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DR. CHARLES D MACLEAN MD
NPI 1619995792
Internal Medicine in Essex Junction, VT

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment
87 MAIN ST, ESSEX JUNCTION, VT 05452(802) 847-8354 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Charles D Maclean Md NPPES

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

DR. CHARLES D MACLEAN MD (NPI 1619995792) is an individual internal medicine provider in Essex Junction, Vermont, licensed in Vermont (420007816) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Univ. Of Vermont - Fletcher Allen Health Care, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1619995792
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. CHARLES D MACLEANCredential: MD
Location Address87 MAIN STEssex Junction, VT 05452-3234
Mailing Address280 Country LnShelburne, VT 05482-6932
Phone(802) 847-8354
Sole ProprietorYes
Medical School CMSOtherGraduated 1982
Enumeration DateJuly 17, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1619995792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in VT · 420007816
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
87 MAIN ST, Essex Junction, VT 05452
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Other Identifiers 3

Other42-0007816VT · State Of Vt License
Medicaid0006102VT
Medicaid01096491NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Dr. Charles D Maclean 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 ID1658446596
PECOS Enrollment IDI20080812000632
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 2

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.
48 services33 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.
23 services21 patients

Hospital Affiliations CMS Care Compare

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

Univ. Of Vermont - Fletcher Allen Health Care

Acute Care Hospitals · Burlington, VT
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number470003
Location111 Colchester AveBurlington, VT 05401 · Chittenden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05452 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
$127.71 typical visit price
range $55.80 – $168.48
Typical copayment $31.92 (range $13.95 – $42.12)
Most-billed visit code 99204
Established Patient
$98.40 typical visit price
range $18.08 – $137.84
Typical copayment $24.60 (range $4.52 – $34.46)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers23 claims89 services$5.29 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers11 claims58 services$2.20 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
1 supplier17 claims1,380 services$0.10 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. TANIA FERNANDEZ BERTSCH MD
Internal Medicine
87 MAIN ST
ESSEX JCT, VT 05452
Chittenden County (802) 847-8354
MRS. SARAH KAY DUDLEY APRN
Nurse Practitioner (Family)
87 MAIN ST
ESSEX JUNCTION, VT 05452
Chittenden County (802) 847-8354
DR. PATRICIA KING MD
Internal Medicine
87 MAIN ST
ESSEX JCT, VT 05452
Chittenden County (802) 847-8354
SARAH ARVIDSON
Nurse Practitioner (Family)
87 MAIN ST
ESSEX JUNCTION, VT 05452
Chittenden County (802) 404-1350
DR. KATHERINE ELIZABETH LOGAN MD
Family Medicine
87 MAIN ST
ESSEX JUNCTION, VT 05452
Chittenden County (802) 404-1350
DR. GARY B IRISH O.D.
Optometrist
87 MAIN ST
ESSEX JCT, VT 05452
Chittenden County (802) 878-6830
DR. MARK LEVINE MD
Internal Medicine
87 MAIN ST
ESSEX JUNCTION, VT 05452
Chittenden County (802) 847-8354
DR. ROBERTA PAULINE O'BRIEN MD
Internal Medicine
87 MAIN ST
ESSEX JCT, VT 05452
Chittenden County (802) 847-8354

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 Maclean's NPI number?

The NPI number for Charles Maclean is 1619995792. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Charles Maclean located?

Charles Maclean practices at 87 Main St, Essex Junction, VT 05452. The listed phone number is (802) 847-8354.

What is Charles Maclean's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Charles Maclean enrolled in Medicare?

Yes. Charles Maclean 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 Maclean accept?

Health plans from Anthem Blue Cross and Blue Shield list Charles Maclean 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 Maclean affiliated with any hospitals?

According to CMS data, Charles Maclean is affiliated with Univ. Of Vermont - Fletcher Allen Health Care.

When was this NPI record last updated?

The NPPES record for Charles Maclean was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.