Active NPI 1184925513 Individual Practitioner Male Practitioner

Craig L. Hinkle , PA-C

Physician Assistant • Madison, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Craig Hinkle, PA-C is a certified Physician Assistant practicing in Madison, WI. With approximately 16 years of clinical experience since completing medical education in 2010, Craig Hinkle delivers high-quality medical care to the local community at 1211 FISH HATCHERY RD.

Craig Hinkle is affiliated with Dean Health Systems Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, injection, triamcinolone acetonide, not otherwise specified, 10 mg, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1211 Fish Hatchery Rd

Madison, WI 537151909

Telephone 6082528000

Fax 6082886495

Associated Practice Facility / Clinic

🏢 Dean Health Systems, Inc Facility NPI 1053358846

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Madison, WI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs +4.0 yrs vs City Avg

City Avg: 12.0 Yrs

State Avg: 14.1 Yrs

Regional Practice Density

397 Specialists

Practicing in Madison, WI (3517 Statewide)

Telehealth Adoption Rate

18.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

98.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hinkle (16 Years) 16 Yrs

Madison Specialty Average (12.0 Years) 12.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1010 Injection, methylprednisolone acetate, 1 mg	4,240	44	$0.75	$0.13
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	132	16	$5.00	$0.97
20610 Aspiration and/or injection of fluid from large joint	98	71	$620.50	$55.77
99213 Established patient office or other outpatient visit, typically 15 minutes	92	84	$256.00	$72.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$357.00	$88.56
27130 Replacement of thigh bone and hip joint with prosthesis	33	32	$11611.30	$156.89
27447 Replacement of knee joint, both sides of knee	22	22	$14240.00	$156.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	128	19	$5.00	$1.09
99213 Established patient office or other outpatient visit, typically 15 minutes	116	104	$235.49	$73.36
20610 Aspiration and/or injection of fluid from large joint	83	66	$628.31	$59.54
J1040 Injection, methylprednisolone acetate, 80 mg	63	43	$53.92	$11.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$336.00	$90.31
27447 Replacement of knee joint, both sides of knee	19	19	$14112.63	$160.09
27130 Replacement of thigh bone and hip joint with prosthesis	12	11	$13637.00	$163.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	63	44	$543.86	$59.46
J1040 Injection, methylprednisolone acetate, 80 mg	41	34	$37.00	$10.99
27447 Replacement of knee joint, both sides of knee	41	41	$14216.49	$160.11
27130 Replacement of thigh bone and hip joint with prosthesis	41	40	$15687.00	$162.14
99213 Established patient office or other outpatient visit, typically 15 minutes	35	30	$212.00	$74.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$314.00	$101.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	63	49	$481.59	$56.01
J1040 Injection, methylprednisolone acetate, 80 mg	63	43	$35.00	$10.64
99213 Established patient office or other outpatient visit, typically 15 minutes	57	42	$201.00	$74.32
27130 Replacement of thigh bone and hip joint with prosthesis	38	38	$15230.00	$162.78
0012A Adm sarscov2 100mcg/0.5ml2nd	37	37	$64.00	$26.74
27447 Replacement of knee joint, both sides of knee	34	34	$13473.00	$164.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$296.00	$91.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1040 Injection, methylprednisolone acetate, 80 mg	40	25	$35.00	$11.58
20610 Aspiration and/or injection of fluid from large joint	40	28	$484.90	$58.64
99213 Established patient office or other outpatient visit, typically 15 minutes	32	25	$191.00	$61.99
27130 Replacement of thigh bone and hip joint with prosthesis	28	28	$15064.00	$176.55
27447 Replacement of knee joint, both sides of knee	17	17	$13326.00	$176.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$281.00	$90.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1040 Injection, methylprednisolone acetate, 80 mg	62	36	$36.03	$12.02
20610 Aspiration and/or injection of fluid from large joint	50	38	$489.90	$57.67
99213 Established patient office or other outpatient visit, typically 15 minutes	34	28	$187.00	$61.17
27447 Replacement of knee joint, both sides of knee	24	24	$13326.00	$175.36
27130 Replacement of thigh bone and hip joint with prosthesis	20	20	$16925.00	$175.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$278.00	$89.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$273.00	$88.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1040 Injection, methylprednisolone acetate, 80 mg	119	70	$40.59	$12.95
20610 Aspiration and/or injection of fluid from large joint	91	72	$481.85	$60.12
99213 Established patient office or other outpatient visit, typically 15 minutes	80	59	$184.00	$61.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	29	$273.00	$87.86
27130 Replacement of thigh bone and hip joint with prosthesis	24	23	$16925.00	$182.23
27447 Replacement of knee joint, both sides of knee	16	16	$13326.00	$182.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$267.00	$91.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1040 Injection, methylprednisolone acetate, 80 mg	106	49	$38.94	$11.02
99213 Established patient office or other outpatient visit, typically 15 minutes	92	50	$180.00	$59.46
20610 Aspiration and/or injection of fluid from large joint	80	52	$491.55	$58.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	25	$267.00	$87.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$261.00	$82.84
27447 Replacement of knee joint, both sides of knee	12	11	$13326.00	$174.47

