CHARLES D WASHINGTON (M.D.) – Emergency Medicine Physician, NPI 1124058599
Emergency Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
2,847 EMERGENCY MEDICINE in IL
Provider Addresses for CHARLES D WASHINGTON (M.D.)
5666 East State St
Rockford, IL 611082472
Phone: (815) 226-2000
Fax: (815) 381-7582
Type: Location
430 E Division St
Fond Du Lac, WI 549354560
Phone: (920) 926-4600
Type: Location
620 W Brown St
Waupun, WI 539631702
Phone: (920) 324-6522
Type: Location
5666, East State Street, Rockford, Rockford Township, Winnebago County, Illinois, 61108, United States
ROCKFORD, IL 611082472
Phone: (815) 226-2000
Fax: (815) 381-7582
Type: Mailing
3 NEENAH CTR
NEENAH, WI 549563070
Phone: (715) 258-1000
Type: Mailing
800 RIVERSIDE DR
WAUPACA, WI 549811943
Phone: (715) 258-1000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-04-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100414000916 | I | Emergency Medicine | WI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 196 | 189 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 150 | 138 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 49 | 49 | $0 |
| 99291 | Critical care, first 30-74 minutes | 40 | 40 | $0 |
Insurance plans in this area (ZIP 61108)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | WI | |
| Emergency Medicine | WI | |
| Emergency Medicine | WI | |
| Emergency Medicine | WI | |
| Emergency Medicine | WI | |
| Emergency Medicine | WI | |
| Emergency Medicine | WI | |
| Emergency Medicine | WI |
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