Individual provider Active NPI

Charles Woodrow McCurley IV, MD

  • Family Medicine Physician
  • Boerne, TX
National Provider Identifier
1821390204
Registry record updated Feb 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N7720 Issued in TX
Practice address
136 Old San Antonio Rd
Ste 406
Boerne, TX 78006-3413
Phone
(830) 816-5800
Fax
(830) 816-5860
NPI assigned
Nov 17, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X N7720 TX Primary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X N7720 TX

Addresses

Primary practice location

136 Old San Antonio Rd
Ste 406
Boerne, TX 78006-3413

Mailing address

136 Old San Antonio Rd
Ste 406
Boerne, TX 78006-3413
Phone (830) 816-5800

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
I20120627000733 TX Practitioner - Family PracticePractitioner - Sports Medicine 7214192160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
University of Texas Medical School at San Antonio, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sports and Family Medicine of Boerne PAGroup PAC ID 7012141773, 3 clinicians

Practice addresses (Care Compare)

905 N Main St
Boerne, TX 78006-1659
Phone (830) 816-5800

905 N Main St
Suite 105
Boerne, TX 78006-1699

Hospital & facility affiliations

  • Crest Home Health Home health agency, Boerne, TX, CCN 673124

Merit-based Incentive Payment System (MIPS)

Final score
92.15 of 100Reported as group
Quality
95.57
Promoting interoperability
100
Improvement activities
40
Cost
78.26

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Citizens Medical Center County of Victoria Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: charles.mccurley.1@12476.direct.athenahealth.com

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.

Hospital & facility affiliations 1

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": "1289952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424390400000",
    "number": "1821390204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 OLD SAN ANTONIO RD",
            "address_2": "STE 406",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780063413",
            "telephone_number": "830-816-5800",
            "fax_number": "830-816-5860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 OLD SAN ANTONIO RD",
            "address_2": "STE 406",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780063413",
            "telephone_number": "830-816-5800",
            "fax_number": "830-816-5860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCURLEY",
        "first_name": "CHARLES",
        "middle_name": "WOODROW",
        "name_suffix": "IV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-17",
        "last_updated": "2015-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N7720",
            "primary": true
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "TX",
            "license": "N7720",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

Verify at the official NPI Registry.