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Carleen J Acker , PA-C

Physician Assistant โ€ข Madison, WI

Active NPI 1447514773 Individual Practitioner Female Practitioner
Practice location in NPPES

752 N High Point Rd
Madison, WI 537172236

Call 6088244000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

752 N High Point Rd

Madison, WI 537172236

Telephone 6088244000
Fax 6088244945
Organization at the Same NPPES Address or Phone
Dean Health Systems, Inc. Facility NPI 1558372441

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare-allowed amount

About $50,319 in 2021

The total amount Medicare approved for these services in 2021. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2021.

Paid by Medicare

About $35,854 in 2021

The part of the Medicare-allowed amount that Medicare itself paid in 2021, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2021.

30-day fills

165 standardized 30-day fills in 2021

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

$6,763 in 2021

The total cost of these prescriptions in 2021, paid by Medicare drug plans, patients and other payers together.

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 โ€“ by Provider and Drug, 2021.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021โ€“2025.

Guide: How to read an Open Payments record

NPI first issued

2012

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, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

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.

Guide: How Medicare covers telehealth

Can order Medicare-covered services

CMS lists Carleen Acker as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Madison and Wisconsin

Billing and prescribing volume is not a quality rating.

Medicare Part B

Comparisons use 2024 data. The latest CMS data for Carleen Acker are from 2021.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Carleen Acker are from 2021.

396 active clinicians are listed under Physician Assistant with a practice address in Madison, WI (3,476 in Wisconsin).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Madison

18.7% of these 396 clinicians have the CMS telehealth indicator.

65.9% of these 396 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2021), CMS Medicare Part D Prescribers (2021), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2021.

CMS Part B ยท Data Year 2021
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2020 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2017โ€“2021; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths
399 103 $60.00 $5.44
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
194 180 $201.00 $75.08
17000 Destruction of precancer skin growth, 1 growth
163 148 $339.00 $45.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
90 80 $295.00 $106.68
17110 Destruction of skin growth, 1-14 growths
67 60 $564.00 $88.82
11102 Biopsy of related skin growth, first growth
41 40 $499.00 $79.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
38 36 $144.00 $45.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
18 18 $451.00 $131.12
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm
17 16 $607.00 $87.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
17 17 $296.00 $91.63
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
13 12 $102.00 $18.76

Source: CMS Part B by Provider and Service, 2021; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2021.

CMS Part D ยท Data Year 2021
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Fluorouracil Fluorouracil 36 854 $2,945.10 29
Triamcinolone Acetonide Triamcinolone Acetonide 30 924 $303.67 22
Betamethasone Valerate Betamethasone Valerate 24 656 $1,293.79 11
Hydrocortisone Hydrocortisone 18 418 $106.65 14
Ketoconazole Ketoconazole 16 402 $506.13 13
Betamethasone Diprop Augmented Betamethasone/Propylene Glyc 14 486 $849.66 โ€”
Metronidazole Metronidazole 11 365 $757.78 โ€”

Source: CMS Part D by Provider and Drug, 2021; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-10-23
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES WI 2981-23

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Wisconsin Department of Safety and Professional Services.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
1447514773 (WI)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

752 N High Point Rd

Madison, WI 537172236

Phone: 6088244000

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
NPI 1164866059

Doctor of Medicine (M.D.)

NPI 1487691788

Doctor of Medicine (M.D.)

Sara Anderson-Kim , APNP

Nurse Practitioner

NPI 1902057052

Advanced Practice Nurse Prescriber

NPI 1104169218

Doctor of Philosophy (Ph.D.)

Dr. Amr Badawi , MD

Internal Medicine

NPI 1740445857

Doctor of Medicine (M.D.)

NPI 1770534943

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
โœ…
NPI Profile Active December 18, 2017

NPI status registered as active in NPPES database

๐Ÿ“
Updated Business Mailing Address December 18, 2017

Registered at 1808 W BELTLINE HWY, MADISON, WI 537132334 (Tel: 6082804647)

๐Ÿ“
Updated Practice Location December 18, 2017

Registered at 752 N HIGH POINT RD, MADISON, WI 537172236 (Tel: 6088244000)

๐Ÿ‘ค
Provider Name / Credentials Updated December 18, 2017

Recorded as CARLEEN ACKER, PA-C

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 18, 2017

Physician Assistant (license number reported to NPPES: WI 2981-23)

โœ…
NPI Profile Active September 15, 2015

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) September 15, 2015

Registered at 752 N HIGH POINT RD, MADISON, WI 537172236 (Tel: 6088244000)

๐Ÿ“
Business Mailing Address (Initial Record) September 15, 2015

Registered at 752 N HIGH POINT RD, MADISON, WI 537172236 (Tel: 6088244000)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) September 15, 2015

Recorded as CARLEEN ACKER, PA-C

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 15, 2015

Physician Assistant (license number reported to NPPES: WI 2981-23)

๐ŸŸข
Initial NPI Registration & Enumeration July 02, 2012

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1447514773
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 02, 2012
Last Update: October 23, 2020
Sole Proprietor: No

Other Physician Assistants in Madison

All Physician Assistants in Madison

Mailing Address

1808 W Beltline Hwy

Madison, WI 537132334

Phone: 6082501497

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.