DR. CHARLES DOUGLAS RICE JR. M.D.
NPI 1558522763
Internal Medicine - Gastroenterology in Charleston, WV

Q: What is Charles Rice's NPI number?

The NPI number for Charles Rice is 1558522763. It was assigned to this individual provider in the NPPES registry on June 19, 2008.

Q: What is Charles Rice's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Charles Rice was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since June 19, 2008PECOS EnrolledAccepts Medicare Assignment

2930 CHESTERFIELD AVE, CHARLESTON, WV 25304(304) 351-1700 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 27, 2026, Mar 29, 2021 (2 updates tracked since 2021).

On this page

About Dr. Charles Douglas Rice Jr. M.d. NPPES

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

DR. CHARLES DOUGLAS RICE JR. M.D. (NPI 1558522763) is an individual gastroenterology provider in Charleston, West Virginia, licensed in West Virginia (35034) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Hendricks Regional Health, and maintains a secondary practice location in Danville.

NPPES Registry Identity

NPI1558522763

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. CHARLES DOUGLAS RICE JR.Credential: M.D.

Location Address2930 CHESTERFIELD AVECharleston, WV 25304-1125

Mailing Address1100 Southfield Dr Ste 1370Plainfield, IN 46168-4300 · (317) 837-5566 · Fax (317) 837-5567

Phone(304) 351-1700

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateJune 19, 2008

Last NPPES UpdateJanuary 27, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 27, 2026

✔ NPI 1558522763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Licenses✔ Licensed in WV · 35034✔ Licensed in IN · 01077160A✔ Licensed in NC · 2017-02227

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

2930 CHESTERFIELD AVE, Charleston, WV 25304

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Secondary Practice Location 1

Location 1100 Hospital Ln Ste 100Danville, IN 46122-1993 · Phone (317) 745-7310 · Fax (317) 745-7320

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

Dr. Charles Douglas Rice Jr. M.d. 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 ID7416104930

PECOS Enrollment IDI20160830002488, I20260319001266

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

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

Charleston Area Medical Center, Inc.

1.7 mi

Orthopaedic Surgery

415 MORRIS ST STE 400
Charleston, WV 25301

Reassigned Medicare billing, West Virginia enrollment
1,511 clinicians in this Medicare group

NPI 1750166898 (304) 344-3551

Hendricks County Hospital

273 mi

Family Medicine

1100 SOUTHFIELD DR STE 1210
Plainfield, IN 46168

Reassigned Medicare billing, Indiana enrollment
401 clinicians in this Medicare group

NPI 1104927557 (317) 839-4114

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 7

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.

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.

255 services114 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.

115 services104 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

31 services31 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

14 services14 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

12 services12 patients

Injection beneath lining of large bowel using a flexible endoscope 45381

This procedure involves a flexible tube, called an endoscope, being inserted into the large bowel. A small needle is then passed through the tube to inject medication under the bowel lining. This is typically done to treat inflammation or bleeding.

12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Hendricks Regional Health

Acute Care Hospitals · Danville, IN

5/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number150005

Location1000 E Main StDanville, IN 46122 · Hendricks County

Emergency services Birthing friendly

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510022

Location501 Morris StreetCharleston, WV 25301 · Kanawha County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25304 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

$124.46 typical visit price

range $53.20 – $164.59

Typical copayment $31.11 (range $13.30 – $41.14)

Most-billed visit code 99204

Established Patient

$94.81 typical visit price

range $16.47 – $133.29

Typical copayment $23.70 (range $4.11 – $33.32)

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.

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.

KAITLYN NICOLE HUGHES NP

Nurse Practitioner