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DR. CHARLES KENT POWERS III M.D.
NPI 1861803264
Pediatrics in Gainesville, FL

Active since May 19, 2014PECOS Enrolled
85.38/100
CMS Quality Rating
5612 NW 43RD ST, GAINESVILLE, FL 32653(352) 376-4542(352) 376-4959 Get Directions Write a Review

NPPES record last updated: September 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 14, 2021, Aug 30, 2017 (2 updates tracked since 2017).

About Dr. Charles Kent Powers Iii M.d. NPPES

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

DR. CHARLES KENT POWERS III M.D. (NPI 1861803264) is an individual pediatrics provider in Gainesville, Florida, licensed in Florida (ME132034) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861803264
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. CHARLES KENT POWERS IIICredential: M.D.
Location Address5612 NW 43RD STGainesville, FL 32653-3332
Mailing Address3300 S Fiske BlvdRockledge, FL 32955-4306 · (352) 376-4542
Phone(352) 376-4542
Fax(352) 376-4959
Sole ProprietorNo
Enumeration DateMay 19, 2014
Last NPPES UpdateSeptember 14, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2021
✔ NPI 1861803264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in FL · ME132034
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
5612 NW 43RD ST, Gainesville, FL 32653
Open in Google Maps ↗

Other Identifiers 2

Medicaid021744500FL
OtherOB926FL · Fl Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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 (PECOS)

Dr. Charles Kent Powers Iii 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32653 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

85.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.65
Promoting Interoperability78
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

MRS. ELIZMA EKSTEEN MERCIER PHYSICIAN ASSISTANT
Physician Assistant (Medical)
5612 NW 43RD ST
GAINESVILLE, FL 32653
Alachua County (352) 376-4542
BENTON PEDIATRICS
Community Based Residential Treatment Facility, Mental Illness
5612 NW 43RD ST
GAINESVILLE, FL 32653
Alachua County (352) 376-4542
ELIZABETH LAURA JUSTICE
Nurse Practitioner (Pediatrics)
5612 NW 43RD ST
GAINESVILLE, FL 32653
Alachua County (352) 376-4542
THOMAS BB BENTON MD
Pediatrics
5612 NW 43RD ST
GAINESVILLE, FL 32653
Alachua County (352) 376-4542

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 Powers's NPI number?

The NPI number for Charles Powers is 1861803264. It was assigned to this individual provider in the NPPES registry on May 19, 2014.

Where is Charles Powers located?

Charles Powers practices at 5612 NW 43rd St, Gainesville, FL 32653. The listed phone number is (352) 376-4542.

What is Charles Powers's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Charles Powers enrolled in Medicare?

Yes. Charles Powers is registered in the Medicare PECOS enrollment system.

What insurance does Charles Powers accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 2 other insurers list Charles Powers 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.

When was this NPI record last updated?

The NPPES record for Charles Powers was last updated on September 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.