Medical Specialties & State Licenses

CMS Verified: 2022-02-11

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WI 2641-23

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1184925513 (WI)

Hospital & Practice Group Affiliations

Dean Health Systems Inc

130 Corporate Dr, Beaver Dam, WI 539163116

Phone: 9208773102

Dean Health Systems Inc

700 S Park St, Madison, WI 537151830

Phone: 6082516100

Dean Health Systems Inc

2840 Okeeffe Ave, Sun Prairie, WI 535907077

Phone: 6082298484

Dean Health Systems Inc

700 S Park St, Madison, WI 537151830

Phone: 6082602900

Dean Health Systems Inc

1211 Fish Hatchery Rd, Madison, WI 537151909

Phone: 6082528000

Dean Health Systems Inc

2850 Okeeffe Ave, Sun Prairie, WI 535907077

Phone: 6082822000

Dean Health Systems Inc

515 22nd Ave, Monroe, WI 535661569

Phone: 6083242000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Chandler Reinholtz , PT

Physical Therapist

NPI 1023787207

Physical Therapist

Dr. Yamil Arbaje , MD

Internal Medicine - Hematology & Oncology

NPI 1033162904

Doctor of Medicine (M.D.)

Ann Herrold-Peterson , LCSW

Social Worker - Clinical

NPI 1033175260

Licensed Clinical Social Worker

Dr. Katherine Moriarty , MD

Pediatrics

NPI 1043251440

Doctor of Medicine (M.D.)

Dr. Jason Isenberg , MD

Otolaryngology

NPI 1043262439

Doctor of Medicine (M.D.)

Jan Schubert , MA

Social Worker - Clinical

NPI 1043404692

Master of Arts

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events

📍

Updated Practice Location February 22, 2022

Registered at 1211 FISH HATCHERY RD, MADISON, WI 537151909 (Tel: 6082528000)

📍

Updated Business Mailing Address February 22, 2022

Registered at 1211 FISH HATCHERY RD, MADISON, WI 537151909 (Tel: 6082528000)

📍

Updated Practice Location October 30, 2019

Registered at 2501 W BELTLINE HWY STE 601, MADISON, WI 537132309 (Tel: 6082946464)

📍

Updated Business Mailing Address October 30, 2019

Registered at 1808 W BELTLINE HWY, MADISON, WI 537132334 (Tel: 6082501497)

✅

NPI Profile Active May 16, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location May 16, 2014

Registered at 3200 E RACINE ST, JANESVILLE, WI 535462343 (Tel: 6083718000)

📍

Updated Business Mailing Address May 16, 2014

Registered at 3200 E RACINE ST, JANESVILLE, WI 535462343 (Tel: 6083718000)

👤

Provider Name / Credentials Updated May 16, 2014

Recorded as CRAIG HINKLE, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2014

Physician Assistant (License #2641-23 in WI)

🟢

Initial NPI Registration & Enumeration November 17, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184925513

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 17, 2010

Last Update: February 22, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1211 Fish Hatchery Rd

Madison, WI 537151909

Phone: 6082528000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.