Deactivated NPI 1740251016 Deactivated / Inactive NPI Male Practitioner

Dr. Charles W Tanner , MD

Urology • Ruston, LA

⚠️

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, Dr. Charles Tanner has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 27, 2006

NPI Deactivation Date May 22, 2024

Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Charles Tanner, MD was a registered Urology practicing in Ruston, LA. Throughout an active medical career spanning 18 years, Dr. Tanner provided care at the practice location at 1200 S FARMERVILLE ST until profile deactivation on 2024-05-22.

Historical Medicare Part B clinical services included established patient outpatient office visit, leuprolide acetate (for depot suspension), 7.5 mg, injection beneath the skin or into muscle for therapy, diagnosis, or prevention. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1200 S Farmerville St

Ruston, LA 712705941

Telephone 3182553690

Associated Practice Facility / Clinic

🏢 Green Clinic Llc Facility NPI 1831178755

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Ruston, LA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 26.7 Yrs

Regional Practice Density

2 Specialists

Practicing in Ruston, LA (217 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.3% 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 (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	232	179	$143.34	$84.35
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	175	23	$993.00	$171.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	157	113	$196.54	$119.34
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	67	17	$41.00	$13.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$248.00	$156.39
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	57	23	$120.00	$30.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$175.00	$105.48
51798 Ultrasound measurement of bladder capacity after voiding	18	17	$130.00	$9.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	253	181	$135.00	$87.39
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	241	27	$993.00	$177.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	221	151	$161.00	$121.76
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	91	13	$41.00	$13.42
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	81	27	$120.00	$30.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	65	65	$248.00	$161.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$175.00	$105.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	29	$100.00	$54.49
51798 Ultrasound measurement of bladder capacity after voiding	21	14	$130.00	$9.12
74420 Imaging of urinary tract	14	12	$45.00	$24.42
52332 Insertion of stent in urinary duct (ureter) using an endoscope	13	11	$1500.00	$139.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	322	36	$993.00	$181.28
99213 Established patient office or other outpatient visit, typically 15 minutes	320	221	$111.29	$87.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	251	179	$161.35	$122.36
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	136	28	$41.00	$12.94
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	111	37	$120.00	$30.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	66	66	$248.00	$157.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	51	43	$98.55	$53.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$175.00	$108.61
52000 Diagnostic exam of bladder and urethra using an endoscope	21	18	$460.00	$211.82
74420 Imaging of urinary tract	18	13	$45.00	$23.79
52332 Insertion of stent in urinary duct (ureter) using an endoscope	18	14	$1372.22	$106.46
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	13	$75.00	$37.62
51798 Ultrasound measurement of bladder capacity after voiding	16	14	$130.00	$8.70
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$120.00	$70.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	372	41	$993.00	$222.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	368	241	$161.00	$103.70
99213 Established patient office or other outpatient visit, typically 15 minutes	157	117	$107.00	$70.75
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	131	42	$120.00	$29.29
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	109	22	$41.00	$12.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	88	88	$171.18	$103.75
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	48	44	$217.00	$138.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	23	$63.00	$43.28
51798 Ultrasound measurement of bladder capacity after voiding	31	22	$130.00	$9.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$248.00	$160.11
52000 Diagnostic exam of bladder and urethra using an endoscope	18	15	$460.00	$198.03
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	$312.00	$202.60
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	13	$75.00	$39.21
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$120.00	$72.97

