Individual provider Active NPI

Charles Thomas King, D.P.M.

  • Podiatrist
  • Brockton, MA
National Provider Identifier
1982733622
Registry record updated Mar 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1928 Issued in MA
Practice address
207 Quincy St
Brockton, MA 02302-2926
Phone
(508) 584-6400
Fax
(508) 584-2133
NPI assigned
Mar 5, 2007
Last updated
Mar 6, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1928 MA Primary

Addresses

Primary practice location

207 Quincy St
Brockton, MA 02302-2926

Mailing address

7 Fort Hill St
Hingham, MA 02043-2605
Phone (508) 584-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060406000069 MA Practitioner - Podiatry 7214946029 Practice locations: Brockton, MA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

207 Quincy St
Brockton, MA 02302-2926
Phone (508) 584-6400

Merit-based Incentive Payment System (MIPS)

Final score
96.97 of 100Reported as individual
Quality
82.38
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue32
Removal of skin lesions326
Removal of nail tissue1865
Removal or shaving of skin growth704

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Lee S Casper Past Accepting new patients
Dr Lee S Casper Asoociates P. C. Podiatrist Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CEICAA/Endpoint/CEICAA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362528000000",
    "number": "1982733622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 FORT HILL ST",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020432605",
            "telephone_number": "508-584-6400",
            "fax_number": "508-584-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 QUINCY ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023022926",
            "telephone_number": "508-584-6400",
            "fax_number": "508-584-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "CHARLES",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2013-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MA",
            "license": "1928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.