DR. CHARLES JOHN HANSEN MD
NPI 1295229078
Orthopaedic Surgery in Wausau, WI

Active since June 15, 2018PECOS EnrolledAccepts Medicare Assignment
88.98/100
CMS Quality Rating
225000 HUMMINGBIRD RD STE 100, WAUSAU, WI 54401(715) 359-6442 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 1, 2024, Jul 18, 2023, Jun 15, 2018 (3 updates tracked since 2018).

About Dr. Charles John Hansen Md NPPES

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

DR. CHARLES JOHN HANSEN MD (NPI 1295229078) is an individual orthopaedic surgery provider in Wausau, Wisconsin, licensed in Wisconsin (82323-20) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Aspirus Wausau Hospital, and maintains a secondary practice location in Madison.

NPPES Registry Identity

NPI1295229078
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. CHARLES JOHN HANSENCredential: MD
Location Address225000 HUMMINGBIRD RD STE 100Wausau, WI 54401-2950
Mailing Address3048 Waunona WayMadison, WI 53713-2272 · (765) 438-1611
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2018
Enumeration DateJune 15, 2018
Last NPPES UpdateAugust 26, 20243 updates tracked since enumeration
NPPES CertifiedAugust 26, 2024
NPI 1295229078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in WI · 82323-20
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
225000 HUMMINGBIRD RD STE 100, Wausau, WI 54401

Secondary Practice Location 1

Location 13048 Waunona WayMadison, WI 53713-2272 · Phone (765) 438-1611

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

Dr. Charles John Hansen Md 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 ID8921359894
PECOS Enrollment IDI20230707000223
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.

Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047
This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.
25 services25 patients
Placement of stabilizing device to back of 1 spine bone in neck 22840
This procedure involves positioning a stabilizing device onto a single spinal bone in the neck. The goal is to provide support and prevent movement that could cause discomfort or further injury. It's performed by trained specialists under anesthesia.
15 services15 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
14 services13 patients
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048
This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.
13 services11 patients

Hospital Affiliations CMS Care Compare

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

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

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.

88.98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.38
Promoting Interoperability91
Improvement Activities40
Cost79.38

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.

Physician Assistant
225000 HUMMINGBIRD RD STE 100
WAUSAU, WI 54401
Orthopaedic Surgery
225000 HUMMINGBIRD RD STE 100
WAUSAU, WI 54401
Nurse Practitioner (Family)
225000 HUMMINGBIRD RD STE 100
WAUSAU, WI 54401
Orthopaedic Surgery
225000 HUMMINGBIRD RD STE 100
RIB MOUNTAIN, WI 54401
Physician Assistant
225000 HUMMINGBIRD RD STE 100
WAUSAU, WI 54401
Podiatrist
225000 HUMMINGBIRD RD STE 100
WAUSAU, WI 54401
Orthopaedic Surgery
225000 HUMMINGBIRD RD STE 100
WAUSAU, WI 54401
Physical Therapist
225000 HUMMINGBIRD RD STE 100
WAUSAU, WI 54401

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 Hansen's NPI number?

The NPI number for Charles Hansen is 1295229078. It was assigned to this individual provider in the NPPES registry on June 15, 2018.

Where is Charles Hansen located?

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

What is Charles Hansen's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Charles Hansen enrolled in Medicare?

Yes. Charles Hansen 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 Hansen accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and Security Health Plan list Charles Hansen 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 Hansen affiliated with any hospitals?

According to CMS data, Charles Hansen is affiliated with Aspirus Wausau Hospital.

When was this NPI record last updated?

The NPPES record for Charles Hansen was last updated on August 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.