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ROBERT S CHARLES MD
NPI 1528008463
Urology in Abington, PA

Active since June 08, 2006PECOS EnrolledAccepts Medicare Assignment
92.35/100
CMS Quality Rating
1235 OLD YORK RD, SUITE 210, ABINGTON, PA 19001(215) 517-1100(215) 517-1130 Get Directions Write a Review

NPPES record last updated: October 2, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Robert S Charles Md NPPES

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

ROBERT S CHARLES MD (NPI 1528008463) is an individual urology provider in Abington, Pennsylvania, licensed in Pennsylvania (MD025203E) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Temple University School Of Medicine (1980).

NPPES Registry Identity

NPI1528008463
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameROBERT S CHARLESCredential: MD
Location Address1235 OLD YORK RD, SUITE 210Abington, PA 19001
Mailing Address140 W Germantown Pike, Ste 250Plymouth Meeting, PA 19462-1421 · (484) 530-0205 · Fax (484) 530-0209
Phone(215) 517-1100
Fax(215) 517-1130
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 1980
Enumeration DateJune 8, 2006
Last NPPES UpdateOctober 2, 2019
✔ NPI 1528008463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in PA · MD025203E
Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

1235 OLD YORK RD, Abington, PA 19001
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Other Identifiers 1

MedicaidO10J854ZPA

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

Robert S Charles 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 ID446203814
PECOS Enrollment IDI20060203000272
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.

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.

Biopsy of prostate gland 55700
A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.
79 services78 patients
Ultrasound scan of pelvic region through rectum 76872
An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.
79 services78 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19001 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

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.

92.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability91
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
89%714 patients4/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
81%690 patients4/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
98%1,655 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
76%1,024 patients1/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%118 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
98%1,420 patients5/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
98%672 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
79%688 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
92%1,420 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
5%1,420 patients1/55-star benchmark: 89%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
82%131 patients4/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 927 patients
0%927 patients5/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
8%1,420 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
4 suppliers18 claims2,660 services$0.09 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
3 suppliers22 claims4,220 services$1.57 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
3 suppliers26 claims3,870 services$6.07 avg. paid by Medicare
Intermittent urinary catheter, with insertion supplies A4353
DME-Orthotic Devices · category DF008N
2 suppliers14 claims3,300 services$6.75 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 20

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

JOSEPH GUERERRI CROCETTI JR. DO
Internal Medicine (Pulmonary Disease)
1235 OLD YORK RD, STE 121
ABINGTON, PA 19001
Montgomery County (215) 517-1200
DR. JOSEPH MCALLISTER MD
Internal Medicine
1235 OLD YORK RD, STE 113
ABINGTON, PA 19001
Montgomery County (215) 517-1180
WILLIAM L. WARD DO
Internal Medicine (Pulmonary Disease)
1235 OLD YORK RD, SUITE 121
ABINGTON, PA 19001
Montgomery County (215) 517-1200
ABINGTON MEMORIAL HOSPITAL
Internal Medicine
1235 OLD YORK RD, SUITE 214
ABINGTON, PA 19001
Montgomery County (215) 481-4811
KELLY ANN LAPA CRNP
Nurse Practitioner (Adult Health)
1235 OLD YORK RD, STE 113
ABINGTON, PA 19001
Montgomery County (215) 517-1180
GEETIKA SOOD MD
Internal Medicine (Infectious Disease)
1235 OLD YORK RD, SUITE 220
ABINGTON, PA 19001
Montgomery County (215) 886-8075
ABINGTON PULMONARY & CRITICAL CARE ASSOCIATES, LTD
Internal Medicine (Critical Care Medicine)
1235 OLD YORK RD, STE 121
ABINGTON, PA 19001
Montgomery County (215) 517-1200
JACLYN A ROSENZWEIG M.D.
Internal Medicine (Infectious Disease)
1235 OLD YORK RD, SUITE 220
ABINGTON, PA 19001
Montgomery County (215) 481-6350

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 Robert Charles's NPI number?

The NPI number for Robert Charles is 1528008463. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Robert Charles located?

Robert Charles practices at 1235 Old York Rd Suite 210, Abington, PA 19001. The listed phone number is (215) 517-1100.

What is Robert Charles's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Robert Charles enrolled in Medicare?

Yes. Robert Charles 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.

When was this NPI record last updated?

The NPPES record for Robert Charles was last updated on October 2, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.