Active NPI 1306841341 Individual Practitioner Male Practitioner

Dr. Charles Waller , MD

General Practice • Benton, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Charles Waller, MD is a certified General Practice practicing in Benton, KY. With approximately 34 years of clinical experience since graduating from University Of Kentucky College Of Medicine in 1992, Dr. Waller delivers high-quality medical care to the local community at 218 BASS LN.

Dr. Waller is affiliated with Hospital Medicine Services Of Tennessee Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, emergency department visit with moderate level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

218 Bass Ln

Benton, KY 420255824

Telephone 2705563239

Fax 2703545865

Medicare Profile & Education

Medical School

University Of Kentucky College Of Medicine

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Benton, KY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs Matches City Avg

City Avg: 34.0 Yrs

State Avg: 32.1 Yrs

Regional Practice Density

1 Specialists

Practicing in Benton, KY (142 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

89.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Waller (34 Years) 34 Yrs

Benton Specialty Average (34.0 Years) 34.0 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
99285 Emergency department visit for life threatening or functioning severity	148	140	$1506.04	$165.39
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	86	81	$77.00	$7.56
99284 Emergency department visit with moderate level of medical decision making	59	57	$1029.53	$114.22
99283 Emergency department visit with low level of medical decision making	13	13	$664.00	$67.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	54	53	$1459.43	$168.59
99284 Emergency department visit with moderate level of medical decision making	30	29	$1000.00	$115.85
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	25	24	$75.16	$7.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	51	50	$1419.69	$171.38
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	29	29	$73.14	$7.89
99284 Emergency department visit with moderate level of medical decision making	22	22	$951.00	$118.29
99283 Emergency department visit with low level of medical decision making	17	17	$626.00	$69.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	21	20	$1362.95	$174.72
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	12	12	$71.17	$8.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	27	27	$1298.63	$170.73
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	14	14	$68.00	$8.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	86	84	$1224.21	$169.37
99284 Emergency department visit with moderate level of medical decision making	46	46	$812.87	$114.92
99283 Emergency department visit with low level of medical decision making	33	33	$491.91	$60.48
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	23	22	$64.28	$8.21
99291 Critical care, first 30-74 minutes	20	20	$1314.70	$205.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	167	157	$947.64	$166.80
99284 Emergency department visit with moderate level of medical decision making	113	110	$632.52	$112.66
99283 Emergency department visit with low level of medical decision making	80	76	$353.70	$59.82
99291 Critical care, first 30-74 minutes	61	57	$1198.50	$214.75
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	41	41	$57.41	$8.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	208	200	$1160.37	$166.70
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	165	154	$59.13	$8.15
99284 Emergency department visit with moderate level of medical decision making	100	98	$808.41	$113.17
99283 Emergency department visit with low level of medical decision making	68	63	$539.40	$59.36
99291 Critical care, first 30-74 minutes	44	44	$1407.59	$214.12

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License KY 29738

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License KY 29738

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

4047217 (TN)

Medicaid State Provider ID

64297385 (KY)

Hospital & Practice Group Affiliations

Hospital Medicine Services Of Tennessee Pc

360 Amsden Ave, Versailles, KY 403831286

Phone: 8598733111

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active February 01, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location February 01, 2017

Registered at 218 BASS LN, BENTON, KY 420255824 (Tel: 2705563239)

📍

Updated Business Mailing Address February 01, 2017

Registered at 218 BASS LN, BENTON, KY 420255824 (Tel: 2705563239)

👤

Provider Name / Credentials Updated February 01, 2017

Recorded as CHARLES WALLER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 01, 2017

Emergency Medicine (License #29738 in KY)

✅

NPI Profile Active June 01, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location June 01, 2015

Registered at 503 5TH AVE, CALVERT CITY, KY 420298250 (Tel: 2703955388)

📍

Updated Business Mailing Address June 01, 2015

Registered at PO BOX 1175, CALVERT CITY, KY 420291175 (Tel: 2703955388)

👤

Provider Name / Credentials Updated June 01, 2015

Recorded as CHARLES WALLER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 01, 2015

Emergency Medicine (License #29738 in KY)

🟢

Initial NPI Registration & Enumeration June 16, 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: 1306841341

Entity Type:

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

Enumeration Date: June 16, 2005

Last Update: February 01, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

218 Bass Ln

Benton, KY 420255824

Phone: 2705563239

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.