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Charles Waller, MD

NPI 1306841341ActiveIndividual· General Practice· Benton, KY

General Practice (MD) in Benton, Kentucky, trained at University of Kentucky College of Medicine (class of 1992). 207 Medicare patients in 2024, $25,961 paid; nearly all of their 82 Part D prescriptions were generic (95%).

Overview

NPI1306841341
StatusActive
Entity typeIndividual
CredentialMD
Sole proprietorNo
NPI issuedJun 16, 2005
Last updated in NPPESFeb 1, 2017

Specialties and licenses

TaxonomyCodeLicenseState
General Practice Primary208D00000X29738KY
Emergency Medicine207P00000X29738KY

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - General Practice (KY)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients207
Services billed320 across 12 procedure codes
Paid by Medicare$25,961

Part D prescriptions in 2024

Prescriptions (claims)82 · 94 30-day fills
Patients70
Total drug cost$845.14
Generic share95% of claims

Medicare sources and data years

Education and affiliations

Medical schoolUniversity of Kentucky College of Medicine
Graduation year1992
Medicare specialtyGeneral Practice

Medical group

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records