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DR. CHARLES DERRON SPIKES M.D.
NPI 1821128778
Plastic Surgery in Tifton, GA

Active since March 07, 2007PECOS EnrolledAccepts Medicare Assignment
78.41/100
CMS Quality Rating
907 18TH ST E, STE 340, TIFTON, GA 31794(229) 391-3600 Get Directions Write a Review

NPPES record last updated: December 1, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Charles Derron Spikes M.d. NPPES

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

DR. CHARLES DERRON SPIKES M.D. (NPI 1821128778) is an individual plastic surgery provider in Tifton, Georgia, licensed in Georgia (63537) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Tift Regional Medical Center, and is a graduate of Medical College Of Georgia School Of Medicine (2004).

NPPES Registry Identity

NPI1821128778
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDR. CHARLES DERRON SPIKESCredential: M.D.
Location Address907 18TH ST E, STE 340Tifton, GA 31794-3643
Mailing Address907 18th St E, Ste 340Tifton, GA 31794-3643 · (229) 391-3600
Phone(229) 391-3600
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2004
Enumeration DateMarch 7, 2007
Last NPPES UpdateDecember 1, 2020
NPPES CertifiedDecember 1, 2020
✔ NPI 1821128778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in GA · 63537
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
907 18TH ST E, Tifton, GA 31794
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health 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 Derron Spikes 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 ID9931224581
PECOS Enrollment IDI20100920000353
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.

Punch biopsy, first skin growth 11104
A punch biopsy is a procedure where a small, circular tool is used to remove a sample of skin tissue. This is usually done to test a skin growth for potential issues. You may feel a pinch, but discomfort is minimal. The area heals quickly.
32 services24 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.
30 services19 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
25 services25 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
25 services19 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.
15 services15 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.
15 services14 patients

Hospital Affiliations CMS Care Compare

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

Tift Regional Medical Center

Acute Care Hospitals · Tifton, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110095
Location901 E 18th StreetTifton, GA 31793 · Tift County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31794 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

78.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.68
Promoting Interoperability100
Improvement Activities40
Cost66.15

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLIAM C PFISTER M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
907 18TH ST E
TIFTON, GA 31794
Tift County (229) 353-7535
TIFTON PATHOLOGICAL SERVICES
Clinical Medical Laboratory
907 18TH ST E
TIFTON, GA 31794
Tift County (229) 353-7535
CARDIOLOGY SPECIALISTS OF GEORGIA LLC
Internal Medicine (Cardiovascular Disease)
907 18TH ST E, SUITE 100
TIFTON, GA 31794
Tift County (229) 391-9980
TIFT REGIONAL HEALTH SYSTEM INC
Clinic/Center
907 18TH ST E, SUITE 140
TIFTON, GA 31794
Tift County (229) 353-4325
LEE MICHELLE BROOKS LCSW
Social Worker (Clinical)
907 18TH ST E, SUITE 150
TIFTON, GA 31794
Tift County (229) 353-3422
SARA C SMITH M.D.
Specialist
907 18TH ST E, SUITE 400
TIFTON, GA 31794
Tift County (229) 391-3640
DR. NORRIS KENT BURTON M.D.
Family Medicine
907 18TH ST E, SUITE 140
TIFTON, GA 31794
Tift County (229) 353-4325
MS. ELIZABETH ELLEN SMITH APRN
Nurse Practitioner (Adult Health)
907 18TH ST E, SUITE 290
TIFTON, GA 31794
Tift County (229) 353-6546

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 Spikes's NPI number?

The NPI number for Charles Spikes is 1821128778. It was assigned to this individual provider in the NPPES registry on March 7, 2007.

Where is Charles Spikes located?

Charles Spikes practices at 907 18th St E Ste 340, Tifton, GA 31794. The listed phone number is (229) 391-3600.

What is Charles Spikes's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Charles Spikes enrolled in Medicare?

Yes. Charles Spikes 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 Spikes accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Charles Spikes 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.

Is Charles Spikes affiliated with any hospitals?

According to CMS data, Charles Spikes is affiliated with Tift Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Charles Spikes was last updated on December 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.