Charles M Milch , PA-C
Physician Assistant • Springfield, MA
271 Carew St
Springfield, MA 011042377
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on August 5, 2006; this date does not establish years in practice.
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Published CMS data list 79 Medicare Part D prescriptions, including refills, in 2022.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2022. Published rows only; this is not a quality measure.
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Published Part D records, 2022:
- Buprenorphine-Naloxone (Buprenorphine Hcl/Naloxone Hcl) — 22 prescription fills, including refills.
- Levothyroxine Sodium — 19 prescription fills, including refills.
- Lisinopril — 15 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2022. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 5 records in the table · Guide: How to read Medicare Part D prescriber data
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Medicare Part D prescriptions went from 126 in 2018 to 79 in 2022.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2018–2022.
Practice Location & Contact Primary Location
271 Carew St
Springfield, MA 011042377
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
30-day fills
126 standardized 30-day fills in 2022
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$3,737 in 2022
The total cost of these prescriptions in 2022, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2022.
Open Payments general payments, program year 2022
All general payments: $95.89 across 2 records.
By nature of payment
- Food and Beverage: $95.89 across 2 records.
Reporting-company totals
- GlaxoSmithKline, LLC.: $69.85 across 1 record.
- Janssen Pharmaceuticals, Inc: $26.04 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2022 (published June 30, 2026).
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Springfield and Massachusetts
Billing and prescribing volume is not a quality rating.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Charles Milch are from 2022.
172 active clinicians are listed under Physician Assistant with a practice address in Springfield, MA (4,715 in Massachusetts).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Springfield
9.3% of these 172 clinicians have the CMS telehealth indicator.
69.2% of these 172 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 37% from 126 in 2018 to 79 in 2022.
- 2018: 126
- 2019: 86
- 2020: 100
- 2021: 232
- 2022: 79
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30-day fills
30-day fills decreased 11% from 141 in 2018 to 126 in 2022.
- 2018: 141
- 2019: 102
- 2020: 100
- 2021: 353
- 2022: 126
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Part D drug cost
Part D drug cost decreased 56% from $8,577 in 2018 to $3,737 in 2022.
- 2018: $8,577
- 2019: $7,238
- 2020: $8,586
- 2021: $9,338
- 2022: $3,737
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $36.57 in 2021 to $95.89 in 2022.
- 2021: $36.57
- 2022: $95.89
Sources: CMS Medicare Part D Prescribers (2022), CMS Open Payments (2022), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2022 (payments made January 1 – December 31, 2022): fewer than 11 records totaling $95.89.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| GlaxoSmithKline, LLC. |
Food and Beverage
In-kind items and services
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SHINGRIX | General | $69.85 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
SPRAVATO | General | $26.04 |
Source: CMS Open Payments, program year 2022, released June 30, 2026.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2022.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Buprenorphine-Naloxone | Buprenorphine Hcl/Naloxone Hcl | 22 | 231 | $2,588.11 | — |
| Levothyroxine Sodium | Levothyroxine Sodium | 19 | 885 | $235.13 | — |
| Lisinopril | Lisinopril | 15 | 900 | $113.08 | — |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 12 | 810 | $653.49 | — |
| Metformin Hcl | Metformin Hcl | 11 | 510 | $147.19 | — |
Source: CMS Part D by Provider and Drug, 2022; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 363A00000X
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.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Emergency Medicine
Doctor of Medicine (M.D.)
Emergency Medicine
Doctor of Medicine (M.D.)
Emergency Medicine
Doctor of Medicine (M.D.)
Emergency Medicine
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant
Physician Assistant
Physician Assistant (Certified)
Career & Practice History
NPI enumerated August 05, 2006.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Physician Assistants in Springfield
- James Vreeland, PA
- Michayla Casella, PA-C
- Christin Wolak, PA-C
- Bernard Sanvie
- Jonathon Yee, PA-C
- Demetrios Sotiropoulos, PA-C
Mailing Address
271 Carew St
Springfield, MA 011042377
Phone: 4137489137