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	411	279	$161.00	$103.19
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	329	37	$992.14	$224.78
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	198	38	$41.00	$15.66
99213 Established patient office or other outpatient visit, typically 15 minutes	177	133	$107.00	$70.65
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	112	38	$119.18	$28.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	85	85	$159.00	$103.66
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	67	61	$217.00	$139.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$248.00	$158.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	33	$63.00	$42.47
J1580 Injection, garamycin, gentamicin, up to 80 mg	36	17	$10.00	$1.78
51798 Ultrasound measurement of bladder capacity after voiding	35	28	$130.00	$11.16
99231 Follow-up hospital inpatient care per day, typically 15 minutes	30	22	$75.00	$38.78
99202 New patient office or other outpatient visit, typically 20 minutes	26	26	$120.00	$72.50
52332 Insertion of stent in urinary duct (ureter) using an endoscope	24	19	$1354.17	$109.75
74420 Imaging of urinary tract	24	22	$74.38	$24.67
99202 New patient office or other outpatient visit, typically 20 minutes	24	24	$120.00	$50.00
50590 Shock wave crushing of kidney stones	18	11	$2438.00	$538.19
99213 Established patient office or other outpatient visit, typically 15 minutes	17	15	$107.00	$50.54
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	17	13	$1928.00	$256.26
52000 Diagnostic exam of bladder and urethra using an endoscope	16	15	$460.00	$178.18
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	$312.00	$199.57
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	16	$115.00	$71.41
76872 Ultrasound scan of pelvic region through rectum	15	15	$316.00	$117.38
55700 Biopsy of prostate gland	15	15	$479.00	$237.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	12	$63.00	$25.19
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	14	14	$515.00	$53.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$159.00	$75.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	33,300	12	$0.10	$0.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	416	281	$161.00	$101.86
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	281	34	$984.84	$212.66
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	218	39	$41.00	$18.87
99213 Established patient office or other outpatient visit, typically 15 minutes	216	171	$107.00	$69.16
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	95	34	$119.04	$28.26
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	72	69	$217.00	$135.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$159.00	$100.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$248.00	$154.08
51798 Ultrasound measurement of bladder capacity after voiding	34	24	$130.00	$14.26
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	18	$75.00	$38.58
74420 Imaging of urinary tract	25	23	$45.00	$17.26
99202 New patient office or other outpatient visit, typically 20 minutes	23	23	$120.00	$49.64
J1580 Injection, garamycin, gentamicin, up to 80 mg	23	12	$10.00	$1.44
52332 Insertion of stent in urinary duct (ureter) using an endoscope	20	20	$1430.00	$130.05
50590 Shock wave crushing of kidney stones	16	13	$2438.00	$550.43
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	15	$115.00	$71.40
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$312.00	$199.70
76872 Ultrasound scan of pelvic region through rectum	11	11	$309.18	$89.50
55700 Biopsy of prostate gland	11	11	$478.64	$237.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	56,400	29	$0.10	$0.02
99213 Established patient office or other outpatient visit, typically 15 minutes	330	246	$107.00	$69.31
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	303	50	$41.00	$22.77
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	302	32	$993.00	$208.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	248	194	$161.00	$101.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	188	188	$159.00	$103.05
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	64	32	$120.00	$29.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	57	52	$63.00	$40.98
99231 Follow-up hospital inpatient care per day, typically 15 minutes	45	30	$75.00	$38.47
51798 Ultrasound measurement of bladder capacity after voiding	36	33	$130.00	$17.46
50590 Shock wave crushing of kidney stones	29	15	$2438.00	$512.16
74420 Imaging of urinary tract	27	25	$45.00	$17.21
J1580 Injection, garamycin, gentamicin, up to 80 mg	27	14	$10.00	$1.51
52332 Insertion of stent in urinary duct (ureter) using an endoscope	27	23	$1396.30	$118.28
99202 New patient office or other outpatient visit, typically 20 minutes	24	24	$120.00	$70.83
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	15	14	$575.00	$220.18
52000 Diagnostic exam of bladder and urethra using an endoscope	15	13	$460.00	$154.68
55700 Biopsy of prostate gland	11	11	$475.00	$234.24
76872 Ultrasound scan of pelvic region through rectum	11	11	$311.00	$87.66

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License LA 17879

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Paul Novakovich , MD

Orthopaedic Surgery

NPI 1023227683

Doctor of Medicine (M.D.)

Mary Cantrell , NP

Nurse Practitioner - Family

NPI 1063908135

Nurse Practitioner

Dr. Richard Ballard , MD

Orthopaedic Surgery

NPI 1073583613

Doctor of Medicine (M.D.)

Erin Lancaster , FNP-C

Nurse Practitioner - Family

NPI 1104399393

Family Nurse Practitioner (Certified)

Dr. Robert Harper , MD

Obstetrics & Gynecology

NPI 1154391605

Doctor of Medicine (M.D.)

Dr. George Smith , MD

Internal Medicine - Cardiovascular Disease

NPI 1164492484

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

⚠️

NPI Profile Deactivated May 22, 2024

Record deactivated on May 22, 2024

✅

NPI Profile Active October 16, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location October 16, 2009

Registered at 1200 S FARMERVILLE ST, RUSTON, LA 712705941 (Tel: 3182553690)

📍

Updated Business Mailing Address October 16, 2009

Registered at 1200 S FARMERVILLE ST, RUSTON, LA 712705941 (Tel: 3182553690)

👤

Provider Name / Credentials Updated October 16, 2009

Recorded as CHARLES TANNER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 16, 2009

Urology (License #17879 in LA)

🟢

Initial NPI Registration & Enumeration January 27, 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: 1740251016

Entity Type:

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

Enumeration Date: January 27, 2006

Last Update: October 16, 2009

Deactivation Date: May 22, 2024

Update or Correct Profile

Mailing Address

1200 S Farmerville St

Ruston, LA 712705941

Phone: 3182553690

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

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