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CHARLES K MARTIN PA
NPI 1114101813
Physician Assistant in Wausau, WI

Active since December 18, 2007PECOS EnrolledAccepts Medicare Assignment
85.41/100
CMS Quality Rating
225000 HUMMINGBIRD RD STE 100, WAUSAU, WI 54401(715) 359-6442 Get Directions Write a Review

NPPES record last updated: June 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 17, 2021, Jun 10, 2021 (2 updates tracked since 2021).

About Charles K Martin Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES K MARTIN PA (NPI 1114101813) is an individual physician assistant in Wausau, Wisconsin, licensed in Wisconsin (3241-23) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS, is affiliated with Aspirus Rhinelander Hospital, and maintains a secondary practice location in Fort Wayne.

NPPES Registry Identity

NPI1114101813
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameCHARLES K MARTINCredential: PA
Location Address225000 HUMMINGBIRD RD STE 100Wausau, WI 54401-2950
Mailing Address225000 Hummingbird Rd Ste 100Wausau, WI 54401-2950 · (715) 359-6442
Phone(715) 359-6442
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateDecember 18, 2007
Last NPPES UpdateJune 17, 20212 updates tracked since enumeration
NPPES CertifiedJune 17, 2021
✔ NPI 1114101813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in WI · 3241-23✔ Licensed in IN · 10000978A
Definition
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.
225000 HUMMINGBIRD RD STE 100, Wausau, WI 54401
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Secondary Practice Location 1

Location 15050 N Clinton StFort Wayne, IN 46825-5822 · Phone (260) 484-8551 · Fax (260) 484-9603

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Charles K Martin Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193801413
PECOS Enrollment IDI20131204000442
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg J7318
Hyaluronan or derivative, Durolane, is a treatment injected directly into the joint to relieve pain and improve mobility. It's often used for arthritis in the knee. The substance works by supplementing your body's natural joint fluid to help lubricate and cushion the joint.
900 services12 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This 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.
125 services109 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
106 services85 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This 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.
78 services70 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This 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.
64 services64 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
48 services42 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Aspirus Rhinelander Hospital

Acute Care Hospitals · Rhinelander, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520019
Location2251 North Shore DrRhinelander, WI 54501 · Oneida County
Emergency services Birthing friendly

Aspirus Wausau Hospital

Acute Care Hospitals · Wausau, WI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number520030
Location333 Pine Ridge BlvdWausau, WI 54401 · Marathon County
Emergency services Birthing friendly

Howard Young Medical Center

Acute Care Hospitals · Woodruff, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520091
Location240 Maple StWoodruff, WI 54568 · Vilas County
Emergency services

Aspirus Tomahawk Hospital

Critical Access Hospitals · Tomahawk, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521313
Location401 W Mohawk Dr Suite 100Tomahawk, WI 54487 · Lincoln County
Emergency services

Aspirus Medford Hospital & Clinics, Inc

Critical Access Hospitals · Medford, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521324
Location135 S Gibson StMedford, WI 54451 · Taylor County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability89
Improvement Activities40
Cost71.55

Reported Quality Measures

Diabetes: Foot Exam
The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year
46%28 patients2/55-star benchmark: 98%
Documentation of Current Medications in the Medical Record
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.
97%2,359 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
94%369 patients4/55-star benchmark: 99%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
94%454 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
96%1,691 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
49%2,045 patients3/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
83%460 patients4/55-star benchmark: 90%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
93%253 patients5/55-star benchmark: 88%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
96%2,045 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
3%2,045 patients1/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 460 patients
4%460 patients4/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
5%2,045 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDSAY SUZANNE NOVAK PA-C
Physician Assistant
225000 HUMMINGBIRD RD STE 100
WAUSAU, WI 54401
Marathon County (715) 359-6442
ERIC THIEL MD
Orthopaedic Surgery
225000 HUMMINGBIRD RD STE 100
WAUSAU, WI 54401
Marathon County (715) 359-6442
BRADLEY A MUELLER APNP
Nurse Practitioner (Family)
225000 HUMMINGBIRD RD STE 100
WAUSAU, WI 54401
Marathon County (715) 359-6442
DR. MICAH LANDRY MACASKILL MD
Orthopaedic Surgery
225000 HUMMINGBIRD RD STE 100
RIB MOUNTAIN, WI 54401
Marathon County (715) 359-6442
PAUL T STROBEL DPM
Podiatrist
225000 HUMMINGBIRD RD STE 100
WAUSAU, WI 54401
Marathon County (715) 359-6442
DR. ROGER EUGENE GREGUSH DO
Orthopaedic Surgery
225000 HUMMINGBIRD RD STE 100
WAUSAU, WI 54401
Marathon County (800) 445-6442
ABIGAIL KUZAS PT
Physical Therapist
225000 HUMMINGBIRD RD STE 100
WAUSAU, WI 54401
Marathon County (715) 359-6442
ASHLEY HOPE BUTALLA PT
Physical Therapist
225000 HUMMINGBIRD RD STE 100
WAUSAU, WI 54401
Marathon County (715) 393-0479

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Martin's NPI number?

The NPI number for Charles Martin is 1114101813. It was assigned to this individual provider in the NPPES registry on December 18, 2007.

Where is Charles Martin located?

Charles Martin practices at 225000 Hummingbird Rd Ste 100, Wausau, WI 54401. The listed phone number is (715) 359-6442.

What is Charles Martin's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Charles Martin enrolled in Medicare?

Yes. Charles Martin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Charles Martin accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and Security Health Plan list Charles Martin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Charles Martin affiliated with any hospitals?

According to CMS data, Charles Martin is affiliated with Aspirus Rhinelander Hospital, Aspirus Wausau Hospital, Howard Young Medical Center, Aspirus Tomahawk Hospital and Aspirus Medford Hospital & Clinics, Inc.

When was this NPI record last updated?

The NPPES record for Charles Martin was last updated on June 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.