Individual provider Active NPI

Charles Dewitt Hummer III, MD

  • Orthopaedic Surgery Physician
  • Media, PA
National Provider Identifier
1912953670
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD045732L Issued in PA
Practice address
5201 Pennell Rd Ste C
Media, PA 19063-6502
Phone
(610) 876-0347
Fax
(610) 876-4343
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD045732L PA Primary

Addresses

Primary practice location

5201 Pennell Rd Ste C
Media, PA 19063-6502

Mailing address

PO Box 5228
West Chester, PA 19380-0405
Phone (610) 359-5672

Other practice location 1

701 N Clayton St Ste 600
Wilmington, DE 19805-3165
Phone (610) 876-0347

Other practice location 2

200 E State St Ste 108
Media, PA 19063-3434
Phone (610) 876-0347

Other practice location 3

300 Evergreen Dr Ste 200
Glen Mills, PA 19342-1059
Phone (610) 876-0347

Other identifiers 1

IdentifierTypeStateIssuer
1535750MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, PA2 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

Enrollment IDStateProvider typePAC IDDetails
I20110902000110 DE Practitioner - Orthopedic Surgery 3678686730 Reassigns benefits to 1 organization
I20111111000361 PA Practitioner - Orthopedic Surgery 3678686730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Jefferson Medical College of Thomas Jefferson University, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5201 Pennell Rd
Suite C
Media, PA 19063-6502
Phone (610) 876-0347

701 N Clayton St
Suite 600
Wilmington, DE 19805-3165
Phone (302) 656-2643

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement12
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD045732LPAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Orthopaedic and Sports Medicine Associates LTD Orthopaedic Surgery CurrentSince Mar 1, 2011 Accepting new patients
Premier Orthopaedic and Sports Medicine Associates, LTD Orthopaedic Surgery CurrentSince Apr 9, 2011 Accepting new patients
Orthopedic Sports & Arthritis Surgery Orthopaedic Surgery Past Accepting new patients

Locations

701 N Clayton St
Ste 600
Wilmington, DE 19805
Phone (302) 656-2643

2004 Sproul Rd
Fl 1
Broomall, PA 19008
Phone (610) 353-0800

1 Medical Center Blvd
#324
Chester, PA 19013
Phone (215) 521-3009

300 Evergreen Dr
Ste 200
Glen Mills, PA 19342
Phone (610) 361-4198

950 Pulaski Dr
#100
Kng of Prussa, PA 19406
Phone (610) 768-4466

200 E State St
Ste 108
Media, PA 19063
Phone (484) 444-0820

5201 Pennell Rd
Ste C
Media, PA 19063

Interoperability endpoints

  • Direct secure messaging: charles.hummer.1@22724.direct.athenahealth.com
  • Direct secure messaging: charleshummer@po.allscriptsdirect.net

Organizations & group practices 3

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 7

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1912953670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5228",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193800405",
            "telephone_number": "610-359-5672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 PENNELL RD STE C",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190636502",
            "telephone_number": "610-876-0347",
            "fax_number": "610-876-4343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 N Clayton St Ste 600",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198053165",
            "country_code": "US",
            "telephone_number": "610-876-0347",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 E State St Ste 108",
            "address_purpose": "LOCATION",
            "city": "Media",
            "state": "PA",
            "postal_code": "190633434",
            "country_code": "US",
            "telephone_number": "610-876-0347",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Evergreen Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Glen Mills",
            "state": "PA",
            "postal_code": "193421059",
            "country_code": "US",
            "telephone_number": "610-876-0347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUMMER",
        "first_name": "CHARLES",
        "middle_name": "DEWITT",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD045732L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1535750",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

Verify at the official NPI Registry.