Charlton E Stucken, MD

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

ME115536 Issued in FL

Practice address

1401 NW 9TH Ave
Boca Raton, FL 33486-1304

Phone

(561) 395-5733

NPI assigned

Apr 29, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Sports MedicineAlso: Orthopedic Surgery

Education

Boston University School of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Bit Physical TherapyGroup PAC ID 4183160328, 138 clinicians

Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

HSS-Florida Physicians LLCGroup PAC ID 5991032369, 60 clinicians

Fairway Physical Therapy LLCGroup PAC ID 3971563222, 85 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Haven Home Health Care Home health agency, Boca Raton, FL, CCN 103153
• Elite Home Health Group Inc Home health agency, Boca Raton, FL, CCN 109710
• Elite Home Health Services LLC Home health agency, Fort Lauderdale, FL, CCN 103168
• Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253
• Good Samaritan Medical Center Hospital, West Palm Beach, FL, CCN 100287
• Bethesda Hospital East Hospital, Boynton Beach, FL, CCN 100002
• Delray Medical Center Hospital, Delray Beach, FL, CCN 100258
• Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168

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

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/DSTU2
• FHIR API: https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Bethesda Hospital, Inc.

  • General Acute Care Hospital
  • Boynton Beach, FL
  • NPI 1417952748

  Corporate Director

  CMS ownership

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.

• HSS-Florida Physicians LLC

  • Orthopaedic Surgery Physician
  • West Palm Beach, FL
  • NPI 1023574944
  Medicare reassignment Care Compare group NPD
• Orthopaedic Surgery Associates PA

  • Orthopaedic Surgery Physician
  • Boynton Beach, FL
  • NPI 1104865088
  Medicare reassignment NPD
• Bit Physical Therapy

  • Physical Therapy Clinic/Center
  • Palm Beach Gardens, FL
  • NPI 1841045259
  Care Compare group
• Fairway Physical Therapy LLC

  • Physical Therapist
  • Palm Beach Gardens, FL
  • NPI 1376557090
  Care Compare group
• Orthopaedic Surgery Associates, PA

  • Durable Medical Equipment & Medical Supplies
  • Boynton Beach, FL
  • NPI 1285316414

  Orthopaedic Surgery

  NPD

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

• Bethesda Hospital, Inc.

  • General Acute Care Hospital
  • Boynton Beach, FL
  • NPI 1417952748
  Care Compare affiliation
• Boca Raton Regional Hospital, Inc.

  • General Acute Care Hospital
  • Boca Raton, FL
  • NPI 1902826779
  Care Compare affiliation
• Delray Medical Center, Inc.

  • General Acute Care Hospital
  • Delray Beach, FL
  • NPI 1326078288
  Care Compare affiliation
• Elite Home Health Group LLC

  • Home Health Agency
  • Boca Raton, FL
  • NPI 1578954335
  Care Compare affiliation
• Elite Home Health Services LLC

  • Home Health Agency
  • Fort Lauderdale, FL
  • NPI 1508137761
  Care Compare affiliation
• Good Samaritan Medical Center, Inc.

  • General Acute Care Hospital
  • West Palm Beach, FL
  • NPI 1770515991
  Care Compare affiliation
• Jupiter Medical Center, Inc.

  • General Acute Care Hospital
  • Jupiter, FL
  • NPI 1295721090
  Care Compare affiliation
• MHC Area 9, LLC

  • Home Health Agency
  • Boca Raton, FL
  • NPI 1245899020
  Care Compare affiliation

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385942400000",
    "number": "1861667982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 S SEACREST BLVD",
            "address_2": "SUITE 216",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357944",
            "telephone_number": "561-395-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 NW 9TH AVE",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861304",
            "telephone_number": "561-395-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUCKEN",
        "first_name": "CHARLTON",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-29",
        "last_updated": "2013-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "233111",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "FL",
            "license": "ME115536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "233111",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie Gean Strubbe, P.T.
• Structural Health, LLC
• Stuart H. Isaacson, M.D, P.a.
• Stuart Zoll Ca Omd PA
• Kerry Stuart, MS, CCC/SLP
• Su Therapy PA
• Mu Su, MD
• Livan Suarez Guzman
• Kristen Suarez, FNP-BC
• Ruth Natalia Suarez, ARNP

• Sports Medicine (Orthopaedic Surgery) Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.