Jerald Dietrich Charles, PA-C
NPI 1396284154ActiveIndividual· Physician Assistant· Green Bay, WI
Physician Assistant (PA-C) with Baycare Aurora LLC, practicing in Green Bay, Wisconsin. 29 Medicare patients in 2024, $5,695 paid; nearly all of their 369 Part D prescriptions were generic (96%). Getinge USA Sales, LLC reported $425.48 in payments in 2024, mostly travel and lodging. Lists Aurora Baycare Medical Ctr as a hospital affiliation.
Overview
| NPI | 1396284154 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Feb 13, 2017 |
| Last updated in NPPES | Oct 16, 2026 |
| Certified by provider | Oct 16, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 4028-023 | WI |
| Physician Assistant, Surgical | 363AS0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 29 |
|---|---|
| Services billed | 91 across 23 procedure codes |
| Paid by Medicare | $5,695 |
Part D prescriptions in 2024
| Prescriptions (claims) | 369 · 409 30-day fills |
|---|---|
| Patients | 65 |
| Total drug cost | $7,958 |
| Generic share | 96% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Baycare Aurora LLCGreen Bay, WI · 194 clinicians
Hospital affiliation
- Aurora Baycare Medical CtrGreen Bay, WI
Industry payments (Open Payments)
- 2024$425.48 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Getinge USA Sales, LLC | $425.48 | 1 |
What the 2024 payments were for
- Travel and Lodging$425.48 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 184 physician assistants in Green Bay · All physician assistants in Wisconsin