1. Home
  2. Directory
  3. Wisconsin
  4. Milwaukee
  5. Physician Assistant
  6. NPI Profile

CHARLES D CLINE PA-C
NPI 1497782247
Physician Assistant in Milwaukee, WI

Active since June 27, 2006PECOS EnrolledAccepts Medicare Assignment
111 E WISCONSIN AVE, SUITE 2000, MILWAUKEE, WI 53202(414) 290-6720(414) 290-6755 Get Directions Write a Review

NPPES record last updated: February 13, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charles D Cline Pa-c NPPES

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

CHARLES D CLINE PA-C (NPI 1497782247) is an individual physician assistant in Milwaukee, Wisconsin, licensed in Wisconsin (713-023) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Froedtert South Inc., and is a graduate of Other (1992).

NPPES Registry Identity

NPI1497782247
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameCHARLES D CLINECredential: PA-C
Location Address111 E WISCONSIN AVE, SUITE 2000Milwaukee, WI 53202-4815
Mailing Address111 E Wisconsin Ave, Suite 2000Milwaukee, WI 53202-4815 · (414) 290-6720 · Fax (414) 290-6755
Phone(414) 290-6720
Fax(414) 290-6755
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateJune 27, 2006
Last NPPES UpdateFebruary 13, 2009
✔ NPI 1497782247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WI · 713-023
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
111 E WISCONSIN AVE, Milwaukee, WI 53202
Open in Google Maps ↗

Other Identifiers 6

Medicare UPINS33139
Medicaid42938900WI
Other970012480WI · Medicare Railroad
Other970012479WI · Medicare Railroad
Medicare ID-Type Unspecified0076-01400WI
Medicare ID-Type Unspecified0075-68655WI

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 D Cline Pa-c 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 ID6406932425
PECOS Enrollment IDI20080331000285
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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
111 services109 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
72 services72 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.
29 services29 patients
Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected 0241U
This test detects the RNA of respiratory viruses, including COVID-19, Influenza A, Influenza B, and Respiratory Syncytial Virus, in an upper respiratory specimen. The test result will report if each virus is detected or not, helping in accurate diagnosis.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Froedtert South Inc.

Acute Care Hospitals · Pleasant Prairie, WI
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number520021
Location9555 76th StPleasant Prairie, WI 53158 · Kenosha County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53202 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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
84%463 patients2/55-star benchmark: 100%
Elder Maltreatment Screen and Follow-Up Plan
Percentage of patients aged 65 years and older with a documented elder maltreatment screen using an Elder Maltreatment Screening Tool on the date of encounter AND a documented follow-up plan on the date of the positive screen
100%24 patients5/55-star benchmark: 100%
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.

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.

ADAM C ANKRUM D.O.
Emergency Medicine
111 E WISCONSIN AVE, SUITE 2000
MILWAUKEE, WI 53202
Milwaukee County (414) 290-6720
ROBERT J HALLOCK M.D.
Emergency Medicine
111 E WISCONSIN AVE, SUITE 2000
MILWAUKEE, WI 53202
Milwaukee County (414) 290-6720
ANDREA D GRANSEE APNP
Nurse Practitioner
111 E WISCONSIN AVE, SUITE 2000
MILWAUKEE, WI 53202
Milwaukee County (414) 290-6720
DR. ANDREW W HARRON D.O.
Radiology (Diagnostic Radiology)
111 E WISCONSIN AVE
MILWAUKEE, WI 53202
Milwaukee County (414) 290-6720
WILLIAM T TUCKER M.D.
Emergency Medicine
111 E WISCONSIN AVE
MILWAUKEE, WI 53202
Milwaukee County (414) 290-6720
TERRANCE L OTZELBERGER PA-C
Physician Assistant
111 E WISCONSIN AVE
MILWAUKEE, WI 53202
Milwaukee County (414) 290-6720
JENNIFER K EVANS CRNA
Nurse Anesthetist, Certified Registered
111 E WISCONSIN AVE, SUITE 2000
MILWAUKEE, WI 53202
Milwaukee County (414) 290-6720
JULIE A BURANOSKY M.D.
Emergency Medicine
111 E WISCONSIN AVE, SUITE 2000
MILWAUKEE, WI 53202
Milwaukee County (414) 290-6720

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 Cline's NPI number?

The NPI number for Charles Cline is 1497782247. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Charles Cline located?

Charles Cline practices at 111 E Wisconsin Ave Suite 2000, Milwaukee, WI 53202. The listed phone number is (414) 290-6720.

What is Charles Cline's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Charles Cline enrolled in Medicare?

Yes. Charles Cline 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.

Is Charles Cline affiliated with any hospitals?

According to CMS data, Charles Cline is affiliated with Froedtert South Inc..

When was this NPI record last updated?

The NPPES record for Charles Cline was last updated on February 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.