Charles Crowell Pierce , PA
Physician Assistant • Tyler, TX
619 S Fleishel Ave Ste 305
Tyler, TX 757012004
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Charles Pierce is listed in NPPES under Physician Assistant.
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NPI assigned on April 22, 2006; this date does not establish years in practice.
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Published CMS data list 677 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- G2211 — Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's: 290 service units.
- 99214 — Established patient outpatient office visit: 287 service units.
- 95251 — Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report: 88 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 4 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 878 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Ozempic (Semaglutide) — 160 prescription fills, including refills.
- Mounjaro (Tirzepatide) — 110 prescription fills, including refills.
- Lantus Solostar (Insulin Glargine,hum.Rec.Anlog) — 84 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 22 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 65% of clinicians listed under Physician Assistant in Tyler, TX (2024, 66 clinicians with data). Median for this group: 376. Middle half: 164 to 966.
More Medicare Part B services than 75% of clinicians listed under Physician Assistant in Texas (2024, 4,400 clinicians with data). Median for this group: 211. Middle half: 76 to 593.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 471 in 2020 to 677 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
619 S Fleishel Ave Ste 305
Tyler, TX 757012004
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 4 distinct additional practice-address records in Tyler, TX. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Christus Trinity Clinic. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2005
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
240 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $30,417 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $23,691 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
1,649 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$671,442 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $97.04 across 2 records.
By nature of payment
- Food and Beverage: $57.08 across 1 record.
- Long term medical supply or device loan: $39.96 across 1 record.
Reporting-company totals
- CeQur Corporation: $57.08 across 1 record.
- Abbott Laboratories: $39.96 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
21 years (graduated 2005)
CMS Doctors and Clinicians data list 2005 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Charles Pierce has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Charles Pierce as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Tyler and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 65% of clinicians listed under Physician Assistant in Tyler, TX (2024, 66 clinicians with data). Median for this group: 376. Middle half: 164 to 966.
More Medicare Part B services than 75% of clinicians listed under Physician Assistant in Texas (2024, 4,400 clinicians with data). Median for this group: 211. Middle half: 76 to 593.
Medicare-allowed amount
Close to the middle for clinicians listed under Physician Assistant in Tyler, TX (2024, 66 clinicians with data). Median for this group: $26,434. Middle half: $10,594 to $57,835.
A higher Medicare-allowed amount than 70% of clinicians listed under Physician Assistant in Texas (2024, 4,400 clinicians with data). Median for this group: $15,434. Middle half: $6,111 to $35,691.
Paid by Medicare
Close to the middle for clinicians listed under Physician Assistant in Tyler, TX (2024, 66 clinicians with data). Median for this group: $19,779. Middle half: $7,945 to $41,751.
A higher Medicare payment amount than 70% of clinicians listed under Physician Assistant in Texas (2024, 4,400 clinicians with data). Median for this group: $11,276. Middle half: $4,395 to $26,238.
Medicare Part D prescriptions
More Part D prescriptions than 60% of clinicians listed under Physician Assistant in Tyler, TX (2024, 54 clinicians with data). Median for this group: 423. Middle half: 89 to 1,556.
More Part D prescriptions than 70% of clinicians listed under Physician Assistant in Texas (2024, 4,882 clinicians with data). Median for this group: 261. Middle half: 73 to 938.
Part D drug cost
A higher Part D drug cost than 85% of clinicians listed under Physician Assistant in Tyler, TX (2024, 54 clinicians with data). Median for this group: $6,587. Middle half: $944 to $211,662.
A higher Part D drug cost than 95% of clinicians listed under Physician Assistant in Texas (2024, 4,882 clinicians with data). Median for this group: $7,999. Middle half: $749 to $103,240.
98 active clinicians are listed under Physician Assistant with a practice address in Tyler, TX (11,008 in Texas).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Tyler
6.1% of these 98 clinicians have the CMS telehealth indicator.
