CHARLES ANDREW LAVENDER
NPI 1720584378
Internal Medicine - Gastroenterology in Springdale, AR

Q: What is Charles Lavender's NPI number?

The NPI number for Charles Lavender is 1720584378. It was assigned to this individual provider in the NPPES registry on April 3, 2018.

Q: What is Charles Lavender's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Charles Lavender was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 03, 2018PECOS EnrolledAccepts Medicare Assignment

3901 PARKWAY CIR STE 550, SPRINGDALE, AR 72762(479) 346-1850(479) 346-1851 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 7, 2022, Aug 2, 2021, Jun 15, 2021 (3 updates tracked since 2021).

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About Charles Andrew Lavender NPPES

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

CHARLES ANDREW LAVENDER (NPI 1720584378) is an individual gastroenterology provider in Springdale, Arkansas, licensed in Arkansas (E-14012) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Bentonville, and is a graduate of University Of Arkansas College Of Medicine (2018).

NPPES Registry Identity

NPI1720584378

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameCHARLES ANDREW LAVENDER

Location Address3901 PARKWAY CIR STE 550Springdale, AR 72762-6362

Mailing Address3901 Parkway Cir Ste 550Springdale, AR 72762-6362 · (479) 346-1850 · Fax (479) 346-1851

Phone(479) 346-1850

Fax(479) 346-1851

Sole ProprietorNo

Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 2018

Enumeration DateApril 3, 2018

Last NPPES UpdateJuly 24, 20253 updates tracked since enumeration

NPPES CertifiedJuly 24, 2025

✔ NPI 1720584378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in AR · E-14012

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

3901 PARKWAY CIR STE 550, Springdale, AR 72762

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Secondary Practice Location 1

Location 13700 SE Dodson Rd Ste 2Bentonville, AR 72712-3728 · Phone (479) 763-3501 · Fax (479) 763-3502

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.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 Andrew Lavender 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 ID6406103951

PECOS Enrollment IDI20210810000025

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72762 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

$119.36 typical visit price

range $51.36 – $157.74

Typical copayment $29.84 (range $12.84 – $39.43)

Most-billed visit code 99204

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

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.

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. KEVIN J O'KEEFE MD

Internal Medicine (Gastroenterology)