CHARLES L LAHAM MD
NPI 1669493359
Internal Medicine - Cardiovascular Disease in Beloit, WI

Active since July 21, 2006PECOS EnrolledAccepts Medicare Assignment
73.05/100
CMS Quality Rating
BELOIT MEMORIAL HOSPITAL, 1969 WEST HART RD, BELOIT, WI 53511(608) 364-5011(920) 320-3049 Get Directions Write a Review

NPPES record last updated: May 5, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Charles L Laham Md NPPES

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

CHARLES L LAHAM MD (NPI 1669493359) is an individual cardiovascular disease provider in Beloit, Wisconsin, licensed in Wisconsin (45033-20) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Beloit Health System, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1669493359
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameCHARLES L LAHAMCredential: MD
Location AddressBELOIT MEMORIAL HOSPITAL, 1969 WEST HART RDBeloit, WI 53511-2283
Mailing Address1969 West Hart RdBeloit, WI 53511-2283 · (608) 364-5689 · Fax (608) 364-5452
Fax(920) 320-3049
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateJuly 21, 2006
Last NPPES UpdateMay 5, 2022
NPPES CertifiedMay 5, 2022
NPI 1669493359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses Licensed in WI · 45033-20 Licensed in WI · 45033 Licensed in IA · 34133
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License 34133 (IA)
BELOIT MEMORIAL HOSPITAL, Beloit, WI 53511

Accepted 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 L Laham 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 ID2860458890
PECOS Enrollment IDI20120626000721
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 22

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.
589 services443 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
257 services98 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
242 services233 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
205 services178 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
76 services75 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294
This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.
76 services38 patients

Hospital Affiliations CMS Care Compare

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

Beloit Health System

Acute Care Hospitals · Beloit, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520100
Location1969 W Hart RdBeloit, WI 53511 · Rock County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53511 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

73.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.79
Promoting Interoperability100
Improvement Activities40
Cost51.38

Other Providers at the Same Location NPPES 10

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

Hospitalist
BELOIT MEMORIAL HOSPITAL, 1969 W. HART ROAD
BELOIT, WI 53511
Internal Medicine (Interventional Cardiology)
BELOIT MEMORIAL HOSPITAL, 1969 W. HART RD
BELOIT, WI 53511
Nurse Practitioner
BELOIT MEMORIAL HOSPITAL, 1969 W. HART ROAD
BELOIT, WI 53511
Hospitalist
BELOIT MEMORIAL HOSPITAL, 1969 W. HART ROAD
BELOIT, WI 53511
Nurse Practitioner
BELOIT MEMORIAL HOSPITAL, 1969 W. HART ROAD
BELOIT, WI 53511
Nurse Practitioner
BELOIT MEMORIAL HOSPITAL, 1969 W HART ROAD
BELOIT, WI 53511
Hospitalist
BELOIT MEMORIAL HOSPITAL, 1969 W. HART ROAD
BELOIT, WI 53511
Hospitalist
BELOIT MEMORIAL HOSPITAL, 1969 W. HART ROAD
BELOIT, WI 53511

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 Laham's NPI number?

The NPI number for Charles Laham is 1669493359. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Charles Laham located?

Charles Laham practices at Beloit Memorial Hospital 1969 West Hart Rd, Beloit, WI 53511. The listed phone number is (608) 364-5011.

What is Charles Laham's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Charles Laham enrolled in Medicare?

Yes. Charles Laham 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 Laham accept?

Health plans from Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW and Quartz list Charles Laham 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 Laham affiliated with any hospitals?

According to CMS data, Charles Laham is affiliated with Beloit Health System.

When was this NPI record last updated?

The NPPES record for Charles Laham was last updated on May 5, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.