65.3% of these 98 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 44% from 471 in 2020 to 677 in 2024.
- 2020: 471
- 2021: 441
- 2022: 385
- 2023: 388
- 2024: 677
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Medicare-allowed amount
Medicare-allowed amount increased 10% from $27,722 in 2020 to $30,417 in 2024.
- 2020: $27,722
- 2021: $33,249
- 2022: $28,402
- 2023: $28,332
- 2024: $30,417
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Paid by Medicare
Paid by Medicare increased 17% from $20,267 in 2020 to $23,691 in 2024.
- 2020: $20,267
- 2021: $24,708
- 2022: $21,180
- 2023: $20,789
- 2024: $23,691
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 1496% from 55 in 2020 to 878 in 2024.
- 2020: 55
- 2021: 39
- 2022: 35
- 2023: 68
- 2024: 878
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30-day fills
30-day fills increased 2898% from 55 in 2020 to 1,649 in 2024.
- 2020: 55
- 2021: 39
- 2022: 35
- 2023: 68
- 2024: 1,649
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Part D drug cost
Part D drug cost went from $453 in 2020 to $671,442 in 2024.
- 2020: $453
- 2021: $276
- 2022: $247
- 2023: $469
- 2024: $671,442
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $25.00 in 2023 to $97.04 in 2025.
- 2023: $25.00
- 2024: $123.27
- 2025: $97.04
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $97.04.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| CeQur Corporation |
Food and Beverage
Cash or cash equivalent
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CeQur Simplicity | General | $57.08 |
| Abbott Laboratories |
Long term medical supply or device loan
In-kind items and services
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FREESTYLE INSULINX | General | $39.96 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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G2211
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
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290 | 232 | $21.24 | $13.79 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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287 | 228 | $289.00 | $80.84 |
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95251
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report
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88 | 77 | $120.00 | $29.02 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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12 | 11 | $204.00 | $55.22 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Ozempic | Semaglutide | 160 | 8,069 | $244,450.43 | 60 |
| Mounjaro | Tirzepatide | 110 | 4,200 | $146,589.14 | 41 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 84 | 5,652 | $11,447.34 | 37 |
| Levothyroxine Sodium | Levothyroxine Sodium | 79 | 5,804 | $610.35 | 42 |
| Jardiance | Empagliflozin | 76 | 4,246 | $78,426.14 | 35 |
| Trulicity | Dulaglutide | 66 | 2,632 | $83,626.98 | 23 |
| Farxiga | Dapagliflozin Propanediol | 53 | 2,489 | $44,084.24 | 22 |
| Metformin Hcl Er | Metformin Hcl | 32 | 2,760 | $494.31 | 20 |
| Januvia | Sitagliptin Phosphate | 22 | 900 | $15,853.23 | — |
| Nano 2nd Gen Pen Needle | Pen Needle, Diabetic | 21 | 1,058 | $1,695.97 | — |
| Novolog Flexpen | Insulin Aspart | 19 | 990 | $3,881.38 | — |
| Glimepiride | Glimepiride | 18 | 1,260 | $480.89 | — |
| Metformin Hcl | Metformin Hcl | 18 | 1,515 | $107.89 | 11 |
| Humalog Kwikpen U-100 | Insulin Lispro | 18 | 1,062 | $6,060.92 | 13 |
| Lisinopril | Lisinopril | 14 | 1,260 | $96.88 | — |
| Tresiba Flextouch U-200 | Insulin Degludec | 14 | 473 | $9,408.63 | — |
