Active NPI 1225026875 Individual Practitioner Male Practitioner

Dr. Charles D Mabry , MD

Surgery • Pine Bluff, AR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Charles Mabry, MD is a certified Surgery practicing in Pine Bluff, AR. With approximately 51 years of clinical experience since graduating from University Of Arkansas College Of Medicine in 1975, Dr. Mabry delivers high-quality medical care to the local community at 1609 W 40TH AVE STE 403.

Dr. Mabry is affiliated with Jefferson Hospital Association, Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, colorectal cancer screening; colonoscopy on individual at high risk. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1609 W 40th Ave Ste 403

Pine Bluff, AR 716036365

Telephone 8705358280

Fax 8705355458

Associated Practice Facility / Clinic

🏢 Lee A Forestiere Md Pa Facility NPI 1255661732

Medicare Profile & Education

Medical School

University Of Arkansas College Of Medicine

Graduation Year

1975

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Pine Bluff, AR

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

51 Yrs +20.0 yrs vs City Avg

City Avg: 31.0 Yrs

State Avg: 30.3 Yrs

Regional Practice Density

3 Specialists

Practicing in Pine Bluff, AR (301 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

79.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mabry (51 Years) 51 Yrs

Pine Bluff Specialty Average (31.0 Years) 31.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	247	154	$166.00	$90.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	105	105	$255.50	$123.90
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	44	44	$884.25	$169.62
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	40	40	$667.50	$78.92
45378 Diagnostic exam of large bowel using a flexible endoscope	26	26	$884.25	$161.74
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	24	24	$884.25	$165.82
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	21	21	$1185.75	$224.62
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	14	14	$131.00	$5.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	280	198	$166.00	$89.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	146	146	$255.50	$122.19
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	92	91	$131.00	$4.83
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	40	39	$667.50	$74.33
45378 Diagnostic exam of large bowel using a flexible endoscope	39	38	$884.25	$152.20
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	35	35	$1185.75	$228.96
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	33	33	$884.25	$160.49
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	28	28	$884.25	$161.25
47562 Removal of gallbladder using an endoscope	12	12	$1663.50	$590.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	316	211	$166.00	$91.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	138	138	$255.50	$125.37
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	52	51	$667.50	$79.78
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	44	43	$131.00	$4.94
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	34	34	$884.25	$163.74
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	33	33	$884.25	$163.37
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	22	22	$1185.75	$232.98
45378 Diagnostic exam of large bowel using a flexible endoscope	15	15	$884.25	$154.78
47562 Removal of gallbladder using an endoscope	12	12	$1663.50	$602.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	272	197	$166.33	$93.89
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	124	120	$131.00	$4.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	106	106	$255.50	$125.66
99213 Established patient office or other outpatient visit, typically 15 minutes	50	42	$112.00	$62.13
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	47	45	$667.50	$77.50
45378 Diagnostic exam of large bowel using a flexible endoscope	31	31	$884.25	$172.23
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	28	28	$884.25	$172.66
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	26	25	$1185.75	$230.37
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	26	26	$884.25	$167.99
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	26	24	$222.00	$138.04
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$318.00	$173.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	218	164	$166.00	$75.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	77	77	$255.50	$122.75
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	72	72	$131.00	$5.24
99213 Established patient office or other outpatient visit, typically 15 minutes	59	55	$112.00	$48.21
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	52	51	$667.50	$85.81
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	38	38	$28.49	$11.61
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	35	31	$222.00	$103.92
45378 Diagnostic exam of large bowel using a flexible endoscope	32	32	$884.25	$174.17
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	20	20	$884.25	$179.14
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	19	19	$884.25	$179.08
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	15	15	$1185.75	$234.68
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$318.00	$162.71
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$314.00	$193.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$166.00	$72.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	295	207	$166.30	$74.74
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	135	131	$28.49	$11.93
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	99	29	$111.00	$69.68
99213 Established patient office or other outpatient visit, typically 15 minutes	92	84	$112.00	$48.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	70	70	$255.50	$120.88
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	61	60	$314.00	$193.71
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	54	39	$222.00	$106.36
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	48	47	$667.50	$78.10
45378 Diagnostic exam of large bowel using a flexible endoscope	42	42	$884.25	$176.72
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	34	34	$884.25	$177.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$166.00	$72.05
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	23	23	$884.25	$179.65
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	21	21	$270.75	$82.83
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	21	21	$1185.75	$248.41
76937 Ultrasonic guidance for blood vessel access	16	16	$77.25	$14.04
47562 Removal of gallbladder using an endoscope	11	11	$1663.50	$592.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	118	32	$111.00	$76.16
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	114	113	$28.49	$13.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	112	92	$166.00	$81.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	68	57	$166.00	$80.25
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	64	63	$314.00	$211.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$255.50	$132.31
99213 Established patient office or other outpatient visit, typically 15 minutes	54	50	$112.00	$53.38
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	50	50	$667.50	$79.52
45378 Diagnostic exam of large bowel using a flexible endoscope	40	40	$884.25	$192.99
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	35	35	$884.25	$194.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$255.50	$131.12
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	26	26	$884.25	$200.43
99213 Established patient office or other outpatient visit, typically 15 minutes	25	25	$112.00	$52.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$166.00	$78.71
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	19	$222.00	$116.07
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	16	16	$270.75	$102.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	247	181	$166.36	$73.46
99213 Established patient office or other outpatient visit, typically 15 minutes	118	104	$112.00	$48.02
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	112	38	$111.00	$68.05
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	64	61	$314.00	$190.60
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	58	58	$667.50	$76.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$255.50	$120.23
45378 Diagnostic exam of large bowel using a flexible endoscope	39	39	$884.25	$166.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$166.00	$70.81
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	33	32	$884.25	$172.15
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	31	30	$1185.75	$244.01
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	22	22	$137.04	$11.69
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	22	22	$270.75	$115.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	18	$166.00	$74.04
93923 Complete ultrasound study of arm and leg arteries	14	14	$324.75	$19.94
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	12	12	$884.25	$175.76
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$222.00	$104.49

