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CHARLES L CONLEY II D.O.
NPI 1386616373
Family Medicine in Ironton, OH

Active since February 03, 2006PECOS EnrolledAccepts Medicare Assignment
85.07/100
CMS Quality Rating
912 PARK AVE, IRONTON, OH 45638(740) 532-1100(740) 534-0029 Get Directions Write a Review

NPPES record last updated: February 10, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 10, 2022, Mar 29, 2021, Mar 28, 2017 (3 updates tracked since 2017).

About Charles L Conley Ii D.o. NPPES

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

CHARLES L CONLEY II D.O. (NPI 1386616373) is an individual family medicine provider in Ironton, Ohio, licensed in Ohio (34.007949) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with King's Daughters' Medical Center, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1386616373
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCHARLES L CONLEY IICredential: D.O.
Location Address912 PARK AVEIronton, OH 45638-1596
Mailing AddressPo Box 1595Ashland, KY 41105-1595 · (606) 408-4000
Phone(740) 532-1100
Fax(740) 534-0029
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateFebruary 3, 2006
Last NPPES UpdateFebruary 10, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2022
✔ NPI 1386616373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 34.007949
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
912 PARK AVE, Ironton, OH 45638
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Other Identifiers 3

Medicaid71000151330KY
Medicaid3810002365WV
Medicaid2468646OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 L Conley Ii D.o. 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 ID2062494016
PECOS Enrollment IDI20040603000287, I20130320000385
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

2

Medicare enrollment records show Charles Conley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

King's Daughters Medical Specialties, Inc.
2.1 mi
Rheumatology
1000 ASHLAND DR STE 102
Ashland, KY 41101
  • Reassigned Medicare billing, Ohio enrollment
  • Medicare enrollment name: Kings Daughters Medical Specialties Inc
  • 177 clinicians in this Medicare group
NPI 1467982462 (606) 408-7438
Ashland Hospital Corporation
2.8 mi
Family Medicine
1109 BELLEFONTE RD
Flatwoods, KY 41139
  • Reassigned Medicare billing, Kentucky and Ohio enrollments
  • Also billed through NPI 1124304852 (Ohio)
  • 221 clinicians in this Medicare group
NPI 1689740615 (606) 836-8086

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 10

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.
144 services139 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.
83 services79 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
25 services23 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.
22 services22 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.
21 services21 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

King's Daughters' Medical Center

Acute Care Hospitals · Ashland, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180009
Location2201 Lexington AvenueAshland, KY 41101 · Boyd County
Emergency services

Kings Daughters Medical Center Ohio

Acute Care Hospitals · Portsmouth, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number360361
Location1901 Argonne RoadPortsmouth, OH 45662 · Scioto County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45638 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

85.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.96
Promoting Interoperability100
Improvement Activities40
Cost64.52

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.

MRS. BRITTANY GALE ROMANS FNP-C
Nurse Practitioner (Family)
912 PARK AVE
IRONTON, OH 45638
Lawrence County (740) 532-1100
EVAN PATRICK SEAGRAVES APRN
Nurse Practitioner (Family)
912 PARK AVE
IRONTON, OH 45638
Lawrence County (740) 532-1100
COREY DANIELLE WEBB APRN
Nurse Practitioner (Family)
912 PARK AVE
IRONTON, OH 45638
Lawrence County (740) 532-1100
WANDA MARIE POPLIN APRN
Nurse Practitioner (Family)
912 PARK AVE
IRONTON, OH 45638
Lawrence County (740) 534-0021
ASHLAND HOSPITAL CORPORATION
Family Medicine
912 PARK AVE
IRONTON, OH 45638
Lawrence County (740) 534-0021
BONNIE RENEE PATRICK APRN
Nurse Practitioner (Family)
912 PARK AVE
IRONTON, OH 45638
Lawrence County (740) 534-0021
KATHLEEN FONTAINE MURRAY D.O.
Family Medicine
912 PARK AVE
IRONTON, OH 45638
Lawrence County (740) 534-0021
DR. KURT HOFMANN DO
Family Medicine
912 PARK AVE
IRONTON, OH 45638
Lawrence County (740) 534-0021

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 Conley's NPI number?

The NPI number for Charles Conley is 1386616373. It was assigned to this individual provider in the NPPES registry on February 3, 2006.

Where is Charles Conley located?

Charles Conley practices at 912 Park Ave, Ironton, OH 45638. The listed phone number is (740) 532-1100.

What is Charles Conley's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Charles Conley enrolled in Medicare?

Yes. Charles Conley 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.

Which organizations bill Medicare for Charles Conley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Conley reassigns Medicare benefits to 2 organizations: King's Daughters Medical Specialties, Inc. (Ashland, KY) and Ashland Hospital Corporation (Flatwoods, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charles Conley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Conley accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Charles Conley 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 Conley affiliated with any hospitals?

According to CMS data, Charles Conley is affiliated with King's Daughters' Medical Center and Kings Daughters Medical Center Ohio.

When was this NPI record last updated?

The NPPES record for Charles Conley was last updated on February 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.