Charles D Horsley, M.D.
Individual provider Active NPI Family Medicine Physician · Lebanon, OH
NPI 1477546976 · NPPES record last updated Nov 19, 2024
Key facts
- NPI
- 1477546976
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 35-049880 (OH)
- Practice address
- 1470 North Broadway
Suite 110
Lebanon, OH 45036-1206 - Phone
- (513) 932-2686
- Fax
- (513) 932-2706
- NPI assigned
- Aug 30, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 11
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Cincinnati College of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Alliance Physicians Inc
Practice addresses (Care Compare)
1470 N Broadway St
Suite 130
Lebanon, OH 45036-1206
Phone (513) 636-1280
Hospital & facility affiliations
- American Mercy Home Care, LLC
- Fidelity Health Care
- Bethesda North
- Atrium Medical Center
- Kettering Health Main Campus
- Christ Hospital
- Good Samaritan Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.8 of 100
- Quality
- 73.21
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.12
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 11 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090116000580 | OH | Practitioner - Family Practice | 9436212404 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-049880 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Physicians Inc | Current |
Accepting new patients | |
| Alliance Physicians Inc | Family Medicine | Current |
Accepting new patients |
Locations
1470 N Broadway St
Ste 130
Lebanon, OH 45036
Phone (513) 636-1280
1470 N Broadway St
Ste 110
Lebanon, OH 45036
Phone (513) 932-2686
1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306
1625 S Alex Rd
West Carrollton, OH 45449
Phone (937) 865-0534
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35-049880 | OH | Yes |
Addresses
Primary practice location
1470 North Broadway
Suite 110
Lebanon, OH 45036-1206
Mailing address
1470 North Broadway
Suite 110
Lebanon, OH 45036-1206
Phone (513) 932-2686
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0536370 | Medicaid | OH |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | chorsley198307@direct.ketteringhealth.org | ||
| FHIR URL | https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/ |
Other providers in Lebanon, OH
- Bailey Lynn Hollaender
- Brittany Hollingsworth
- Noah C Honkomp
- Cynthia Margaret Hoover
- Taylor Nicole Hopkins
- Angela Houchins
- Hannah Howard
- HRS Counseling Services
- Heather Huber
- Jennie Huddleson
All providers in Lebanon, OH · Family Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.