DR. KIMBERLEE R CHARLES MD
NPI 1750605507
Psychiatry & Neurology - Psychiatry in Sparks, NV
NPI Status: Active since March 23, 2010
Contact Information
480 GALLETTI WAY
SPARKS, NV
ZIP 89431
Phone: (775) 688-2001
- Individual
- Female
- Psychiatry & Neurology
- Psychiatry
- PECOS Enrolled
- Opted-Out Medicare
- Medicare Quality Reporting
About KIMBERLEE CHARLES
This page provides the complete NPI Profile along with additional information for Kimberlee Charles, a provider established in Sparks, Nevada with a medical specialization in Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1750605507 assigned on March 2010. The practitioner's primary taxonomy code is 2084P0800X with license number 15212 (NV). The provider is registered as an individual and her NPI record was last updated 12 years ago.
- NPI
- 1750605507
- Provider Name
- DR. KIMBERLEE R CHARLES MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 480 GALLETTI WAY SPARKS, NV 89431
- Location Phone
- (775) 688-2001
- Mailing Address
- 480 GALLETTI WAY SPARKS, NV 89431
- Mailing Phone
- (775) 688-2001
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-23-2010
- Last Update Date
- 09-29-2014
- Code Navigator
A psychiatrist like Kimberlee Charles are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Kimberlee Charles opted out of Medicare effective on 08-05-2019 until 08-05-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Psychiatry
- Taxonomy Code
- 2084P0800X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 15212
- License State
- NV
- Taxonomy Description
- A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Medicare Participation & PECOS Enrollment Status
Kimberlee Charles is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 08-05-2019
Opt-Out End Date: 08-05-2027
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 89431 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99205
- Average New Patient Price $173.24
- Minimum New Patient Price $57.07
- Maximum New Patient Price $173.24
- Average New Patient Copayment $43.31
- Minimum New Patient Copayment $14.26
- Maximum New Patient Copayment $43.31
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $71.14
- Minimum Established Patient Price $18.27
- Maximum Established Patient Price $140.96
- Average Established Patient Copayment $17.78
- Minimum Established Patient Copayment $4.56
- Maximum Established Patient Copayment $35.24
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Care Plan | 95% | 41 |
| Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan | ||
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1750605507, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 43. The final step is to find the difference between that total and the next multiple of ten (50 - 43 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 43 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SPARKS, NV 89431
SPARKS, NV 89431
SPARKS, NV 89431
SPARKS, NV 89431
SPARKS, NV 89431
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750605507, enumerated as an "individual" on March 23, 2010.
The provider is located at 480 GALLETTI WAY SPARKS, NV 89431 and the phone number is (775) 688-2001.
Psychiatry & Neurology with taxonomy code 2084P0800X and a focus in Psychiatry.
