 32806-2008 · Phone (407) 841-5133 · Fax (407) 237-6313

Other Identifiers 1

Medicaid121916300FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Charles Tadashi Updegrove 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 ID6709228380

PECOS Enrollment IDI20240528003693

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.

Medicare Billing Reassignments

Medicare enrollment records show Charles Updegrove reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lee Memorial Health System

0.1 mi

Emergency Medicine

2780 CLEVELAND AVE, SUITE 705
Fort Myers, FL 33901

Reassigned Medicare billing, Florida enrollment
1,345 clinicians in this Medicare group

NPI 1134222532 (239) 334-5244

Lee Health System Inc

8.7 mi

Internal Medicine

9981 S HEALTHPARK DR
Fort Myers, FL 33908

Reassigned Medicare billing, Florida enrollment
1,899 clinicians in this Medicare group

NPI 1942058557 (239) 424-1500

Emergency Physicians Of Central Florida LLP

134 mi

Emergency Medicine

1414 S ORANGE AVE, MP 156
Orlando, FL 32806

Reassigned Medicare billing, Florida enrollment
347 clinicians in this Medicare group

NPI 1326033341 (407) 841-5111

Orlando Health Medical Group Inc

134 mi

Internal Medicine

52 W UNDERWOOD ST
Orlando, FL 32806

Reassigned Medicare billing, Florida enrollment
3,290 clinicians in this Medicare group

NPI 1669429577 (321) 841-2452

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

136 services136 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

114 services109 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

36 services36 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

19 services19 patients

Hospital Affiliations CMS Care Compare 4

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

Orlando Health

Acute Care Hospitals · Orlando, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100006

Location52 W Underwood StOrlando, FL 32806 · Orange County

Emergency services Birthing friendly

Lee Memorial Hospital

Acute Care Hospitals · Fort Myers, FL

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100012

Location2776 Cleveland AveFort Myers, FL 33901 · Lee County

Emergency services Birthing friendly

Orlando Health South Lake Hospital

Acute Care Hospitals · Clermont, FL

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100051

Location1900 Don Wickham DrClermont, FL 34711 · Lake County

Birthing friendly

Gulf Coast Medical Center Lee Health

Acute Care Hospitals · Fort Myers, FL

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100220

Location13681 Doctors WayFort Myers, FL 33912 · Lee County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33901 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

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

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 20

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

FELICIA NICOLE REEVES CAA

Anesthesiologist Assistant