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DR. CHARLES I. OKWUNDU MD
NPI 1861914202
Pediatrics in Middlesboro, KY

Active since July 07, 2017PECOS EnrolledAccepts Medicare Assignment
2004 CUMBERLAND AVE, MIDDLESBORO, KY 40965(606) 248-3015(606) 248-3024 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 3, 2024, Jul 24, 2020, Jul 7, 2017 (3 updates tracked since 2017).

About Dr. Charles I. Okwundu Md NPPES

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

DR. CHARLES I. OKWUNDU MD (NPI 1861914202) is an individual pediatrics provider in Middlesboro, Kentucky, licensed in Kentucky (TP161) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1861914202
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. CHARLES I. OKWUNDUCredential: MD
Location Address2004 CUMBERLAND AVEMiddlesboro, KY 40965-1299
Mailing Address2004 Cumberland AveMiddlesboro, KY 40965-1299 · (606) 248-3015 · Fax (606) 248-3024
Phone(606) 248-3015
Fax(606) 248-3024
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJuly 7, 2017
Last NPPES UpdateApril 3, 20243 updates tracked since enumeration
NPPES CertifiedApril 3, 2024
✔ NPI 1861914202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in KY · TP161
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.
2004 CUMBERLAND AVE, Middlesboro, KY 40965
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, 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 I. Okwundu 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 ID840538815
PECOS Enrollment IDI20200914002399
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 40965 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Other Providers at the Same Location NPPES 5

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

WILLIAM B LANCASTER DMD
Dentist
2004 CUMBERLAND AVE
MIDDLESBORO, KY 40965
Bell County (606) 248-1008
REBECCA L AKERS APRN
Nurse Practitioner
2004 CUMBERLAND AVE, SUITE 100
MIDDLESBORO, KY 40965
Bell County (660) 248-3015
APEX WOMENS SERVICES PLLC
Obstetrics & Gynecology
2004 CUMBERLAND AVE, APEX WOMENS SERVICES
MIDDLESBORO, KY 40965
Bell County (606) 248-0072
MEREDITH MASONER CNM
Advanced Practice Midwife
2004 CUMBERLAND AVE, STE 100
MIDDLESBORO, KY 40965
Bell County (606) 248-3015
ALISON D LANCASTER DMD
Dentist
2004 CUMBERLAND AVE
MIDDLESBORO, KY 40965
Bell County (606) 248-1008

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 Okwundu's NPI number?

The NPI number for Charles Okwundu is 1861914202. It was assigned to this individual provider in the NPPES registry on July 7, 2017.

Where is Charles Okwundu located?

Charles Okwundu practices at 2004 Cumberland Ave, Middlesboro, KY 40965. The listed phone number is (606) 248-3015.

What is Charles Okwundu's specialty?

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

Is Charles Okwundu enrolled in Medicare?

Yes. Charles Okwundu 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 Okwundu accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Charles Okwundu 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 Okwundu was last updated on April 3, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.