DR. CHARLES WAYNE GATES M.D.
NPI 1649263757
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Harrisonburg, VA
NPI Status: Active since August 24, 2005
Contact Information
3360 EMMAUS RD
HARRISONBURG, VA
ZIP 22801
Phone: (540) 433-9399
Fax: (540) 433-1395
- Individual
- Male
- Otolaryngology
- Otolaryngology/Facial Plastic Surgery
- PECOS Enrolled
- Medicare Quality Reporting
About CHARLES GATES
This page provides the complete NPI Profile along with additional information for Charles Gates, a provider established in Harrisonburg, Virginia with a medical specialization in Otolaryngology, focusing in otolaryngology/facial plastic surgery . The healthcare provider is registered in the NPI registry with number 1649263757 assigned on August 2005. The practitioner's primary taxonomy code is 207YX0905X with license number 0101037916 (VA). The provider is registered as an individual and his NPI record was last updated 14 years ago.
- NPI
- 1649263757
- Provider Name
- DR. CHARLES WAYNE GATES M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3360 EMMAUS RD HARRISONBURG, VA 22801
- Location Phone
- (540) 433-9399
- Location Fax
- (540) 433-1395
- Mailing Address
- 3360 EMMAUS RD HARRISONBURG, VA 22801
- Mailing Phone
- (540) 433-9399
- Mailing Fax
- (540) 433-1395
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-24-2005
- Last Update Date
- 11-03-2011
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Otolaryngology Otolaryngology/Facial Plastic Surgery
- Taxonomy Code
- 207YX0905X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 0101037916
- License State
- VA
- Taxonomy Description
- An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 462160 | OTHER (01) | VA | ANTHEM PROVIDER ID NUMBER |
| 00V109M44 | MEDICARE ID-TYPE UNSPECIFIED (04) | VA | MEDICARE ID NUMBER |
| 760713032 | OTHER (01) | VA | TAX ID NUMBER |
| B07954 | MEDICARE UPIN (02) | VA | |
| 006503403 | MEDICAID (05) | VA |
Medicare Participation & PECOS Enrollment Status
Charles Gates is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Destruction of precancer skin growth, 1 growth
Destruction of precancer skin growth, 2-14 growths
Established patient office or other outpatient visit, 10-19 minutes
Established patient office or other outpatient visit, 20-29 minutes
Incision biopsy, first skin growth
Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm
New patient office or other outpatient visit, 30-44 minutes
Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm
Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
This service was performed 39 times for 26 patientsThis procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
This service was performed 80 times for 15 patientsThis is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
This service was performed 33 times for 27 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 71 times for 58 patientsAn incision biopsy involves taking a small sample of a skin growth for further examination. A local anesthetic is used to numb the area, then a portion of the growth is removed using a surgical knife. This helps identify the nature of the growth.
This service was performed 30 times for 27 patientsThis procedure involves repairing a wound on the face, ears, eyelids, nose, lips, or mouth that measures between 2.6-5.0 cm. The process includes cleaning, suturing if necessary, and dressing the wound to promote healing and prevent infection.
This service was performed 22 times for 22 patientsThis procedure involves the repair of a wound between 2.6-7.5 cm located on the scalp, underarms, trunk, arms, or legs. The process includes cleaning, debridement (removal of damaged tissue), and suturing (stitching) of the wound to promote healing.
This service was performed 17 times for 15 patientsThis service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
This service was performed 53 times for 53 patientsThis procedure involves the careful removal of a small cancerous growth on the face, ears, eyelids, nose, lips, or mouth. It's a precise operation performed by a specialist to ensure complete removal of the cancer while preserving healthy tissue.
This service was performed 18 times for 17 patientsThis procedure involves the surgical removal of a cancerous skin growth on the face, ears, eyelids, nose, lips, or mouth. The growth is between 1.1-2.0 cm in size. This is done to prevent the cancer from spreading and to restore health.
