CHARLES LICK MD
NPI 1366419525
Emergency Medicine in Buffalo, MN

Q: What is Charles Lick's NPI number?

The NPI number for Charles Lick is 1366419525. It was assigned to this individual provider in the NPPES registry on March 7, 2006.

Q: What is Charles Lick's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Charles Lick was last updated on March 22, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 07, 2006PECOS EnrolledAccepts Medicare Assignment

83.53/100

CMS Quality Rating

303 CATLIN ST, BUFFALO HOSPITAL, BUFFALO, MN 55313(763) 684-7500(763) 684-7152 Get Directions Write a Review

NPPES record last updated: March 22, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Charles Lick Md NPPES

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

CHARLES LICK MD (NPI 1366419525) is an individual emergency medicine provider in Buffalo, Minnesota, licensed in Minnesota (31933) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Minnesota Medical School (1986).

NPPES Registry Identity

NPI1366419525

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameCHARLES LICKCredential: MD

Location Address303 CATLIN ST, BUFFALO HOSPITALBuffalo, MN 55313

Mailing Address5435 Feltl RdMinnetonka, MN 55343-7983 · (952) 835-9880 · Fax (952) 857-1554

Phone(763) 684-7500

Fax(763) 684-7152

Sole ProprietorNo

Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1986

Enumeration DateMarch 7, 2006

Last NPPES UpdateMarch 22, 2010

✔ NPI 1366419525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in MN · 31933

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.

303 CATLIN ST, Buffalo, MN 55313

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Other Identifiers 4

Medicaid832590100MN

Other31933MN · Medical License

Medicare ID-Type Unspecified930001855

Medicare UPINA95031

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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 Lick 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 ID9931164159

PECOS Enrollment IDI20050520000982

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 3

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.

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.

52 services51 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.

36 services36 patients

Bacterial colony count, urine 87086

A bacterial colony count, urine, is a laboratory test that checks a urine sample for bacteria. It helps to identify if an infection is present in the urinary system. High numbers of bacteria in the urine can indicate a urinary tract infection (UTI).

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55313 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

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.

83.53/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.79

Promoting Interoperability

100

Improvement Activities

Cost

63.31

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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.

ERIKA RENEE SCHILLA

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