Individual provider Active NPI

Charles C Hogge, M.D.

  • Ophthalmology Physician
  • Manassas, VA
National Provider Identifier
1235101312
Registry record updated May 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101043523 Issued in VA
Practice address
8140 Ashton Ave
Suite 120
Manassas, VA 20109-5698
Phone
(703) 361-3128
Fax
(703) 361-3670
NPI assigned
Feb 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 0101043523 VA Primary

Addresses

Primary practice location

8140 Ashton Ave
Suite 120
Manassas, VA 20109-5698

Mailing address

8140 Ashton Avenue
Suite 120
Manassas, VA 20109
Phone (703) 361-3128

Other identifiers 2

IdentifierTypeStateIssuer
006330380MedicaidVA
180037844OtherVARAIL ROAD MEDICARE PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20110603000296 VA Practitioner - Ophthalmology 4587841390 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Virginia Commonwealth University, School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dominion Eye Care, P.C.Group PAC ID 2062598840, 4 clinicians

Practice addresses (Care Compare)

8140 Ashton Ave
Suite 120
Manassas, VA 20109-5699
Phone (703) 361-3128

Merit-based Incentive Payment System (MIPS)

Final score
90.85 of 100Reported as group
Quality
94.08
Improvement activities
40
Cost
77.39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101043523VAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dominion Eye Care, P.C. Ophthalmology Current Accepting new patients
Dominion Eye Care, P.C. Ophthalmology CurrentSince Jul 1, 1989 Accepting new patients

Locations

8140 Ashton Ave
Ste 120
Manassas, VA 20109
Phone (703) 361-3128

559 Frost Ave
Ste 101
Warrenton, VA 20186
Phone (540) 349-3225

388 Hospital Dr
Warrenton, VA 20186
Phone (540) 349-0906

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305504000000",
    "number": "1235101312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8140 ASHTON AVENUE",
            "address_2": "SUITE 120",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "20109",
            "telephone_number": "703-361-3128",
            "fax_number": "703-361-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8140 ASHTON AVE",
            "address_2": "SUITE 120",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201095698",
            "telephone_number": "703-361-3128",
            "fax_number": "703-361-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGGE",
        "first_name": "CHARLES",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2011-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101043523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006330380",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE PIN",
            "identifier": "180037844",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.