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CHARLES NICHOLAS EISENHAUER IV M.D.
NPI 1275775587
Surgery in Memphis, TN

Active since April 01, 2009PECOS Enrolled
6029 WALNUT GROVE RD STE 404, MEMPHIS, TN 38120(901) 726-1056 Get Directions Write a Review

NPPES record last updated: July 5, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 5, 2022, Mar 27, 2018, Mar 21, 2018 and 1 more (4 updates tracked since 2016).

About Charles Nicholas Eisenhauer Iv M.d. NPPES

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

CHARLES NICHOLAS EISENHAUER IV M.D. (NPI 1275775587) is an individual surgery provider in Memphis, Tennessee, licensed in Minnesota (71735) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS and maintains a secondary practice location in Bartlett.

NPPES Registry Identity

NPI1275775587
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameCHARLES NICHOLAS EISENHAUER IVCredential: M.D.
Location Address6029 WALNUT GROVE RD STE 404Memphis, TN 38120-2112
Mailing Address300 S Bruce StMarshall, MN 56258-1934 · (507) 537-9165
Phone(901) 726-1056
Sole ProprietorNo
Enumeration DateApril 1, 2009
Last NPPES UpdateJuly 5, 20224 updates tracked since enumeration
NPPES CertifiedJuly 5, 2022
✔ NPI 1275775587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in MN · 71735✔ Licensed in KY · P✔ Licensed in TN · 57079
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
6029 WALNUT GROVE RD STE 404, Memphis, TN 38120
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Secondary Practice Location 1

Location 13320 Marcus CvBartlett, TN 38134-2800 · Phone (901) 607-2934

Other Identifiers 4

Medicaid0148667OH
Other48491KY · Ky State License
Other57079TN · Tn State License
Medicaid7100133120KY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles Nicholas Eisenhauer Iv M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Charles Eisenhauer reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Saint Francis Physician Network, LLC
30 mi
Family Medicine
4501 MUELLER BRASS RD
Covington, TN 38019
  • Reassigned Medicare billing, Tennessee enrollment
  • 87 clinicians in this Medicare group
NPI 1295258002 (901) 872-3114
Avera Marshall
661 mi
Optometrist
702 10TH ST
Worthington, MN 56187
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1568401016 (Minnesota)
  • 260 clinicians in this Medicare group
NPI 1417378555 (507) 376-5535
Rural Health Care, Inc
662 mi
Federally Qualified Health Center (FQHC)
1216 RYANS RD STE 3
Worthington, MN 56187
  • Reassigned Medicare billing, Minnesota enrollment
  • 92 clinicians in this Medicare group
NPI 1215317375 (507) 372-6522

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38120 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

Reported Quality Measures

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.
98%57 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.
84%209 patients4/55-star benchmark: 97%
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…
97%209 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…
11%209 patients1/55-star benchmark: 89%
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.
23%209 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.

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 Eisenhauer's NPI number?

The NPI number for Charles Eisenhauer is 1275775587. It was assigned to this individual provider in the NPPES registry on April 1, 2009.

Where is Charles Eisenhauer located?

Charles Eisenhauer practices at 6029 Walnut Grove Rd Ste 404, Memphis, TN 38120. The listed phone number is (901) 726-1056.

What is Charles Eisenhauer's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Charles Eisenhauer enrolled in Medicare?

Yes. Charles Eisenhauer is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Charles Eisenhauer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Eisenhauer reassigns Medicare benefits to 3 organizations: Saint Francis Physician Network, LLC (Covington, TN), Avera Marshall (Worthington, MN) and Rural Health Care, Inc (Worthington, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charles Eisenhauer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Charles Eisenhauer was last updated on July 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.