Medical Specialties & State Licenses

CMS Verified: 2023-10-11

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License AR C4953

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

104825001 (AR)

Hospital & Practice Group Affiliations

Jefferson Hospital Association, Inc

1609 W 40th Ave, Pine Bluff, AR 716036319

Phone: 8705344188

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners

Dr. Cyrus Tamboli , MD

Internal Medicine - Gastroenterology

NPI 1265420830

Doctor of Medicine (M.D.)

Dr. Leigh Robinson , MD

Surgery - Surgical Critical Care

NPI 1316331366

Doctor of Medicine (M.D.)

Dr. Mauro Taveras Alcantara , MD

Internal Medicine - Interventional Cardiology

NPI 1558898064

Doctor of Medicine (M.D.)

Madison Lim , MDMPH

Surgery

NPI 1649657198

Dr. Ashok Akula , MD

Internal Medicine - Cardiovascular Disease

NPI 1730491960

Doctor of Medicine (M.D.)

Dr. Irfan Qureshi , MD

Surgery - Surgical Critical Care

NPI 1881853133

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location October 11, 2023

Registered at 1609 W 40TH AVE STE 403, PINE BLUFF, AR 716036365 (Tel: 8705358280)

📍

Updated Business Mailing Address October 11, 2023

Registered at PO BOX 2650, PINE BLUFF, AR 716132650 (Tel: 8705417211)

✅

NPI Profile Active March 29, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 29, 2016

Registered at 1801 W 40TH AVE, SUITE 7B, PINE BLUFF, AR 716036900 (Tel: 8705358280)

📍

Updated Business Mailing Address March 29, 2016

Registered at 1801 W 40TH AVE, SUITE 7B, PINE BLUFF, AR 716036900 (Tel: 8705358280)

👤

Provider Name / Credentials Updated March 29, 2016

Recorded as CHARLES MABRY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2016

Surgery (License #C4953 in AR)

🟢

Initial NPI Registration & Enumeration October 07, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225026875

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 07, 2005

Last Update: October 11, 2023

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 2650

Pine Bluff, AR 716132650

Phone: 8705417211

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.