DR. SANDY CHARLES M.D.
NPI 1578706685
Internal Medicine - Cardiovascular Disease in Charlotte, NC

Q: What is Sandy Charles's NPI number?

The NPI number for Sandy Charles is 1578706685. It was assigned to this individual provider in the NPPES registry on April 20, 2009.

Q: What is Sandy Charles'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 Sandy Charles was last updated on February 12, 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.

Active since April 20, 2009PECOS EnrolledAccepts Medicare Assignment

15830 BALLANTYNE MEDICAL PL, CHARLOTTE, NC 28277(980) 302-8659(980) 302-8674 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 25, 2020, Mar 19, 2020 (2 updates tracked since 2020).

On this page

About Dr. Sandy Charles M.d. NPPES

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

DR. SANDY CHARLES M.D. (NPI 1578706685) is an individual cardiovascular disease provider in Charlotte, North Carolina, licensed in North Carolina (2015-01284) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1578706685

Entity TypeIndividualFemale

Primary Taxonomy207RC0000X

Provider Legal NameDR. SANDY CHARLESCredential: M.D.

Location Address15830 BALLANTYNE MEDICAL PLCharlotte, NC 28277-4653

Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (980) 302-8659 · Fax (980) 302-8674

Phone(980) 302-8659

Fax(980) 302-8674

Sole ProprietorNo

Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 2009

Enumeration DateApril 20, 2009

Last NPPES UpdateFebruary 12, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 12, 2024

✔ NPI 1578706685 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 NC · 2015-01284

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.

15830 BALLANTYNE MEDICAL PL, Charlotte, NC 28277

Open in Google Maps ↗

Secondary Practice Locations 2

Location 11718 E 4th St, Suite 501Charlotte, NC 28204-3261 · Phone (704) 343-9800 · Fax (704) 347-2011

Location 26324 Fairview Rd Ste 400Charlotte, NC 28210-4278 · Phone (980) 302-8659 · Fax (980) 302-8674

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina 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. Sandy Charles 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 ID3375853153

PECOS Enrollment IDI20151106000525

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 Sandy Charles reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Carolinas Physicians Network, Inc.

0.6 mi

Pediatric Cardiology

14214 BALLANTYNE LAKE ROAD, SUITE 150
Charlotte, NC 28277

Reassigned Medicare billing, North Carolina enrollment
1,646 clinicians in this Medicare group

NPI 1952626376 (704) 373-1813

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 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.

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.

217 services194 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.

88 services88 patients

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

75 services75 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

65 services63 patients

Assessment of emotional or behavioral problems 96127

Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.

63 services63 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.

42 services42 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

30 services26 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.

27 services26 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

21 services17 patients

Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days 93244

A heart rhythm review involves monitoring your heart's electrical activity for more than 48 hours up to 7 days. Using a device called an external EKG, doctors can track your heartbeats to detect irregularities and help diagnose heart conditions.

20 services20 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.

14 services14 patients

Heart muscle strain imaging 93356

Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.

14 services14 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

13 services13 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

13 services13 patients

Electrocardiogram (ecg) 2-day continuous with review by health care professional 93227

An Electrocardiogram (ECG) is a test that checks your heart's activity. The 2-day continuous ECG records your heart's rhythm non-stop for 48 hours. It helps to detect irregularities that may not occur during a shorter test. A healthcare professional will review the results to identify any issues.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340113

Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28277 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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.

Reported Quality Measures

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

87%140 patients4/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

63%223 patients3/55-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…

43%247 patients2/55-star benchmark: 100%

Screening for Osteoporosis for Women Aged 65-85 Years of Age

Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis

63%109 patients3/55-star benchmark: 98%

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.

Other Providers at the Same Location NPPES 14

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

JONATHAN M OLSON MD

Dermatology (MOHS-Micrographic Surgery)

15830 BALLANTYNE MEDICAL PL, SUITE 225
CHARLOTTE, NC 28277

Mecklenburg County (704) 919-1105

JAMES L SEWARD MD

Dermatology

15830 BALLANTYNE MEDICAL PL, SUITE 100
CHARLOTTE, NC 28277

Mecklenburg County (704) 341-0090

MRS. SHARMETRIS K WATKINS NP

Nurse Practitioner

15830 BALLANTYNE MEDICAL PL, SUITE 275
CHARLOTTE, NC 28277

Mecklenburg County (704) 542-0744

MICHAEL BALFOUR LIVINGSTON MD

Internal Medicine (Medical Oncology)

15830 BALLANTYNE MEDICAL PL, STE 200
CHARLOTTE, NC 28277

Mecklenburg County (980) 442-9600

DR. ELIZABETH GAMBRELL GRATTAN M.D.

Dermatology

15830 BALLANTYNE MEDICAL PL, SUITE 100
CHARLOTTE, NC 28277

Mecklenburg County (704) 341-0090

AAKANKSHA ASIJA MD

Internal Medicine (Medical Oncology)

15830 BALLANTYNE MEDICAL PL, STE 200
CHARLOTTE, NC 28277

Mecklenburg County (980) 442-9600

RUNA SHRESTHA MD

Internal Medicine (Hematology & Oncology)

15830 BALLANTYNE MEDICAL PL, STE 200
CHARLOTTE, NC 28277

Mecklenburg County (980) 442-9600

SONIA MARIE ABUZAKHM MD

Internal Medicine (Medical Oncology)

15830 BALLANTYNE MEDICAL PL, STE 200
CHARLOTTE, NC 28277

Mecklenburg County (980) 442-9600

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 Sandy Charles's NPI number?

The NPI number for Sandy Charles is 1578706685. It was assigned to this individual provider in the NPPES registry on April 20, 2009.

Where is Sandy Charles located?

Sandy Charles practices at 15830 Ballantyne Medical Pl, Charlotte, NC 28277. The listed phone number is (980) 302-8659.

What is Sandy Charles's specialty?

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

Is Sandy Charles enrolled in Medicare?

Yes. Sandy 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.

Which organization bills Medicare for Sandy Charles's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandy Charles reassigns Medicare benefits to Carolinas Physicians Network, Inc. (Charlotte, NC). 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 Sandy Charles's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sandy Charles accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 2 other insurers list Sandy Charles 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 Sandy Charles affiliated with any hospitals?

According to CMS data, Sandy Charles is affiliated with Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Sandy Charles was last updated on February 12, 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.