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DR. CHARLES MICHAEL FRANKLIN M.D.
NPI 1477559243
Internal Medicine - Rheumatology in Lynchburg, VA

Active since June 24, 2005PECOS EnrolledAccepts Medicare Assignment
71.83/100
CMS Quality Rating
2405 ATHERHOLT ROAD, LYNCHBURG, VA 24501(434) 485-8517 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 4, 2026, Jul 25, 2024, Feb 6, 2020 and 3 more (6 updates tracked since 2017).

About Dr. Charles Michael Franklin M.d. NPPES

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

DR. CHARLES MICHAEL FRANKLIN M.D. (NPI 1477559243) is an individual rheumatology provider in Lynchburg, Virginia, licensed in Virginia (0101279754) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1477559243
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. CHARLES MICHAEL FRANKLINCredential: M.D.
Location Address2405 ATHERHOLT ROADLynchburg, VA 24501
Mailing Address2360 Maryland RdWillow Grove, PA 19090-1709 · (215) 657-6776 · Fax (267) 913-5962
Phone(434) 485-8517
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateJune 24, 2005
Last NPPES UpdateAugust 4, 20266 updates tracked since enumeration
NPPES CertifiedAugust 4, 2026
✔ NPI 1477559243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Licenses✔ Licensed in VA · 0101279754✔ Licensed in PA · MD027056E✔ Licensed in WI · 14981-320
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
2405 ATHERHOLT ROAD, Lynchburg, VA 24501
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11836 South AveLA Crosse, WI 54601-5429 · Phone (608) 782-7300
Location 2292 Saint Charles WayYork, PA 17402-4648 · Phone (717) 356-4250 · Fax (717) 812-6024
Location 32360 Maryland RdWillow Grove, PA 19090 · Phone (215) 657-6776 · Fax (267) 913-5961

Other Identifiers 4

Other0045840000PA · Keystone
Other51469PA · Aetna
Other660001122PA · United Healthcare
Other0754369002PA · Cigna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners.Insurance ›

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

Dr. Charles Michael Franklin M.d. 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 ID9931145711
PECOS Enrollment IDI20240903002963
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

4

Medicare enrollment records show Charles Franklin reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Orthovirginia, Inc.
Same address
Multi-Specialty
2405 ATHERHOLT RD
Lynchburg, VA 24501
  • Reassigned Medicare billing, Virginia enrollment
  • 407 clinicians in this Medicare group
NPI 1174558472 (434) 485-8500
Wellspan Medical Group
173 mi
Interventional Pain Medicine
17 WESTERN MARYLAND PKWY STE 100
Hagerstown, MD 21740
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3,080 clinicians in this Medicare group
NPI 1588249668 (301) 797-9240
Gundersen Lutheran Medical Center Inc
603 mi
Clinic/Center
6150 W LAYTON AVE
Milwaukee, WI 53220
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,457 clinicians in this Medicare group
NPI 1871222117 (608) 782-7300
Ochsner Clinic LLC
764 mi
General Practice
100 RED CROSS PL
Bogalusa, LA 70427
  • Reassigned Medicare billing, Louisiana enrollment
  • 4,559 clinicians in this Medicare group
NPI 1366797110 (985) 875-2828

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 24501 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

71.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.93
Promoting Interoperability100
Improvement Activities40
Cost38.17

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. THOMAS ELDON KNUTSON JR. D.O.
Orthopaedic Surgery
2405 ATHERHOLT ROAD
LYNCHBURG, VA 24501
Campbell County (434) 485-8517
PETER FRANKLIN HELVIE MD
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
2405 ATHERHOLT ROAD
LYNCHBURG, VA 24501
Campbell County (434) 485-8517
DR. HIROYUKI YOSHIHARA M.D., PH.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
2405 ATHERHOLT ROAD
LYNCHBURG, VA 24501
Campbell County (434) 485-8517
CAROLINE H WUST DPT
Physical Therapist
2405 ATHERHOLT ROAD
LYNCHBURG, VA 24501
Campbell County (434) 485-8517
DR. RUZBEH TOUSSI D.O
Pain Medicine (Pain Medicine)
2405 ATHERHOLT ROAD
LYNCHBURG, VA 24501
Campbell County (434) 485-8500

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 Franklin's NPI number?

The NPI number for Charles Franklin is 1477559243. It was assigned to this individual provider in the NPPES registry on June 24, 2005.

Where is Charles Franklin located?

Charles Franklin practices at 2405 Atherholt Road, Lynchburg, VA 24501. The listed phone number is (434) 485-8517.

What is Charles Franklin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Charles Franklin enrolled in Medicare?

Yes. Charles Franklin 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 Franklin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Franklin reassigns Medicare benefits to 4 organizations: Orthovirginia, Inc. (Lynchburg, VA), Wellspan Medical Group (Hagerstown, MD), Gundersen Lutheran Medical Center Inc (Milwaukee, WI) and Ochsner Clinic LLC (Bogalusa, LA). 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 Franklin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Franklin accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan and HealthPartners list Charles Franklin 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.

When was this NPI record last updated?

The NPPES record for Charles Franklin was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.