Charles Delbert Hosemann III, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

21519 Issued in MS

Practice address

104 Burney Dr
Flowood, MS 39232-6621

Phone

(601) 987-8200

Fax

(601) 987-8211

NPI assigned

May 21, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Orthopedic Surgery

Education

University of Mississippi School of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Capital Orthopaedic Clinic, PLLC 49 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sta Home Health Agency of Jackson, Inc. Dba Accentcare Home Health of Jackson Home health agency, Clinton, MS, CCN 257102
• St Dominic-Jackson Memorial Hospital Hospital, Jackson, MS, CCN 250048
• Copiah County Medical Center Hospital, Hazlehurst, MS, CCN 251327
• Merit Health River Oaks Hospital, Flowood, MS, CCN 250138

Merit-based Incentive Payment System (MIPS)

Final score

90.17 of 100Reported as group

Quality

82.12

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles (5 of 6)

Locations

Networks

• LA PPO C-SNP

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• FHIR API: https://api.platform.athenahealth.com/6393/brand/1/csg/41/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Capital Orthopaedic Clinic, PLLC

  • Orthopaedic Surgery Physician
  • Flowood, MS
  • NPI 1770687881

  MS, Orthopaedic Surgery

  Medicare reassignment Care Compare group NPD
• KDMC Physician Clinics LLC

  • Multi-Specialty Clinic/Center
  • Brookhaven, MS
  • NPI 1861739161

  MS

  Medicare reassignment NPD
• Specialty Surgical Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Flowood, MS
  • NPI 1588152920

  MS, Orthopaedic Surgery

  Medicare reassignment NPD
• Capital Orthopaedic Clinic PLLC

  • Orthopedic Physical Therapist
  • Flowood, MS
  • NPI 1184299273
  NPD
• Capital Orthopedic Clinic PLLC

  • Orthopaedic Surgery Physician
  • Flowood, MS
  • NPI 1215988787

  Orthopaedic Surgery

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Copiah County Medical Center

  • Critical Access Hospital
  • Hazlehurst, MS
  • NPI 1588667281

  Hospital

  Care Compare affiliation
• River Oaks Hospital LLC

  • General Acute Care Hospital
  • Flowood, MS
  • NPI 1396792032

  Hospital

  Care Compare affiliation
• St Dominic-Jackson Memorial Hospital

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1306876065

  Hospital

  Care Compare affiliation
• Sta-Home Health Agency of Jackson, Inc.

  • Home Health Agency
  • Clinton, MS
  • NPI 1356482749
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567900800000",
    "number": "1114136751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30594",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282300594",
            "telephone_number": "601-987-8200",
            "fax_number": "601-987-8211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 BURNEY DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392326621",
            "telephone_number": "601-987-8200",
            "fax_number": "601-987-8211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Highland Way Ste 102",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "MS",
            "postal_code": "391106933",
            "country_code": "US",
            "telephone_number": "601-987-8200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOSEMANN",
        "first_name": "CHARLES",
        "middle_name": "DELBERT",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2019-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "MS",
            "license": "21519",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MS",
            "license": "21519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08271296",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Home Health Care Affiliates of Central Mississippi, LLC
• Hometown Healthcare Inc
• Hometown Medical LLC
• Sharon N Hong, M.D.
• Hopeful Assurance Home Health Care
• Hospice Advantage, LLC.
• Stephen Houck Jr., RN
• James Robert House III, M.D.
• Leslie H Houston, NP-C
• Amanda Mae Howard, FNP

• All providers in Flowood, MS
• Orthopaedic Surgery Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.