CHARLES G SEWALL M.D.
NPI 1750374476
Otolaryngology - Plastic Surgery within the Head & Neck in Oak Ridge, TN
Active since August 28, 2005PECOS Enrolled
75/100
CMS Quality Rating
800 OAK RIDGE TPKE, SUITE C-100, OAK RIDGE, TN 37830(865) 483-2288(865) 482-4400 Get Directions Write a Review
About Charles G Sewall M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARLES G SEWALL M.D. (NPI 1750374476) is an individual plastic surgery within the head & neck provider in Oak Ridge, Tennessee, licensed in Tennessee (021441) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.
NPPES Registry Identity
NPI1750374476
Entity TypeIndividualMale
Primary Taxonomy207YX0007X
Provider Legal NameCHARLES G SEWALLCredential: M.D.
Location Address800 OAK RIDGE TPKE, SUITE C-100Oak Ridge, TN 37830-6957
Mailing Address800 Oak Ridge Tpke, Suite C-100Oak Ridge, TN 37830-6957 · (865) 483-2288 · Fax (865) 482-4400
Phone(865) 483-2288
Fax(865) 482-4400
Sole ProprietorNo
Enumeration DateAugust 28, 2005
Last NPPES UpdateMay 17, 2023
NPPES CertifiedMay 17, 2023
✔ NPI 1750374476 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians
Taxonomy Code207YX0007X
Licenses✔ Licensed in TN · 021441✔ Licensed in KY · 28475
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
800 OAK RIDGE TPKE, Oak Ridge, TN 37830
Secondary Practice Locations 3
Location 11855 Tanner Way Ste 130Harriman, TN 37748-8331 · Phone (865) 882-1600 · Fax (865) 285-9684
Location 249 Cleveland St Ste 300Crossville, TN 38555-2854 · Phone (931) 456-1550 · Fax (931) 456-1555
Location 3109 Independence Ln Ste 500LA Follette, TN 37766-3040 · Phone (423) 562-9744 · Fax (865) 544-1862
Other Identifiers 10
Other62089728903TN · Uhc River Valley
Other000000252844KY · Anthem Blue Cross
Other100020676TN · Php Tenncare
Medicaid3059927TN
Other620897289002KY · Bluegrass
Other4666257TN · Aetna
OtherC10003KY · Cumberland Healthcare
Medicaid64799125KY
Other3028800TN · Blue Cross Blue Shield
Other4532KY · Cha
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 G Sewall 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 13
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.
Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
1,439 services71 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
629 services31 patients
Professional service for single injection of allergen 95115
A single allergen injection is a procedure where a small amount of a specific allergen is injected into your body. This is done to test your body's reaction to the allergen or to help your immune system become less sensitive to it, reducing allergic symptoms.
579 services30 patients
Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
313 services11 patients
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.
168 services146 patients
Exam of ear using a microscope 92504
An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.
106 services99 patients
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.
75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practiceReported Quality Measures
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
96%2,335 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%1,396 patients5/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
87%3,754 patients2/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
37%2,718 patients2/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
32%961 patients2/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
44%1,906 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 1% · 109 patients
Patients tobacco: 76% · 593 patients
95%593 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
79%2,718 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.
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.
Psychiatry & Neurology (Neurology)
800 OAK RIDGE TPKE, SUITE C-260
OAK RIDGE, TN 37830
OAK RIDGE, TN 37830
Clinic/Center (Physical Therapy)
800 OAK RIDGE TPKE, SUITE C102
OAK RIDGE, TN 37830
OAK RIDGE, TN 37830
Internal Medicine (Hematology & Oncology)
800 OAK RIDGE TPKE, BUILDING A, SUITE 600
OAK RIDGE, TN 37830
OAK RIDGE, TN 37830
Internal Medicine (Hematology & Oncology)
800 OAK RIDGE TPKE, BUILDING A, STE 600
OAK RIDGE, TN 37830
OAK RIDGE, TN 37830
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 Sewall's NPI number?
The NPI number for Charles Sewall is 1750374476. It was assigned to this individual provider in the NPPES registry on August 28, 2005.
Where is Charles Sewall located?
Charles Sewall practices at 800 Oak Ridge Tpke Suite C-100, Oak Ridge, TN 37830. The listed phone number is (865) 483-2288.
What is Charles Sewall's specialty?
The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.
Is Charles Sewall enrolled in Medicare?
Yes. Charles Sewall is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Charles Sewall was last updated on May 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
