DR. CHARLES R ROBERTSON M.D.
NPI 1619073103
Pediatrics in Tupelo, MS

Q: What is Charles Robertson's NPI number?

The NPI number for Charles Robertson is 1619073103. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Q: What is Charles Robertson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Charles Robertson was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 September 15, 2006PECOS Enrolled

1573 MEDICAL PARK CIR, TUPELO, MS 38801(662) 844-9885(662) 842-1350 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Charles R Robertson M.d. NPPES

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

DR. CHARLES R ROBERTSON M.D. (NPI 1619073103) is an individual pediatrics provider in Tupelo, Mississippi, licensed in Mississippi (07359) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619073103

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. CHARLES R ROBERTSONCredential: M.D.

Location Address1573 MEDICAL PARK CIRTupelo, MS 38801-6580

Mailing Address1573 Medical Park CirTupelo, MS 38801-6580 · (662) 844-9885 · Fax (662) 842-1350

Phone(662) 844-9885

Fax(662) 842-1350

Sole ProprietorNo

Enumeration DateSeptember 15, 2006

Last NPPES UpdateJuly 9, 2007

✔ NPI 1619073103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MS · 07359

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1573 MEDICAL PARK CIR, Tupelo, MS 38801

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Other Identifiers 1

Medicaid00111465MS

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Charles R Robertson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

North Mississippi Medical Center, Inc.

0.1 mi

Clinical

961 S GLOSTER ST, SUITE A
Tupelo, MS 38801

Reassigned Medicare billing, Mississippi enrollment
581 clinicians in this Medicare group

NPI 1427404235 (662) 377-2964

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38801 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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 8

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

MRS. TINA KING FNP-C

Nurse Practitioner (Family)