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CHARLES W TATTERSALL M.D.
NPI 1629048913
Surgery - Vascular Surgery in Chesterton, IN

Active since January 26, 2006PECOS Enrolled
261 PAUL REVERE DR, CHESTERTON, IN 46304(219) 877-2225 Get Directions Write a Review

NPPES record last updated: November 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 8, 2024, Oct 17, 2023, Mar 11, 2021 (3 updates tracked since 2021).

About Charles W Tattersall M.d. NPPES

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

CHARLES W TATTERSALL M.D. (NPI 1629048913) is an individual vascular surgery provider in Chesterton, Indiana, licensed in Indiana (01059210A) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Michigan City.

NPPES Registry Identity

NPI1629048913
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameCHARLES W TATTERSALLCredential: M.D.
Location Address261 PAUL REVERE DRChesterton, IN 46304-9371
Mailing Address261 Paul Revere DrChesterton, IN 46304-9371 · (219) 877-2225
Phone(219) 877-2225
Sole ProprietorYes
Enumeration DateJanuary 26, 2006
Last NPPES UpdateNovember 8, 20243 updates tracked since enumeration
NPPES CertifiedNovember 8, 2024
✔ NPI 1629048913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in IN · 01059210A
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
261 PAUL REVERE DR, Chesterton, IN 46304
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Secondary Practice Location 1

Location 18865 W 400 N Ste 175Michigan City, IN 46360-9010 · Phone (219) 877-2225 · Fax (219) 877-2230

Other Identifiers 1

Medicaid200487840IN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles W Tattersall 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.

Areas of Expertise CMS Part B claims 4

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.
23 services22 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.
14 services14 patients
Relocation of arm vein with connection to arm artery for hemodialysis 36821
This procedure involves moving a vein in your arm and connecting it to an artery. This creates a larger, stronger vein that can be used for hemodialysis, a treatment for kidney disease. It helps clean your blood when your kidneys can't.
11 services11 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46304 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

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 Tattersall's NPI number?

The NPI number for Charles Tattersall is 1629048913. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Where is Charles Tattersall located?

Charles Tattersall practices at 261 Paul Revere Dr, Chesterton, IN 46304. The listed phone number is (219) 877-2225.

What is Charles Tattersall's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Charles Tattersall enrolled in Medicare?

Yes. Charles Tattersall is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charles Tattersall was last updated on November 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.