Individual provider Active NPI

Charles D Thompson, M.D.

  • Obstetrics & Gynecology Physician
  • Lubbock, TX
National Provider Identifier
1144219544
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
H6650 Issued in TX
Practice address
3601 4TH St FL 3
Lubbock, TX 79430-0002
Phone
(806) 743-2340
Fax
(806) 743-3121
NPI assigned
Oct 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X H6650 TX Primary

Addresses

Primary practice location

3601 4TH St FL 3
Lubbock, TX 79430-0002

Mailing address

3601 4TH St FL 3
Lubbock, TX 79430-5865
Phone (806) 743-2340

Other identifiers 3

IdentifierTypeStateIssuer
0027WAOtherTXBLUE CROSS
2174020OtherTXCIGNA
100177803MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address charles.thompson@direct.myteamcare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20060125000928 TX Practitioner - Obstetrics/Gynecology 9032123344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Southwestern Medical School at Dallas, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3601 4TH St
2A300
Lubbock, TX 79430-6073
Phone (806) 743-5678

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.52 of 100Reported as apm
Quality
87.98
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
H6650TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center Lubbock Current Accepting new patients
Texas Tech University Health Sciences Center Lubbock Current Accepting new patients
Thompson Emotional and Behavioral Health, PLLC PastSince May 1, 2014 Accepting new patients
Privia Medical Group West Texas, PLLC Past Accepting new patients
Texas Tech University Health Sciences Center Lubbock Past Accepting new patients
Privia Medical Group West Texas, PLLC Past Accepting new patients
Lubbock County Hospital District Past Accepting new patients

Locations

3601 4th St
#2A300
Lubbock, TX 79430
Phone (806) 743-5678

3601 4th St
Fl 3
Lubbock, TX 79430
Phone (806) 743-2340

3601 4th St
Lubbock, TX 79430
Phone (806) 743-1000

3601 4th St
Stop 8340
Lubbock, TX 79430
Phone (806) 743-1946

Interoperability endpoints

  • Direct secure messaging: charles.thompson@direct.myteamcare.com

Organizations & group practices 7

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1144219544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 4TH ST FL 3",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794305865",
            "telephone_number": "806-743-2340",
            "fax_number": "806-743-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 4TH ST FL 3",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794300002",
            "telephone_number": "806-743-2340",
            "fax_number": "806-743-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "CHARLES",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "H6650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0027WA",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2174020",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100177803",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "charles.thompson@direct.myteamcare.com",
            "affiliation": "N",
            "endpointDescription": "portal messaging system",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3601 4th St",
            "address_2": "MS 8340",
            "city": "Lubbock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "794300002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.