Doctor profile · Federal record
Dr. Charles Waller, MD
General Practice Physician · Emergency Medicine Physician · Benton, KY
- NPI 1306841341
- 21 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
218 Bass Ln
Benton, KY 420255824
(270) 556-3239
fax (270) 354-5865
Credentials & registration
- NPI registered
- June 2005 — 21 yrs on file
- Profile last updated
- February 1, 2017
- Specialty taxonomy
- 208D00000X — NUCC code
- State license (1)
- Kentucky #29738
- Medicaid (2)
- TN #4047217 · KY #64297385
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1306841341. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
109
Distinct HCPCS
3
Medicare allowed
$12,772
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99285 |
Emergency department visit with high level of medical decision making | 54 | 53 | $169 | |
99284 |
Emergency department visit with moderate level of medical decision making | 30 | 29 | $116 | |
93010 |
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 25 | 24 | $8 |
In context: peer comparison
Among 1 peers in Benton General Practice Physician, average services per provider: 36. This provider delivers 3.0× the peer median.Frequently asked questions
What is Dr. Charles Waller's medical specialty?
Dr. Charles Waller practices General Practice Physician in Benton, KY.
Where does Dr. Charles Waller practice?
Dr. Charles Waller practices at 218 Bass Ln, Benton, KY 420255824. Office phone: 2705563239.
What is Dr. Charles Waller's NPI?
Dr. Charles Waller's National Provider Identifier (NPI) is 1306841341, issued by NPPES.
What procedures does Dr. Charles Waller commonly perform?
Top Medicare-reported procedures in 2023: Emergency department visit with high level of medical decision making (HCPCS 99285); Emergency department visit with moderate level of medical decision making (HCPCS 99284); Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS 93010). Source: CMS Medicare Physician & Other Practitioners file.