CMS-1500 Box 24J / 33a • NPI
1275969677
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363A00000X (CMS 97)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant
Box 32 Service Location & ZIP+4
269 PORTLAND WAY S, GALION, OH, 44833-2312
✓ 9-Digit EDI 837 ZIP+4 (44833-2312)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1275969677 (CHARLES ROBERT COLLIER, PA-C) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
No
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1275969677)
Medicare Beneficiaries
162
Total Billed Services
358
Distinct CPT/HCPCS Codes
26
Medicare Allowed Total
$27,029.57
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
36558 | Insertion of tunneled central venous tube for infusion (5 years or older) | 13 |
36561 | Insertion of central venous tube with port (5 years or older) | 28 |
38222 | Biopsy and aspiration of bone marrow sample for diagnosis | 14 |
49083 | Drainage of fluid from abdominal cavity using imaging guidance | 59 |
74230 | Imaging for evaluation of swallowing function | 58 |
77001 | Fluoroscopic guidance for insertion or removal of central vein access device | 59 |
77012 | Review by radiologist of ct guidance for needle placement | 14 |
99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 34 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1275969677 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | CHARLES ROBERT COLLIER, PA-C |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant NUCC Code: 363A00000X (Physician Assistant) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 269 PORTLAND WAY S, GALION, OH, 44833-2312 |
| Practice Telephone / Fax | Tel: (419) 468-0733 |
| Administrative Mailing Address | 332 CONGRESS PARK DR, DAYTON, OH, 45459-4133 |
| Enumeration & Last Sync | Enumerated: 2013-09-18 | CMS Record Updated: 2013-09-18 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363A00000X)
What Does Taxonomy Code 363A00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363A00000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (CHARLES ROBERT COLLIER, PA-C)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
363A00000X — Physician AssistantPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant | State: OH | License: 003838 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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