Charles Matthias Mouch III, M.D.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

S9941 Issued in TX

Practice address

1304 Wonder World Dr
San Marcos, TX 78666-7532

Phone

(855) 876-7246

Fax

(855) 277-5070

NPI assigned

Jun 3, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX, CO2 enrollments

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 2

Specialty

Pain Management

Education

University of Texas Medical School at San Antonio, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Texas Pain Center, PLLCGroup PAC ID 0547233207, 28 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: charles.mouch@psoa.eclinicaldirectplus.com

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.

• Central Texas Pain Center, PLLC

  • Interventional Pain Medicine Physician
  • New Braunfels, TX
  • NPI 1891792776
  Medicare reassignment Care Compare group NPD
• Centennial Medical Group Co LLC

  • Interventional Pain Medicine Physician
  • Colorado Springs, CO
  • NPI 1043169287
  Medicare reassignment
• Central Texas Pain Center, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Seguin, TX
  • NPI 1992683114
  NPD
• Central Texas Pain Center North, PLLC

  • Interventional Pain Medicine Physician
  • Austin, TX
  • NPI 1235514704
  NPD (past)
• Psa Ambulatory Surgical Center of Austin LLC

  • Ambulatory Surgical Clinic/Center
  • Austin, TX
  • NPI 1659594190
  NPD (past)
• Psa Ambulatory Surgical Center of South Austin, LLC

  • Ambulatory Surgical Clinic/Center
  • Austin, TX
  • NPI 1770223901
  NPD (past)

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1851740583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208354",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753208354",
            "telephone_number": "512-485-7208",
            "fax_number": "844-364-8678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 WONDER WORLD DR",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667532",
            "telephone_number": "855-876-7246",
            "fax_number": "855-277-5070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4316 James Casey St Ste B",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787451157",
            "country_code": "US",
            "telephone_number": "855-876-7246",
            "fax_number": "855-277-5070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOUCH",
        "first_name": "CHARLES",
        "middle_name": "MATTHIAS",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-03",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "S9941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICARE",
            "identifier": "1S5315",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL LICENSE",
            "identifier": "S9941",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICARE",
            "identifier": "1S5318",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rafael Moreno, DC
• Sarah J Moreno, DC
• Lauren Morgan
• Tammi Morgan, APRN
• Andrea Monica Morris, LMFT
• Mildred Simon Mozara, CRNA
• Cynthia Nichole Mueller-McMorris, LCSW
• Christina Anne Mueller, DDS
• Megan Kay Mulherin, APRN
• Heather Mulkey

• Interventional Pain Medicine Physician in San Marcos, TX
• Providers in San Marcos, TX by specialty
• Interventional Pain Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.