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CHARLES F ALLRAN JR. M.D.
NPI 1619062130
Surgery in Cynthiana, KY

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment
83.31/100
CMS Quality Rating
1210 KY HIGHWAY 36 E, SUITE 1D, CYNTHIANA, KY 41031(859) 234-1707(859) 234-1768 Get Directions Write a Review

NPPES record last updated: January 18, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charles F Allran Jr. M.d. NPPES

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

CHARLES F ALLRAN JR. M.D. (NPI 1619062130) is an individual surgery provider in Cynthiana, Kentucky, licensed in Kentucky (33182) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Harrison Memorial Hospital, and is a graduate of Brody School Of Medicine At East Carolina University (1996).

NPPES Registry Identity

NPI1619062130
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameCHARLES F ALLRAN JR.Credential: M.D.
Location Address1210 KY HIGHWAY 36 E, SUITE 1DCynthiana, KY 41031-7490
Mailing Address1210 Ky Highway 36 E, Suite 1dCynthiana, KY 41031-7490 · (859) 234-1707 · Fax (859) 234-1768
Phone(859) 234-1707
Fax(859) 234-1768
Sole ProprietorNo
Medical School CMSBrody School Of Medicine At East Carolina UniversityGraduated 1996
Enumeration DateOctober 3, 2006
Last NPPES UpdateJanuary 18, 2015
✔ NPI 1619062130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in KY · 33182
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1210 KY HIGHWAY 36 E, Cynthiana, KY 41031
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Other Identifiers 2

Medicare UPINH69940
Medicaid64056369KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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 F Allran 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 ID1759374085
PECOS Enrollment IDI20040405000413
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 6

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 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.
75 services51 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
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.
28 services28 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
25 services25 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
18 services18 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.
16 services14 patients

Hospital Affiliations CMS Care Compare

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

Harrison Memorial Hospital

Acute Care Hospitals · Cynthiana, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180079
Location1210 Ky Hwy 36 ECynthiana, KY 41031 · Harrison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41031 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

83.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85
Promoting Interoperability100
Improvement Activities40
Cost52.71

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.

MR. LARRY M WILEY R.PH.
Pharmacist
1210 KY HIGHWAY 36 E, SUITE G-6
CYNTHIANA, KY 41031
Harrison County (859) 234-2777
JEFF A TAYLOR CRNA
Nurse Anesthetist, Certified Registered
1210 KY HIGHWAY 36 E
CYNTHIANA, KY 41031
Harrison County (859) 235-3500
HARRISON MEMORIAL HOSPITAL
Family Medicine
1210 KY HIGHWAY 36 E, SUITE 1A
CYNTHIANA, KY 41031
Harrison County (859) 234-5555
C. KARL SCHULSTAD, M.D., PSC
Surgery
1210 KY HIGHWAY 36 E, SUITE 2B
CYNTHIANA, KY 41031
Harrison County (859) 234-0390
DOUGLAS C CRUTCHER MD
Radiology (Diagnostic Radiology)
1210 KY HIGHWAY 36 E
CYNTHIANA, KY 41031
Harrison County (859) 234-2300
DR. SOFIE LAVINIA PINNEY DPM
Podiatrist (Foot & Ankle Surgery)
1210 KY HIGHWAY 36 E
CYNTHIANA, KY 41031
Harrison County (859) 235-3562
MRS. LEIGH ANN KING FNP-C
Nurse Practitioner
1210 KY HIGHWAY 36 E
CYNTHIANA, KY 41031
Harrison County (859) 234-2300
GERALD R. HARPEL M.D.
Obstetrics & Gynecology
1210 KY HIGHWAY 36 E, SUITE 1A
CYNTHIANA, KY 41031
Harrison County (859) 234-5555

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 Allran's NPI number?

The NPI number for Charles Allran is 1619062130. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Charles Allran located?

Charles Allran practices at 1210 Ky Highway 36 E Suite 1D, Cynthiana, KY 41031. The listed phone number is (859) 234-1707.

What is Charles Allran's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Charles Allran enrolled in Medicare?

Yes. Charles Allran 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 Allran accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Charles Allran 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 Allran affiliated with any hospitals?

According to CMS data, Charles Allran is affiliated with Harrison Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Charles Allran was last updated on January 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.