Charles Abe Andersen
NPI 1639149479ActiveIndividual· Surgery, Vascular Surgery· Tacoma, WA
Surgery, Vascular Surgery in Tacoma, Washington, licensed in UT, with an NPI issued in January 2006. Enrolled in Medicare as order and referring only - vascular surgery. Kerecis Limited reported $316.92 in payments in 2025, mostly education.
Overview
| NPI | 1639149479 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jan 24, 2006 |
| Last updated in NPPES | Aug 26, 2020 |
| Certified by provider | Aug 26, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Vascular Surgery Primary | 2086S0129X | 151353-1205 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - Vascular Surgery (UT) |
|---|
Industry payments (Open Payments)
- 2025$316.92 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Kerecis Limited | $316.92 | 1 |
What the 2025 payments were for
- Education$316.92 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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