CHARLES CASALE MD
NPI 1811074636
Internal Medicine - Gastroenterology in Cooperstown, NY

Q: What is Charles Casale's NPI number?

The NPI number for Charles Casale is 1811074636. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Q: What is Charles Casale'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 Casale was last updated on March 26, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment

86.64/100

CMS Quality Rating

1 ATWELL RD, COOPERSTOWN, NY 13326(607) 547-3760(607) 547-6995 Get Directions Write a Review

NPPES record last updated: March 26, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 26, 2021, Jan 22, 2020, Jul 21, 2019 (3 updates tracked since 2019).

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About Charles Casale Md NPPES

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

CHARLES CASALE MD (NPI 1811074636) is an individual gastroenterology provider in Cooperstown, New York, licensed in New York (185252) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Aurelia Osborn Fox Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1811074636

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameCHARLES CASALECredential: MD

Location Address1 ATWELL RDCooperstown, NY 13326-1301

Mailing Address809 Vineyard StCohoes, NY 12047-4848 · (516) 446-4858

Phone(607) 547-3760

Fax(607) 547-6995

Sole ProprietorNo

Medical School CMSOtherGraduated 1986

Enumeration DateNovember 1, 2006

Last NPPES UpdateMarch 26, 20213 updates tracked since enumeration

NPPES CertifiedMarch 26, 2021

✔ NPI 1811074636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in NY · 185252

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.

Also ListedInternal MedicineTaxonomy 207R00000X · License 185252 (NY)

1 ATWELL RD, Cooperstown, NY 13326

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Secondary Practice Locations 2

Location 15 Park StGreenfield, MA 01301-2909 · Phone (413) 775-9292 · Fax (413) 775-9226

Location 21769 Union StNiskayuna, NY 12309 · Phone (518) 264-4895

Other Identifiers 2

OtherJ25721MA · Bc Ma

Medicaid2000261MA

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 Casale 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 ID7416056502

PECOS Enrollment IDI20151111000019

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 10

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

90 services87 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

73 services73 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

45 services45 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.

42 services36 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

36 services36 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

34 services34 patients

Hospital Affiliations CMS Care Compare 5

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

Aurelia Osborn Fox Memorial Hospital

Acute Care Hospitals · Oneonta, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330085

LocationOne Norton AvenueOneonta, NY 13820 · Otsego County

Emergency services

Bassett Healthcare

Acute Care Hospitals · Cooperstown, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330136

LocationOne Atwell RoadCooperstown, NY 13326 · Otsego County

Emergency services Birthing friendly

O'connor Hospital

Critical Access Hospitals · Delhi, NY

OwnershipVoluntary non-profit - Private

CMS Certification Number331305

Location460 Andes RoadDelhi, NY 13753 · Delaware County

Emergency services

Little Falls Hospital

Critical Access Hospitals · Little Falls, NY

OwnershipVoluntary non-profit - Private

CMS Certification Number331311

Location140 Burwell StreetLittle Falls, NY 13365 · Herkimer County

Emergency services

Cobleskill Regional Hospital

Critical Access Hospitals · Cobleskill, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number331320

Location178 Grandview DriveCobleskill, NY 12043 · Schoharie County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13326 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

$126.40 typical visit price

range $54.87 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

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.

86.64/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.13

Promoting Interoperability

Improvement Activities

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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.

SHIRLEY SCHUE ARNP

Nurse Practitioner (Pediatrics)