Active NPI 1821128778 Individual Practitioner Male Practitioner

Dr. Charles Derron Spikes , MD

Plastic Surgery • Tifton, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Charles Spikes, MD is a certified Plastic Surgery practicing in Tifton, GA. With approximately 22 years of clinical experience since graduating from Medical College Of Georgia School Of Medicine in 2004, Dr. Spikes delivers high-quality medical care to the local community at 907 18TH ST E.

Dr. Spikes is affiliated with Tift Regional Health System Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include punch biopsy, first skin growth, established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

907 18th St E
Ste 340

Tifton, GA 317943643

Telephone 2293913600

Associated Practice Facility / Clinic

🏢 Tifton Pathological Services Facility NPI 1225098551

Medicare Profile & Education

Medical School

Medical College Of Georgia School Of Medicine

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Tifton, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs Matches City Avg

City Avg: 22.0 Yrs

State Avg: 28.5 Yrs

Regional Practice Density

1 Specialists

Practicing in Tifton, GA (190 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

43.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Spikes (22 Years) 22 Yrs

Tifton Specialty Average (22.0 Years) 22.0 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
11104 Punch biopsy, first skin growth	32	24	$284.00	$109.38
99213 Established patient office or other outpatient visit, typically 15 minutes	30	19	$120.50	$84.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	19	$71.84	$52.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$178.92	$104.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$179.53	$119.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$280.00	$157.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11104 Punch biopsy, first skin growth	26	25	$271.27	$111.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$170.91	$105.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	17	$172.00	$118.19
99213 Established patient office or other outpatient visit, typically 15 minutes	18	17	$115.11	$85.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$267.36	$158.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$68.69	$53.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11104 Punch biopsy, first skin growth	42	37	$263.00	$114.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	28	$168.00	$120.75
99213 Established patient office or other outpatient visit, typically 15 minutes	28	25	$111.00	$85.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$166.00	$99.71
11105 Punch biopsy, each additional skin growth	24	15	$131.50	$55.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	18	$66.00	$52.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$258.00	$158.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11104 Punch biopsy, first skin growth	37	31	$263.00	$113.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	28	$168.00	$124.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$166.00	$107.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	23	$66.00	$53.28
99213 Established patient office or other outpatient visit, typically 15 minutes	23	20	$111.00	$87.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$258.00	$147.64
11105 Punch biopsy, each additional skin growth	16	11	$131.50	$57.18

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	49	35	$168.00	$105.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$166.00	$102.04
11104 Punch biopsy, first skin growth	39	34	$263.00	$116.00
11105 Punch biopsy, each additional skin growth	23	12	$131.50	$57.78
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$606.00	$194.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	15	$66.00	$41.25
99213 Established patient office or other outpatient visit, typically 15 minutes	16	11	$111.00	$72.55

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	61	45	$168.00	$104.92
11104 Punch biopsy, first skin growth	54	43	$263.00	$115.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$166.00	$104.54
11105 Punch biopsy, each additional skin growth	23	16	$131.50	$57.86
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	$427.82	$201.15
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	15	$273.00	$134.40
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	14	11	$704.00	$119.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	55	55	$166.00	$102.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	46	$168.00	$102.88
11100 Biopsy of single growth of skin and/or tissue	34	32	$263.00	$96.27
99213 Established patient office or other outpatient visit, typically 15 minutes	22	16	$111.00	$69.52
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	20	20	$326.00	$199.56
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	14	$273.00	$134.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$66.00	$41.50
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	14	14	$1680.00	$453.48
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	14	11	$451.00	$119.88

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	61	51	$168.00	$100.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$166.00	$100.89
11100 Biopsy of single growth of skin and/or tissue	44	41	$263.00	$94.16
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	35	35	$326.00	$197.88
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	32	26	$273.00	$137.56
99213 Established patient office or other outpatient visit, typically 15 minutes	22	13	$111.00	$69.19
17000 Destruction of skin growth	14	13	$203.00	$53.51
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	13	11	$451.00	$118.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$66.00	$40.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$258.00	$156.59

Medical Specialties & State Licenses

CMS Verified: 2020-12-01

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License GA 63537

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Hospital & Practice Group Affiliations

Tift Regional Health System Inc

907 18th St E, Tifton, GA 317943684

Phone: 2293913600

Practice Associates & Co-Workers

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

6 Associated Practitioners

Dr. William Pfister , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1104811280

Doctor of Medicine (M.D.)

Lee Brooks , LCSW

Social Worker - Clinical

NPI 1356778435

Licensed Clinical Social Worker

Dr. Sara Smith , MD

Specialist

NPI 1386608818

Doctor of Medicine (M.D.)

Dr. Norris Burton , MD

Family Medicine

NPI 1578558805

Doctor of Medicine (M.D.)

Elizabeth Smith , APRN

Nurse Practitioner - Adult Health

NPI 1790125813

Advanced Practice Registered Nurse

Jessica Hart , PA-C

Physician Assistant

NPI 1902871965

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active June 19, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location June 19, 2015

Registered at 907 18TH ST E, STE 340, TIFTON, GA 317943643 (Tel: 2293913600)

📍

Updated Business Mailing Address June 19, 2015

Registered at 907 18TH ST E, STE 340, TIFTON, GA 317943643 (Tel: 2293913600)

👤

Provider Name / Credentials Updated June 19, 2015

Recorded as CHARLES SPIKES, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2015

Plastic Surgery (License #63537 in GA)

🟢

Initial NPI Registration & Enumeration March 07, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1821128778

Entity Type:

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

Enumeration Date: March 07, 2007

Last Update: December 01, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

907 18th St E, Ste 340

Tifton, GA 317943643

Phone: 2293913600

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.