| Gabapentin | Gabapentin | 13 | 750 | $229.46 | — |
| Amlodipine Besylate | Amlodipine Besylate | 13 | 1,170 | $67.82 | — |
| Tresiba Flextouch U-100 | Insulin Degludec | 13 | 793 | $12,833.43 | — |
| Ezetimibe | Ezetimibe | 12 | 900 | $464.00 | — |
| Fiasp Flextouch | Insulin Aspart (Niacinamide) | 12 | 423 | $9,086.91 | — |
| Novolog Mix 70-30 Flexpen | Insulin Aspart Prot/Insuln Asp | 11 | 345 | $1,445.36 | — |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2025-01-29NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20080605000073
TX
1557396264
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Christus Trinity Clinic
2001 W Ferguson Rd, Mt Pleasant, TX 754552962
Phone: 9036067480
Christus Trinity Clinic
650 E Lennon Dr, Emory, TX 754403227
Phone: 9034737234
Christus Trinity Clinic
Po Box, Dallas, TX 752846098
Christus Trinity Clinic
3203 S Main St, Lindale, TX 757717727
Phone: 9032664000
Christus Trinity Clinic
620 S Fleishel Ave, Tyler, TX 757012041
Phone: 9036064900
Christus Trinity Clinic
630 S Fleishel Ave, Tyler, TX 757012041
Phone: 9036065560
Christus Trinity Clinic
5321 S Fm, Holly Lake Ranch, TX 757654839
Phone: 9037692990
Christus Trinity Clinic
1720 S Beckham Ave, Tyler, TX 757014464
Christus Trinity Clinic
1302 N Pacific St, Mineola, TX 757731022
Phone: 9035695383
Christus Trinity Clinic
1327 Troup Hwy, Tyler, TX 757014443
Phone: 9035108764
Christus Trinity Clinic
18780 Interstate 20, Canton, TX 751033593
Phone: 9035674841
Christus Trinity Clinic
105 Zeid Blvd, Henderson, TX 756526070
Phone: 9035952283
Secondary Practice Locations
3131 Troup Hwy
Tyler, TX 757018350
Phone: 9035107006
619 S Fleishel Ave Ste 327
Tyler, TX 757012019
Phone: 9036061173
910 E Houston St Ste 330
Tyler, TX 757028368
Phone: 9036067995
1327 Troup Hwy
Tyler, TX 757014443
Phone: 9036061173
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Internal Medicine - Endocrinology, Diabetes & Metabolism
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 619 S FLEISHEL AVE STE 305, TYLER, TX 757012004 (Tel: 9036061173)
NPI status registered as active in NPPES database
Registered at 3131 TROUP HWY, TYLER, TX 757018350 (Tel: 9035107006)
Registered at PO BOX 846098, DALLAS, TX 752846098 (Tel: 9033246450)
Recorded as CHARLES PIERCE, PA
Physician Assistant (license number reported to NPPES: TX PA05595)
NPI status registered as active in NPPES database
Registered at 3131 TROUP HWY, TYLER, TX 757018350 (Tel: 9035107006)
Registered at PO BOX 846098, DALLAS, TX 752846098 (Tel: 9033246450)
Recorded as CHARLES PIERCE, PA
Physician Assistant (license number reported to NPPES: TX PA05595)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Tyler
- Megan Followwell, PA-C
- Scott Phillips, PA-C
- Ashton Wince, PA-C
- Charlie Wood, PA
- Lindy Dolan, PA-C
- Matthew Hand, PA-C
More public profiles in Texas
Directory navigation, in NPI number order.
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- Austin Gray, DDS Dentist - Oral and Maxillofacial Surgery · Midland
- Avinash Narine, MD, MPH Family Medicine · Houston
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- Al Molai, PA-C Physician Assistant · Dallas
- Megan Dwyer, MD Emergency Medicine · Dallas
- Amy Patel, PA-C Physician Assistant · Houston
- Shaheryar Siddiqui, MD Internal Medicine - Gastroenterology · Sugar Land
- Vanessa Pickard, PA-C Physician Assistant · Allen
- Kevin Schulz, MD Emergency Medicine · Houston
- Brandon Brugler, DDS Dentist - General Practice · Hurst
- Theresa Ross, RN, MSN FNP-BC Nurse Practitioner - Family · Amarillo
Mailing Address
Po Box 846098
Dallas, TX 752846098
Phone: 9033246450