This service was performed 28 times for 23 patientsQuality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Acute Otitis Externa (AOE): Topical Therapy | 100% | 35 |
| Percentage of patients aged 2 years and older with a diagnosis of AOE who were prescribed topical preparations | ||
| Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse) | 8% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 24 |
| Percentage of patients, aged 18 years and older, with a diagnosis of acute viral sinusitis who were prescribed an antibiotic within 10 days after onset of symptoms | ||
| Documentation of Current Medications in the Medical Record | 100% | 67 |
| Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
| Engagement of New Medicaid Patients and Follow-up | Yes | N/A |
| Seeing new and follow-up Medicaid patients in a timely manner, including individuals dually eligible for Medicaid and Medicare. A timely manner is defined as within 10 business days for this activity. | ||
| Improved Practices that Disseminate Appropriate Self-Management Materials | Yes | N/A |
| Provide self-management materials at an appropriate literacy level and in an appropriate language. | ||
| Initiate CDC Training on Antibiotic Stewardship | Yes | N/A |
| Completion of greater than 50 percent of the modules of the Centers for Disease Control and Prevention antibiotic stewardship course. Note: This activity may be selected once every 4 years, to avoid duplicative information given that some of the modules may change on a year by year basis, but over 4 years there would be a reasonable expectation for the set of modules to have undergone substantive change, for the improvement activities performance category score. | ||
| Pain Assessment and Follow-Up | 61% | 67 |
| Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present | ||
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 4 | 9 | 2 | 6 | 3 | 7 | 5 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 8 | 9 | 4 | 6 | 6 | 7 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 8 + 9 + 4 + 6 + 6 + 7 + 1 + 0 + 24 = 73 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 73 = 7 | 7 | ||||||||
The NPI number 1649263757 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1427266147 | MEADOWCREST ENT AND FACIAL COSMETIC CENTER Organization | Otolaryngology | 3360 EMMAUS RD HARRISONBURG, VA 22801 (540) 433-9399 |
| 1801218052 | CRYSTL D. WILLISON, MD PC Organization | Neurological Surgery | 3360 EMMAUS RD HARRISONBURG, VA 22801 (540) 433-9399 |
| 1356756704 | MOLLY REARDON LCSW Individual | Social Worker (Clinical) | 3360 EMMAUS RD ROCKINGHAM, VA 22801 (540) 437-1605 |
| 1760157507 | JARROD ALLEN JONES BCBA, LBA Individual | Behavior Analyst | 3360 EMMAUS RD ROCKINGHAM, VA 22801 (443) 629-5564 |
| 1326624735 | SANDRA HUBLER M.ED, BCBA, LBA Individual | Behavior Analyst | 3360 EMMAUS RD ROCKINGHAM, VA 22801 (540) 437-1605 |
| 1356024863 | SARAH VANDENBERG Individual | Behavior Analyst | 3360 EMMAUS RD ROCKINGHAM, VA 22801 (540) 437-1605 |
| 1053103093 | ERIN VOEGHTLY Individual | Behavior Analyst | 3360 EMMAUS RD ROCKINGHAM, VA 22801 (540) 437-1605 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649263757, enumerated in the NPI registry as an "individual" on August 24, 2005
The provider is located at 3360 Emmaus Rd Harrisonburg, Va 22801 and the phone number is (540) 433-9399
The provider's speciality is Otolaryngology with taxonomy code 207YX0905X with a focus in Otolaryngology/Facial Plastic Surgery
The provider might be accepting Accepts: Anthem Blue Cross, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
The most common procedures or services performed by this practitioner are: Destruction of precancer skin growth, 1 growth, Destruction of precancer skin growth, 2-14 growths, Established patient office or other outpatient visit, 10-19 minutes, Established patient office or other outpatient visit, 20-29 minutes, Incision biopsy, first skin growth, Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm, Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm, New patient office or other outpatient visit, 30-44 minutes, Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm and Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm.
This NPI record was last updated on August 24, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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