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Charles W Tattersall

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NPI Number Detailed Information

Provider Information:

Name: Charles W Tattersall
Gender: M
Provider License Number If Given: 01059210A

NPI Information:

NPI: 1629048913
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 1/26/2006

Last Update Date: 3/11/2021

Reputation Report:

Provider Business Mailing Address:

Address: PO BOX 781076
Detroit, MI 48278
Phone Number: 3175284800
Fax Number: 3175284800

Provider Business Practice Location Address:

Address: 8865 W 400 N SUITE 175
Michigan City, IN 46360
Phone Number: 2198772225
Fax Number: 2198772230

Provider Taxonomy:

Primary: 2086S0129X
Secondary (if any):
State: IN

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About Charles W Tattersall

Charles W Tattersall ( CHARLES W TATTERSALL ) is A Surgery Physician in Michigan City, IN. The NPI Number for Charles W Tattersall is 1629048913.
The current location address for Charles W Tattersall is 8865 W 400 N SUITE 175 Michigan City, IN 46360 and the contact number is 3175284800 and fax number is 3175284800. The mailing address for Charles W Tattersall is PO BOX 781076 Detroit, MI 48278- 2198772225 (mailing address contact number - 3175284800).
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Provider Business Location on Map

FAQs:

What is the NPI Number for Charles W Tattersall ?


Answer: The NPI Number for Charles W Tattersall is 1629048913

Where is Charles W Tattersall located?


Answer: Charles W Tattersall is located at 8865 W 400 N SUITE 175 Michigan City, IN 46360.

What is the specialty for Charles W Tattersall ?


Answer: The Specialty of Charles W Tattersall is A Surgery Physician.

Are there any online reviews for Charles W Tattersall ?


Answer: Yes! Check It Now.

Are there any other health care providers in Michigan City, IN?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Charles W Tattersall

Number of HCPCS 116
Number of Medicare Beneficiaries 300
Number of Services 779
Total Submitted Charge Amount 478394.01
Total Medicare Allowed Amount 191127.79
Total Medicare Payment Amount 150440.82
Total Medicare Standardized Payment Amount 161315.77
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 0
Number of Medicare Beneficiaries With Drug Services 0
Number of Drug Services 0
Total Drug Submitted Charge Amount 0
Total Drug Medicare Allowed Amount 0
Total Drug Medicare Payment Amount 0
Total Drug Medicare Standardized Payment Amount 0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 116
Number of Medicare Beneficiaries With Medical 300
Number of Medical Services 779
Total Medical Submitted Charge Amount 478394.01
Total Medical Medicare Allowed Amount 191127.79
Total Medical Medicare Payment Amount 150440.82
Total Medical Medicare Standardized Payment Amount 161315.77
Average Age of Beneficiaries 71
Number of Beneficiaries Age Less 65 59
Number of Beneficiaries Age 65 to 74 121
Number of Beneficiaries Age 75 to 84 96
Number of Beneficiaries Age Greater 84 24
Number of Female Beneficiaries 159
Number of Male Beneficiaries 141
Number of Non-Hispanic White Beneficiaries 252
Number of Black or African American Beneficiaries 33
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries 0
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 83
Number of Beneficiaries With Medicare Only Entitlement 217
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.19
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.15
Percent (%) of Beneficiaries Identified With Asthma 0.08
Percent (%) of Beneficiaries Identified With Cancer 0.16
Percent (%) of Beneficiaries Identified With Heart Failure 0.44
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.7
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.37
Percent (%) of Beneficiaries Identified With Depression 0.35
Percent (%) of Beneficiaries Identified With Diabetes 0.55
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.73
Percent (%) of Beneficiaries Identified With Hypertension 0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.6
Percent (%) of Beneficiaries Identified With Osteoporosis 0.12
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.5
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0.16
Average HCC Risk Score of Beneficiaries 4.0955

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Vascular Surgery
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 346
Number of Standardized 30-Day Fills 466.2
Aggregate Cost Paid for All Claims 20719.08
Number of Day's Supply for All Claims 8554
Number of Medicare Beneficiaries 179
Number of Claims, Including Refills, for Beneficiaries Age 65+ 279
Including Refills, for Beneficiaries Age 65+ 391.2
Beneficiaries Age 65+ 14763.25
Number of Day's Supply for All Claims for Beneficaries Age 65+ 7565
Number of Medicare Beneficiaries Age 65+ 145
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 30
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 316
Aggregate Cost Paid for Generic Drugs 3865.39
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 0
Aggregate Cost Paid for Other Drugs 0
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 135
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 12462.91
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 211
Aggregate Cost Paid for Claims Filled by 8256.17
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 134
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 14269.58
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 212
by Low-Income Subsidy 6449.5
Total Claims of Opioid Drugs, Including 189
Aggregate Cost Paid for Opioid Drugs 1257.43
Opioid Claims 149
Opioid_Tot_Clms divided by the Tot_Clms 54.624277457
Total Claims of Long-Acting Opioid Drugs 0
Aggregate Cost Paid for Long-Acting Opioid 0
Number of Day's Supply of All Long-Acting 0
Long-Acting Opioid Claims 0
Opioid_LA_Tot_Clms divided by the 0
Total Claims of Antibiotic Drugs, Including 18
Aggregate Cost Paid for Antibiotic Drugs 101.28
Antibiotic Claims 17
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims 0
Average Age of Beneficiaries 70.458100559
Number of Beneficiaries Age Less Than 65 34
Number of Beneficiaries Age 65 to 74 80
Number of Beneficiaries Age 75 to 84 51
Number of Female Beneficiaries 89
Number of Male Beneficiaries 90
Number of Non-Hispanic White 133
Number of Black or African American 38
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement 114
Average Hierarchical Condition Category 5.0718468876

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