Active NPI
Charles Dewitt Hummer III, MD
- Orthopaedic Surgery Physician
- Media, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MD045732L
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1535750 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
- Bayada Home Health Care, Inc.
- Riddle Memorial Hospital
- St Francis Hospital
- Chester County Hospital
- Bryn Mawr Hospital
- Main Line Hospital Lankenau
- Bryn Mawr Rehabilitation Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.6 of 100
- Promoting interoperability
- 96
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 12 |
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| MD045732L | PA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Orthopaedic and Sports Medicine Associates LTD | Orthopaedic Surgery | Current | Accepting new patients |
| Premier Orthopaedic and Sports Medicine Associates, LTD | Orthopaedic Surgery | Current | 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
- charles.hummer.1@22724.direct.athenahealth.com
- 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.
-
- Orthopaedic Surgery Physician
- Newtown Square, PA
- NPI 1215987243
DE
-
- Durable Medical Equipment & Medical Supplies
- Exton, PA
- NPI 1497485080
Orthopaedic Surgery
-
- Orthopaedic Surgery Physician
- Paoli, PA
- NPI 1316917594
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Newtown Square, PA
- NPI 1497796544
-
- General Acute Care Hospital
- West Chester, PA
- NPI 1356333579
-
- General Acute Care Hospital
- Wynnewood, PA
- NPI 1245335629
-
- Rehabilitation Hospital
- Malvern, PA
- NPI 1396850368
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Bryn Mawr, PA
- NPI 1508971441
-
- General Acute Care Hospital
- Media, PA
- NPI 1407856099
-
- General Acute Care Hospital
- Wilmington, DE
- NPI 1295738896
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.