CHARLES D WASHINGTON M.D.
NPI 1124058599
Emergency Medicine in Waupaca, WI

Q: What is Charles Washington's NPI number?

The NPI number for Charles Washington is 1124058599. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Q: What is Charles Washington's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Active since July 03, 2006PECOS EnrolledAccepts Medicare Assignment

800 RIVERSIDE DR, WAUPACA, WI 54981(715) 258-1000 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 13, 2025, Apr 21, 2021, Jan 11, 2021 (3 updates tracked since 2021).

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About Charles D Washington M.d. NPPES

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

CHARLES D WASHINGTON M.D. (NPI 1124058599) is an individual emergency medicine provider in Waupaca, Wisconsin, licensed in Wisconsin (53840-20) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Thedacare Regional Medical Center - Appleton Inc, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1124058599

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameCHARLES D WASHINGTONCredential: M.D.

Location Address800 RIVERSIDE DRWaupaca, WI 54981-1943

Mailing Address3 Neenah CtrNeenah, WI 54956-3070 · (715) 258-1000

Phone(715) 258-1000

Sole ProprietorNo

Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2000

Enumeration DateJuly 3, 2006

Last NPPES UpdateMay 13, 20253 updates tracked since enumeration

NPPES CertifiedMay 13, 2025

✔ NPI 1124058599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in WI · 53840-20

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License 036109776 (IL)

800 RIVERSIDE DR, Waupaca, WI 54981

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Secondary Practice Locations 3

Location 15666 East State StRockford, IL 61108-2472 · Phone (815) 226-2000 · Fax (815) 381-7582

Location 2620 W Brown StWaupun, WI 53963-1702 · Phone (920) 324-6522

Location 3430 E Division StFond Du Lac, WI 54935-4560 · Phone (920) 926-4600

Other Identifiers 1

Medicaid36109776IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).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 D Washington M.d. 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 ID1153329073

PECOS Enrollment IDI20100414000916

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 4

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

136 services130 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

129 services116 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

37 services36 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

28 services28 patients

Hospital Affiliations CMS Care Compare 3

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

Thedacare Regional Medical Center - Appleton Inc

Acute Care Hospitals · Appleton, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520160

Location1818 N Meade StAppleton, WI 54911 · Outagamie County

Emergency services Birthing friendly

Thedacare Medical Center - New London

Critical Access Hospitals · New London, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521326

Location1405 Mill StNew London, WI 54961 · Waupaca County

Emergency services

Berlin Memorial Hospital

Critical Access Hospitals · Berlin, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521355

Location225 Memorial DriveBerlin, WI 54923 · Green Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54981 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

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

THEDACARE MEDICAL CENTER - WAUPACA, INC.

General Acute Care Hospital (Critical Access)