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CHARLES H. FRAGA M.D.
NPI 1487097002
Hospitalist in Olive Branch, MS

Active since April 12, 2013PECOS Enrolled
73.29/100
CMS Quality Rating
4250 BETHEL RD, OLIVE BRANCH, MS 38654(901) 516-1290(901) 516-1220 Get Directions Write a Review

NPPES record last updated: May 30, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jul 31, 2017 and 1 more (4 updates tracked since 2017).

About Charles H. Fraga M.d. NPPES

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

CHARLES H. FRAGA M.D. (NPI 1487097002) is an individual hospitalist provider in Olive Branch, Mississippi, licensed in Mississippi (25053) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1487097002
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameCHARLES H. FRAGACredential: M.D.
Location Address4250 BETHEL RDOlive Branch, MS 38654-8737
Mailing Address1211 Union Ave Ste 330Memphis, TN 38104-6655
Phone(901) 516-1290
Fax(901) 516-1220
Sole ProprietorNo
Enumeration DateApril 12, 2013
Last NPPES UpdateMay 30, 20244 updates tracked since enumeration
NPPES CertifiedMay 30, 2024
✔ NPI 1487097002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses✔ Licensed in MS · 25053✔ Licensed in TN · MD55513
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 55513 (TN), 25053 (MS)
4250 BETHEL RD, Olive Branch, MS 38654
Open in Google Maps ↗

Secondary Practice Locations 2

Location 17691 Poplar AveGermantown, TN 38138-3904 · Phone (901) 516-1290 · Fax (901) 516-1220
Location 2262 Danny Thomas Place, MS#810, St. Jude Children's Research HospitalMemphis, TN 38105 · Phone (901) 595-2340 · Fax (901) 595-0912

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles H. Fraga M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Fraga reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Methodist Inpatient Physicians LLC
20 mi
Internal Medicine
1265 UNION AVE
Memphis, TN 38104
  • Reassigned Medicare billing, Mississippi and Tennessee enrollments
  • 42 clinicians in this Medicare group
NPI 1609850692 (901) 516-2362
Ut Lebonheur Pediatric Specialists, Inc.
20 mi
Pediatrics
848 ADAMS AVE.
Memphis, TN 38103
  • Reassigned Medicare billing, Tennessee enrollment
  • 582 clinicians in this Medicare group
NPI 1093024101 (901) 287-7337

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38654 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
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

73.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality48.68
Improvement Activities40
Cost78.41

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.

JOYCE DENICE KILDOW PA-C
Physician Assistant
4250 BETHEL RD
OLIVE BRANCH, MS 38654
Desoto County (662) 932-9111
QUEEN MCGHEE APN
Nurse Practitioner (Family)
4250 BETHEL RD
OLIVE BRANCH, MS 38654
Desoto County (662) 932-9111
ROBIN VAN NORTWICK MA, CCC-SLP
Speech-Language Pathologist
4250 BETHEL RD
OLIVE BRANCH, MS 38654
Desoto County (662) 932-9225
JAMI COOK BARTHOLOMEW FNP
Nurse Practitioner
4250 BETHEL RD
OLIVE BRANCH, MS 38654
Desoto County (662) 932-9000
DOUGLAS THAGGARD MD
Internal Medicine
4250 BETHEL RD
OLIVE BRANCH, MS 38654
Desoto County (901) 516-1290
ALLISON TUCKER MCCULLEY
Nurse Practitioner (Family)
4250 BETHEL RD
OLIVE BRANCH, MS 38654
Desoto County (901) 516-1290
NEHA PATEL PA
Physician Assistant
4250 BETHEL RD
OLIVE BRANCH, MS 38654
Desoto County (662) 932-9000
JULIA CONNER-MENDEZ NP
Nurse Practitioner (Acute Care)
4250 BETHEL RD
OLIVE BRANCH, MS 38654
Desoto County (901) 516-1290

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 Fraga's NPI number?

The NPI number for Charles Fraga is 1487097002. It was assigned to this individual provider in the NPPES registry on April 12, 2013.

Where is Charles Fraga located?

Charles Fraga practices at 4250 Bethel Rd, Olive Branch, MS 38654. The listed phone number is (901) 516-1290.

What is Charles Fraga's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Charles Fraga enrolled in Medicare?

Yes. Charles Fraga is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Charles Fraga's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Fraga reassigns Medicare benefits to 2 organizations: Methodist Inpatient Physicians LLC (Memphis, TN) and Ut Lebonheur Pediatric Specialists, Inc. (Memphis, TN). 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 Fraga's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Fraga accept?

Health plans from Cigna Healthcare list Charles Fraga 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 Fraga was last updated on May 30, 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.