CRAIG L. HINKLE PA-C
NPI 1184925513
Physician Assistant in Madison, WI

Active since November 17, 2010PECOS EnrolledAccepts Medicare Assignment
1211 FISH HATCHERY RD, MADISON, WI 53715(608) 252-8000(608) 288-6495 Get Directions Write a Review

NPPES record last updated: February 22, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 22, 2022, Nov 23, 2020, Oct 30, 2019 (3 updates tracked since 2019).

About Craig L. Hinkle Pa-c NPPES

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

CRAIG L. HINKLE PA-C (NPI 1184925513) is an individual physician assistant in Madison, Wisconsin, licensed in Wisconsin (2641-23) and active in the NPI registry since November 2010. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital - Madison, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1184925513
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameCRAIG L. HINKLECredential: PA-C
Location Address1211 FISH HATCHERY RDMadison, WI 53715-1909
Mailing Address1211 Fish Hatchery RdMadison, WI 53715-1909 · (608) 252-8000 · Fax (608) 288-6495
Fax(608) 288-6495
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateNovember 17, 2010
Last NPPES UpdateFebruary 22, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2022
NPI 1184925513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WI · 2641-23
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.

1211 FISH HATCHERY RD, Madison, WI 53715

Other Identifiers 1

Medicaid1184925513WI

Accepted 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

Craig L. Hinkle Pa-c 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 ID5193906345
PECOS Enrollment IDI20110222000749
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 6

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
132 services16 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.
98 services71 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.
92 services84 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.
36 services36 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
33 services32 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
22 services22 patients

Hospital Affiliations CMS Care Compare

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

Ssm Health St Mary's Hospital - Madison

Acute Care Hospitals · Madison, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520083
Location700 South Park StMadison, WI 53715 · Dane County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53715 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.

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.

Physical Therapist
1211 FISH HATCHERY RD
MADISON, WI 53715
Registered Nurse (Ambulatory Care)
1211 FISH HATCHERY RD
MADISON, WI 53715
Pediatrics
1211 FISH HATCHERY RD
MADISON, WI 53715
Otolaryngology
1211 FISH HATCHERY RD
MADISON, WI 53715
Dietitian, Registered
1211 FISH HATCHERY RD
MADISON, WI 53715
Allergy & Immunology
1211 FISH HATCHERY RD
MADISON, WI 53715
Physician Assistant
1211 FISH HATCHERY RD
MADISON, WI 53715
Pharmacist
1211 FISH HATCHERY RD
MADISON, WI 53715

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 Craig Hinkle's NPI number?

The NPI number for Craig Hinkle is 1184925513. It was assigned to this individual provider in the NPPES registry on November 17, 2010.

Where is Craig Hinkle located?

Craig Hinkle practices at 1211 Fish Hatchery Rd, Madison, WI 53715. The listed phone number is (608) 252-8000.

What is Craig Hinkle's specialty?

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

Is Craig Hinkle enrolled in Medicare?

Yes. Craig Hinkle 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 Craig Hinkle accept?

Health plans from Anthem Blue Cross and Blue Shield list Craig Hinkle 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 Craig Hinkle affiliated with any hospitals?

According to CMS data, Craig Hinkle is affiliated with Ssm Health St Mary's Hospital - Madison.

When was this NPI record last updated?

The NPPES record for Craig Hinkle was last updated on February 22, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.