CHARLES LICK MD
NPI 1366419525
Emergency Medicine in Buffalo, MN
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
Specialties & Licenses
Other Identifiers 4
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Charles Lick reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Buffalo, MN 55313
- Reassigned Medicare billing, Minnesota enrollment
- 2,609 clinicians in this Medicare group
Golden Valley, MN 55416
- Reassigned Medicare billing, Minnesota enrollment
- 328 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
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.
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 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.
Where is Charles Lick located?
Charles Lick practices at 303 Catlin St Buffalo Hospital, Buffalo, MN 55313. The listed phone number is (763) 684-7500.
What is Charles Lick's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Charles Lick enrolled in Medicare?
Yes. Charles Lick 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.
Which organizations bill Medicare for Charles Lick's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Charles Lick reassigns Medicare benefits to 2 organizations: Allina Health System (Buffalo, MN) and Emergency Physicians Professional Association (Golden Valley, 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 Lick'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 Lick was last updated on March 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Charles Lick, MD · NPI 1366419525
Emergency Medicine physician in Buffalo, Minnesota. Individual provider, active in the CMS NPPES registry since March 7, 2006.
## Identity
- **NPI:** 1366419525 (Entity type: Individual)
- **Enumerated:** March 7, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 31933 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 303 CATLIN ST, BUFFALO HOSPITAL, Buffalo, MN 55313
- **Phone:** (763) 684-7500 · **Fax:** (763) 684-7152
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Allina Health System (NPI 1295272342, Buffalo, MN); Emergency Physicians Professional Association (NPI 1750188488, Golden Valley, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Minnesota Medical School, class of 1986
## Record status
- **NPPES last updated:** March 22, 2010
- **Other identifiers:** Medicaid 832590100 (MN); Other 31933 (MN); Medicare ID-Type Unspecified 930001855; and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1366419525) · Data from the CMS NPPES public registry.