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Deactivated NPI 1447320726 Deactivated / Inactive NPI Male Practitioner

Charles Hamilton Boone , PA-C

Physician Assistant - Surgical • Melbourne, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Charles Boone has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 08, 2006
NPI Deactivation Date March 06, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Charles Boone, PA-C was a registered Physician Assistant - Surgical practicing in Melbourne, FL. Throughout an active medical career spanning 19 years, Charles Boone provided care at the practice location at 301 E HIBISCUS BLVD until profile deactivation on 2025-03-06.

Historical Medicare Part B clinical services included removal of gallbladder using an endoscope. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

301 E Hibiscus Blvd

Melbourne, FL 329013105

Telephone 3214098941
Fax 3214099392
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Melbourne, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.6 Yrs
State Avg: 15.3 Yrs
Regional Practice Density
53 Specialists

Practicing in Melbourne, FL (1463 Statewide)

Telehealth Adoption Rate
5.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
90.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
47562 Removal of gallbladder using an endoscope
13 13 $901.00 $86.97

Medical Specialties & State Licenses

Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License FL PA3525

Definition to come...

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated March 06, 2025

Record deactivated on March 06, 2025

NPI Profile Active October 26, 2007

NPI status registered as active in NPPES database

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Updated Practice Location October 26, 2007

Registered at 301 E HIBISCUS BLVD, MELBOURNE, FL 329013105 (Tel: 3214098941)

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Updated Business Mailing Address October 26, 2007

Registered at PO BOX 1261, MELBOURNE, FL 329021261 (Tel: 3217772743)

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Provider Name / Credentials Updated October 26, 2007

Recorded as CHARLES BOONE, PA-C

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2007

Physician Assistant (License #PA3525 in FL)

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Initial NPI Registration & Enumeration November 08, 2006

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: 1447320726
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 08, 2006
Last Update: October 26, 2007
Deactivation Date: March 06, 2025

Mailing Address

Po Box 1261

Melbourne, FL 329021261

Phone: 3217772743

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

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