DR. CHARLES GLENN WIDMER D.D.S., M.S.
NPI 1669439261
Dentist in Gainesville, FL

Q: What is Charles Widmer's NPI number?

The NPI number for Charles Widmer is 1669439261. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Q: What is Charles Widmer's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Charles Widmer was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 27, 2006PECOS Enrolled

1600 SW ARCHER RD, D4-4, GAINESVILLE, FL 32610(352) 273-5800(352) 392-3070 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 13, 2026, Mar 7, 2023 (2 updates tracked since 2023).

On this page

About Dr. Charles Glenn Widmer D.d.s., M.s. NPPES

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

DR. CHARLES GLENN WIDMER D.D.S., M.S. (NPI 1669439261) is an individual dentist in Gainesville, Florida, licensed in Florida (DN 9021) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669439261

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. CHARLES GLENN WIDMERCredential: D.D.S., M.S.

Location Address1600 SW ARCHER RD, D4-4Gainesville, FL 32610-3003

Mailing AddressPo Box 100405Gainesville, FL 32610-0405 · (352) 273-5696 · Fax (352) 392-3070

Phone(352) 273-5800

Fax(352) 392-3070

Sole ProprietorNo

Enumeration DateApril 27, 2006

Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration

✔ NPI 1669439261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in FL · DN 9021

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1600 SW ARCHER RD, Gainesville, FL 32610

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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 Glenn Widmer D.d.s., M.s. 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 Widmer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Faculty Associates Incorporated

Same address

Dentist

1600 SW ARCHER RD, D4-6
Gainesville, FL 32610

Reassigned Medicare billing, Florida enrollment
39 clinicians in this Medicare group

NPI 1255383550 (352) 273-6700

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 32610 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.

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.

DR. BAHAREH EBADIFAR KEITH DO

Pediatrics

1600 SW ARCHER RD
GAINESVILLE, FL 32610

Alachua County (352) 273-0462

AFRASYAB KHAN

Surgery

1600 SW ARCHER RD
GAINESVILLE, FL 32610

Alachua County (352) 265-0680

GULSUN ERDAG MD

Pathology (Anatomic Pathology & Clinical Pathology)

1600 SW ARCHER RD
GAINESVILLE, FL 32610

Alachua County (352) 265-9900

DR. ALBERT H. MATTIA D.D.S.

Dentist (Prosthodontics)

1600 SW ARCHER RD, D4-4
GAINESVILLE, FL 32610

Alachua County (352) 273-5801

JOANNA CHAFFIN

Pathology (Anatomic Pathology & Clinical Pathology)

1600 SW ARCHER RD
GAINESVILLE, FL 32610

Alachua County (352) 627-9272

DR. CASEY JUSTIN BEAL MD

Ophthalmology

1600 SW ARCHER RD, BOX 100284
GAINESVILLE, FL 32610

Alachua County (352) 273-8778

WILLIAM CRAIG HICKS CRNA

Nurse Anesthetist, Certified Registered

1600 SW ARCHER RD
GAINESVILLE, FL 32610

Alachua County (352) 273-6438

HENRY FONTILLAS PATALINGHUG CRNA

Nurse Anesthetist, Certified Registered

1600 SW ARCHER RD
GAINESVILLE, FL 32610

Alachua County (352) 273-6438

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 Widmer's NPI number?

The NPI number for Charles Widmer is 1669439261. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Where is Charles Widmer located?

Charles Widmer practices at 1600 SW Archer Rd D4-4, Gainesville, FL 32610. The listed phone number is (352) 273-5800.

What is Charles Widmer's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Charles Widmer enrolled in Medicare?

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

Which organization bills Medicare for Charles Widmer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Widmer reassigns Medicare benefits to Faculty Associates Incorporated (Gainesville, FL). 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 Charles Widmer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Charles Widmer was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.