Active NPI 1134124951 Individual Practitioner Male Practitioner

Dr. Charles Alexander Prentice , MD

Specialist • Inverness, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Charles Prentice, MD is a certified Specialist practicing in Inverness, FL. With approximately 52 years of clinical experience since completing medical education in 1974, Dr. Prentice delivers high-quality medical care to the local community at 214 S PINE AVE.

Dr. Prentice accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, dialysis services, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

214 S Pine Ave

Inverness, FL 344524838

Telephone 3527269006

Associated Practice Facility / Clinic

🏢 Suncoast Gastroenterology Pa Facility NPI 1972820298

Medicare Profile & Education

Medical School

Other

Graduation Year

1974

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Inverness, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

52 Yrs Matches City Avg

City Avg: 52.0 Yrs

State Avg: 37.8 Yrs

Regional Practice Density

3 Specialists

Practicing in Inverness, FL (3036 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

30.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Prentice (52 Years) 52 Yrs

Inverness Specialty Average (52.0 Years) 52.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	374	152	$100.00	$92.95
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	130	129	$190.00	$186.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	88	57	$144.20	$132.21
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	69	11	$690.00	$355.23
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	65	44	$25.00	$17.09
99231 Follow-up hospital inpatient care per day, typically 15 minutes	56	14	$90.00	$51.88
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	36	11	$154.00	$123.34
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	22	22	$272.73	$227.11
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	16	$270.00	$179.62
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	18	13	$120.00	$54.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	417	182	$100.00	$89.92
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	162	160	$190.00	$178.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	102	65	$135.00	$127.30
99231 Follow-up hospital inpatient care per day, typically 15 minutes	55	16	$90.00	$50.71
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	32	15	$154.00	$120.40
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	24	16	$120.00	$51.54
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	17	$270.00	$175.44
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	19	19	$260.00	$220.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	403	195	$100.00	$91.13
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	192	183	$190.00	$181.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	142	93	$135.00	$128.41
99231 Follow-up hospital inpatient care per day, typically 15 minutes	49	17	$90.00	$39.32
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	40	16	$154.00	$103.07
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	19	$270.00	$199.79
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	22	22	$260.00	$224.27
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	21	15	$120.00	$52.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	489	214	$99.02	$91.85
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	202	197	$187.62	$181.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	141	95	$132.45	$129.19
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	57	19	$154.00	$104.90
99231 Follow-up hospital inpatient care per day, typically 15 minutes	55	21	$90.36	$38.98
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	30	23	$270.00	$203.54
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	30	20	$120.00	$53.03
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	22	22	$260.00	$225.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	422	217	$85.00	$75.78
90970 Dialysis services, per day, less than full month service (20 years or older)	415	12	$20.00	$8.34
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	233	218	$160.00	$148.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	198	111	$115.00	$109.92
99231 Follow-up hospital inpatient care per day, typically 15 minutes	125	21	$90.00	$40.71
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	88	11	$600.00	$292.75
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	44	18	$154.00	$107.14
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	40	21	$120.00	$53.77
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	38	26	$270.00	$208.37
99354 Prolonged office or other outpatient service first hour	26	26	$140.00	$133.04
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	24	24	$230.00	$211.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90970 Dialysis services, per day, less than full month service (20 years or older)	611	16	$20.00	$7.87
99213 Established patient office or other outpatient visit, typically 15 minutes	495	252	$85.00	$73.89
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	279	253	$160.00	$145.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	222	144	$115.00	$108.22
99231 Follow-up hospital inpatient care per day, typically 15 minutes	115	33	$90.00	$39.95
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	108	16	$600.00	$286.13
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	57	25	$154.00	$105.13
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	46	35	$270.00	$204.60
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	46	32	$120.00	$52.91
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	34	34	$230.00	$207.58
99354 Prolonged office or other outpatient service first hour	33	32	$140.00	$131.18
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	32	14	$45.00	$22.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90970 Dialysis services, per day, less than full month service (20 years or older)	778	19	$20.00	$8.63
99213 Established patient office or other outpatient visit, typically 15 minutes	521	269	$85.00	$78.33
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	280	261	$160.00	$157.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	245	144	$115.00	$116.35
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	139	37	$154.00	$115.97
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	128	18	$600.00	$312.59
99231 Follow-up hospital inpatient care per day, typically 15 minutes	117	33	$90.00	$43.74
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	57	42	$270.00	$225.89
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	49	27	$120.00	$58.36
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	33	33	$230.00	$219.36
99354 Prolonged office or other outpatient service first hour	32	32	$140.00	$139.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	588	287	$85.13	$71.96
90970 Dialysis services, per day, less than full month service (20 years or older)	285	11	$20.00	$7.78
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	283	261	$160.00	$142.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	263	164	$115.00	$105.85
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	119	15	$600.00	$261.58
99231 Follow-up hospital inpatient care per day, typically 15 minutes	91	19	$90.00	$39.46
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	88	27	$156.64	$104.59
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	58	58	$230.00	$206.01
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	47	31	$120.00	$53.03
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	37	27	$270.00	$203.34
99354 Prolonged office or other outpatient service first hour	29	29	$140.00	$129.36

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License FL ME038475

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

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

1 Associated Practitioners

Marlene Kramer , RD

Dietitian, Registered

NPI 1467601179

Registered Dietitian

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active February 09, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location February 09, 2012

Registered at 214 S PINE AVE, INVERNESS, FL 344524838 (Tel: 3527269006)

📍

Updated Business Mailing Address February 09, 2012

Registered at 214 S PINE AVE, INVERNESS, FL 344524838 (Tel: 3527269006)

👤

Provider Name / Credentials Updated February 09, 2012

Recorded as CHARLES PRENTICE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2012

Specialist (License #ME038475 in FL)

🟢

Initial NPI Registration & Enumeration June 17, 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: 1134124951

Entity Type:

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

Enumeration Date: June 17, 2005

Last Update: February 09, 2012

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

214 S Pine Ave

Inverness, FL 344524838

Phone: 3527269006

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.