CHARLES B DONOVAN MD
NPI 1124077912
Radiology - Diagnostic Radiology in Edina, MN

Active since May 09, 2006PECOS Enrolled
7505 METRO BLVD STE 400, EDINA, MN 55439(612) 573-2200(612) 573-2274 Get Directions Write a Review

NPPES record last updated: June 28, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charles B Donovan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES B DONOVAN MD (NPI 1124077912) is an individual diagnostic radiology provider in Edina, Minnesota, licensed in Minnesota (48603) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124077912
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameCHARLES B DONOVANCredential: MD
Location Address7505 METRO BLVD STE 400Edina, MN 55439
Mailing Address7505 Metro Blvd Ste 400Edina, MN 55439-3010 · (612) 573-2200 · Fax (612) 573-2274
Fax(612) 573-2274
Sole ProprietorNo
Enumeration DateMay 9, 2006
Last NPPES UpdateJune 28, 2018
NPI 1124077912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in MN · 48603
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
7505 METRO BLVD STE 400, Edina, MN 55439

Other Identifiers 14

Medicaid34864100WI
OtherP00327700MN · Railroad Medicare Mn
Medicaid0721050IA
Other16-04146MN · Medica
Other99112184WI · Wi Health Insurance Risk Sharing Plan
OtherP00327697WI · Railroad Medicare Wi
Other133042MN · Ucare
OtherHP63008MN · Healthpartners
Other2443230MN · America's Ppo
Other505P3DOMN · Blue Cross Blue Shield
Medicaid621966700MN
Other1046956MN · Preferred One
Other252817MN · Midlands Choice Inc
Other9103415MN · Phcs/multiplan

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Charles B Donovan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55439 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Vascular & Interventional Radiology)
7505 METRO BLVD STE 400
EDINA, MN 55439
Radiology (Diagnostic Radiology)
7505 METRO BLVD STE 400
EDINA, MN 55439
Radiology (Diagnostic Radiology)
7505 METRO BLVD STE 400
MINNEAPOLIS, MN 55439
Radiology (Diagnostic Radiology)
7505 METRO BLVD STE 400
EDINA, MN 55439
Radiology (Vascular & Interventional Radiology)
7505 METRO BLVD STE 400
EDINA, MN 55439
Radiology (Diagnostic Radiology)
7505 METRO BLVD STE 400
EDINA, MN 55439

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Donovan's NPI number?

The NPI number for Charles Donovan is 1124077912. It was assigned to this individual provider in the NPPES registry on May 9, 2006.

Where is Charles Donovan located?

Charles Donovan practices at 7505 Metro Blvd Ste 400, Edina, MN 55439. The listed phone number is (612) 573-2200.

What is Charles Donovan's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Charles Donovan enrolled in Medicare?

Yes. Charles Donovan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charles Donovan was last updated on June 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.