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CHARLES EDWARD PEXA MD
NPI 1467550103
Emergency Medicine in Aiken, SC

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
70.05/100
CMS Quality Rating
326 HOPELAND FARM DR, AIKEN, SC 29803(803) 642-5937 Get Directions Write a Review

NPPES record last updated: November 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Charles Edward Pexa Md NPPES

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

CHARLES EDWARD PEXA MD (NPI 1467550103) is an individual emergency medicine provider in Aiken, South Carolina, licensed in Minnesota (21800) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Minnesota Medical School (1973).

NPPES Registry Identity

NPI1467550103
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameCHARLES EDWARD PEXACredential: MD
Location Address326 HOPELAND FARM DRAiken, SC 29803-9082
Mailing Address326 Hopeland Farm DrAiken, SC 29803-9082 · (803) 642-5937
Phone(803) 642-5937
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1973
Enumeration DateSeptember 20, 2006
Last NPPES UpdateNovember 11, 2024
NPPES CertifiedNovember 11, 2024
✔ NPI 1467550103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in MN · 21800✔ Licensed in SC · 35906
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.
326 HOPELAND FARM DR, Aiken, SC 29803
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Other Identifiers 1

Medicaid365705100MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include First Choice Next.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 Edward Pexa 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 ID9133013782
PECOS Enrollment IDI20150715001819
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 Reassignment

Medicare enrollment records show Charles Pexa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Novant Health Urgent Cares LLC
90 mi
Urgent Care
2126 HIGHWAY 81 N
Anderson, SC 29621
  • Reassigned Medicare billing, South Carolina enrollment
  • 133 clinicians in this Medicare group
NPI 1841026382 (999) 999-9999

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 3

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.
45 services45 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.
33 services33 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.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29803 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

70.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality48.22
Promoting Interoperability98
Improvement Activities40
Cost53.62

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 Pexa's NPI number?

The NPI number for Charles Pexa is 1467550103. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Charles Pexa located?

Charles Pexa practices at 326 Hopeland Farm Dr, Aiken, SC 29803. The listed phone number is (803) 642-5937.

What is Charles Pexa's specialty?

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

Is Charles Pexa enrolled in Medicare?

Yes. Charles Pexa 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 organization bills Medicare for Charles Pexa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Pexa reassigns Medicare benefits to Novant Health Urgent Cares LLC (Anderson, SC). The 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 Pexa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Pexa accept?

Health plans from First Choice Next list Charles Pexa 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.

When was this NPI record last updated?

The NPPES record for Charles Pexa was last updated on November 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.