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DR. CHARLES J DOLCE M.D.
NPI 1669675500
Surgery in Peoria, AZ

Active since June 07, 2007PECOS EnrolledAccepts Medicare Assignment
87.81/100
CMS Quality Rating
13640 N PLAZA DEL RIO BLVD, PEORIA, AZ 85381(623) 876-3910(623) 285-2612 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Charles J Dolce M.d. NPPES

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

DR. CHARLES J DOLCE M.D. (NPI 1669675500) is an individual surgery provider in Peoria, Arizona, licensed in Arizona (41996) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1669675500
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. CHARLES J DOLCECredential: M.D.
Location Address13640 N PLAZA DEL RIO BLVDPeoria, AZ 85381-4846
Mailing Address13640 N Plaza Del Rio BlvdPeoria, AZ 85381-4846 · (623) 876-3910 · Fax (623) 285-2612
Phone(623) 876-3910
Fax(623) 285-2612
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateJune 7, 2007
Last NPPES UpdateOctober 8, 2024
NPPES CertifiedOctober 8, 2024
✔ NPI 1669675500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in AZ · 41996
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
13640 N PLAZA DEL RIO BLVD, Peoria, AZ 85381
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Other Identifiers 1

Medicaid443801AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and more.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 J Dolce M.d. 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 ID7719073139
PECOS Enrollment IDI20090901000000
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 6

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.

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.
99 services67 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.
87 services80 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.
44 services44 patients
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.
34 services26 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
20 services20 patients
Repair of groin hernia using an endoscope 49650
This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85381 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

87.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities40
Cost61.22

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.

CHRISTINE M LANGSTON FNP-C
Nurse Practitioner (Family)
13640 N PLAZA DEL RIO BLVD
PEORIA, AZ 85381
Maricopa County (623) 876-3800
OLIVER J HARPER MD
Family Medicine
13640 N PLAZA DEL RIO BLVD, STE 210
PEORIA, AZ 85381
Maricopa County (623) 876-3830
TESS KISLING APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
13640 N PLAZA DEL RIO BLVD
PEORIA, AZ 85381
Maricopa County (623) 876-8420
BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC
Durable Medical Equipment & Medical Supplies
13640 N PLAZA DEL RIO BLVD
PEORIA, AZ 85381
Maricopa County (623) 876-3800
DR. SARAH ANN PAYNE D.O.
Family Medicine (Geriatric Medicine)
13640 N PLAZA DEL RIO BLVD
PEORIA, AZ 85381
Maricopa County (623) 876-3800
MISS GERA R BARNARD MSN, FNP-C
Nurse Practitioner (Family)
13640 N PLAZA DEL RIO BLVD, SUITE 350
PEORIA, AZ 85381
Maricopa County (623) 876-3800
CHRISTINE EDBERG M.D.
Psychiatry & Neurology (Psychiatry)
13640 N PLAZA DEL RIO BLVD
PEORIA, AZ 85381
Maricopa County (623) 876-3800
ANUPAMA K MATHEW M.D.
Internal Medicine (Gastroenterology)
13640 N PLAZA DEL RIO BLVD
PEORIA, AZ 85381
Maricopa County (623) 876-3840

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 Dolce's NPI number?

The NPI number for Charles Dolce is 1669675500. It was assigned to this individual provider in the NPPES registry on June 7, 2007.

Where is Charles Dolce located?

Charles Dolce practices at 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381. The listed phone number is (623) 876-3910.

What is Charles Dolce's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Charles Dolce enrolled in Medicare?

Yes. Charles Dolce 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 Dolce accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Charles Dolce 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.

When was this NPI record last updated?

The NPPES record for Charles Dolce was last updated on October 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.