CHARLES R CAMPBELL MD
NPI 1558313247
Internal Medicine - Cardiovascular Disease in Binghamton, NY

Q: What is Charles Campbell's NPI number?

The NPI number for Charles Campbell is 1558313247. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Q: What is Charles Campbell's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Charles Campbell was last updated on March 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 May 17, 2006PECOS EnrolledAccepts Medicare Assignment

81.31/100

CMS Quality Rating

161 RIVERSIDE DR, STE 205, BINGHAMTON, NY 13905(607) 798-7100(607) 798-0675 Get Directions Write a Review

NPPES record last updated: March 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Charles R Campbell Md NPPES

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

CHARLES R CAMPBELL MD (NPI 1558313247) is an individual cardiovascular disease provider in Binghamton, New York, licensed in New York (194616) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, and is a graduate of State University Of Ny Upstate Medical University (1992).

NPPES Registry Identity

NPI1558313247

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameCHARLES R CAMPBELLCredential: MD

Location Address161 RIVERSIDE DR, STE 205Binghamton, NY 13905

Mailing Address161 Riverside Dr, Ste 205Binghamton, NY 13905 · (607) 798-7100 · Fax (607) 798-0675

Phone(607) 798-7100

Fax(607) 798-0675

Sole ProprietorNo

Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 1992

Enumeration DateMay 17, 2006

Last NPPES UpdateMarch 19, 2021

NPPES CertifiedMarch 19, 2021

✔ NPI 1558313247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in NY · 194616

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

161 RIVERSIDE DR, Binghamton, NY 13905

Open in Google Maps ↗

Other Identifiers 1

Medicaid01910356NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Charles R Campbell 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 ID7416962030

PECOS Enrollment IDI20090623000181

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 15

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.

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.

1,007 services823 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.

429 services366 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

197 services193 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294

This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.

143 services82 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

32 services32 patients

Evaluation of cardiac rhythm monitor system, remote up to 30 days 93298

This procedure involves remotely monitoring your heart rhythm for up to 30 days. A small device will record your heart's activity, which can be accessed by your healthcare team. This aids in diagnosing any irregularities or issues with your heart function.

31 services17 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

31 services19 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

22 services22 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

20 services20 patients

Programming of dual lead pacemaker system 93280

Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.

19 services19 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

18 services18 patients

Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report 93351

This procedure involves using ultrasound technology to create images of your heart while you rest, exercise, or undergo drug-induced stress. An ECG continuously monitors your heart's electrical activity. It helps doctors assess heart health and function.

17 services17 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.

15 services15 patients

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

13 services12 patients

Heart rhythm review and interpretation of continous external ekg over 8-15 days 93248

This service involves wearing a device for 8-15 days that continuously records your heart's electrical activity. It helps in identifying irregular heart rhythms. The recorded data is then reviewed and interpreted by a healthcare professional for any abnormalities.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Our Lady Of Lourdes Memorial Hospital, Inc

Acute Care Hospitals · Binghamton, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330011

Location169 Riverside DriveBinghamton, NY 13905 · Broome County

Emergency services Birthing friendly

United Health Services Hospitals, Inc

Acute Care Hospitals · Binghamton, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330394

Location10-42 Mitchell AvenueBinghamton, NY 13903 · Broome County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13905 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

$126.40 typical visit price

range $54.87 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$68.57 typical visit price

range $17.54 – $136.14

Typical copayment $17.14 (range $4.38 – $34.03)

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.

81.31/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

73.57

Promoting Interoperability

Improvement Activities

Cost

64.87

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.

DR. THOMAS PARSLEY MD

Internal Medicine

161 RIVERSIDE DR, SUITE 306
BINGHAMTON, NY 13905

Broome County (607) 798-6700

BINGHAMTON PLASTIC SURGERY, PLLC

Specialist

161 RIVERSIDE DR, SUITE 106
BINGHAMTON, NY 13905

Broome County (607) 729-0101

SANDY NASR MD

Internal Medicine (Rheumatology)

161 RIVERSIDE DR
BINGHAMTON, NY 13905

Broome County (607) 798-1842

MARK A DREHER DDS MD PC

Dentist

161 RIVERSIDE DR, SUITE 201
BINGHAMTON, NY 13905

Broome County (607) 748-7169

DR. DAVID C DREYFUSS M.D.

Surgery

161 RIVERSIDE DR, SUITE 105
BINGHAMTON, NY 13905

Broome County (607) 770-9471

CELESTE R KEEFE C.N.M.

Advanced Practice Midwife

161 RIVERSIDE DR, SUITE 109
BINGHAMTON, NY 13905

Broome County (607) 770-7074

JEROME C COHEN, MD, PC

Internal Medicine (Gastroenterology)

161 RIVERSIDE DR, SUITE 210
BINGHAMTON, NY 13905

Broome County (607) 770-1155

LINDA S DICKEY R.N.C.N.P.

Nurse Practitioner (Obstetrics & Gynecology)

161 RIVERSIDE DR, SUITE 109
BINGHAMTON, NY 13905

Broome County (607) 770-7074

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 Campbell's NPI number?

The NPI number for Charles Campbell is 1558313247. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Charles Campbell located?

Charles Campbell practices at 161 Riverside Dr Ste 205, Binghamton, NY 13905. The listed phone number is (607) 798-7100.

What is Charles Campbell's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Charles Campbell enrolled in Medicare?

Yes. Charles Campbell 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.

What insurance does Charles Campbell accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Charles Campbell 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 Campbell affiliated with any hospitals?

According to CMS data, Charles Campbell is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc and United Health Services Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Charles Campbell was last updated on March 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.