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CHARLES EUGENE RADER D.D.S.
NPI 1942648704
Dentist - Periodontics in Victoria, TX

Active since June 13, 2013Opted out of Medicare · through Jun 18, 2027
507 E BRAZOS ST, VICTORIA, TX 77901(361) 576-5155(361) 576-9228 Get Directions Write a Review

NPPES record last updated: June 13, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charles Eugene Rader D.d.s. NPPES

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

CHARLES EUGENE RADER D.D.S. (NPI 1942648704) is an individual periodontics provider in Victoria, Texas, licensed in Texas (11676) and active in the NPI registry since June 2013. He has opted out of Medicare through June 18, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1942648704
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameCHARLES EUGENE RADERCredential: D.D.S.
Location Address507 E BRAZOS STVictoria, TX 77901-5261
Mailing Address507 E Brazos StVictoria, TX 77901-5261 · (361) 576-5155 · Fax (361) 576-9228
Phone(361) 576-5155
Fax(361) 576-9228
Sole ProprietorYes
Enumeration DateJune 13, 2013
✔ NPI 1942648704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in TX · 11676
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
507 E BRAZOS ST, Victoria, TX 77901
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Charles Eugene Rader D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 18, 2015 through June 18, 2027.

Opt-Out Effective DateJune 18, 2015
Opt-Out In Effect ThroughJune 18, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77901 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

Other Providers at the Same Location NPPES

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

DR. LISA ANN HEINRICH-NULL D.D.S.
Dentist (General Practice)
507 E BRAZOS ST
VICTORIA, TX 77901
Victoria County (361) 575-8735

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 Rader's NPI number?

The NPI number for Charles Rader is 1942648704. It was assigned to this individual provider in the NPPES registry on June 13, 2013.

Where is Charles Rader located?

Charles Rader practices at 507 E Brazos St, Victoria, TX 77901. The listed phone number is (361) 576-5155.

What is Charles Rader's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Charles Rader enrolled in Medicare?

No. Charles Rader has opted out of Medicare through June 18, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Charles Rader was last updated on June 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.