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SUSAN A CHARBONEAU MD
NPI 1194773275
Surgery in Madison, WI

Active since May 04, 2006PECOS EnrolledAccepts Medicare Assignment
700 S PARK ST, DEAN MEDICAL CENTER, MADISON, WI 53715(608) 260-2900(608) 260-2976 Get Directions Write a Review

NPPES record last updated: October 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 12, 2021, Nov 5, 2020 (2 updates tracked since 2020).

About Susan A Charboneau Md NPPES

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

SUSAN A CHARBONEAU MD (NPI 1194773275) is an individual surgery provider in Madison, Wisconsin, licensed in Wisconsin (43538-020) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Clare Hospital - Baraboo, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (1996).

NPPES Registry Identity

NPI1194773275
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameSUSAN A CHARBONEAUCredential: MD
Location Address700 S PARK ST, DEAN MEDICAL CENTERMadison, WI 53715-1830
Mailing Address700 S Park St, Dean Medical CenterMadison, WI 53715-1830 · (608) 260-2900 · Fax (608) 260-2976
Phone(608) 260-2900
Fax(608) 260-2976
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 1996
Enumeration DateMay 4, 2006
Last NPPES UpdateOctober 12, 20212 updates tracked since enumeration
NPPES CertifiedOctober 12, 2021
✔ NPI 1194773275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in WI · 43538-020
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
700 S PARK ST, Madison, WI 53715
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Other Identifiers 1

Medicaid1194773275WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Susan A Charboneau Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800808965
PECOS Enrollment IDI20060608000261
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.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
89 services78 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
84 services84 patients
Biopsy or removal of deep lymph nodes of underarm 38525
A biopsy or removal of deep underarm lymph nodes is a procedure where a small sample of lymph node tissue is taken for testing. This helps in diagnosing or ruling out conditions like infections or cancers. It involves a small incision and is typically done under local or general anesthesia.
23 services23 patients
Imaging of lymph nodes during surgery 38900
Imaging of lymph nodes during surgery involves taking detailed pictures of your lymph nodes to help surgeons see and assess them in real-time. This procedure can aid in detecting disease, guiding treatment, and improving surgical precision.
23 services23 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
21 services19 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
21 services21 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ssm Health St Clare Hospital - Baraboo

Acute Care Hospitals · Baraboo, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520057
Location707 14th StBaraboo, WI 53913 · Sauk County
Emergency services Birthing friendly

Ssm Health St Mary's Hospital - Madison

Acute Care Hospitals · Madison, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520083
Location700 South Park StMadison, WI 53715 · Dane County
Emergency services Birthing friendly

Stoughton Hospital

Critical Access Hospitals · Stoughton, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521343
Location900 Ridge StStoughton, WI 53589 · Dane County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53715 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
67%85 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
84%89 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
24%117 patients1/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
69%67 patients3/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
1 supplier12 claims170 services$4.63 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
1 supplier11 claims550 services$0.23 avg. paid by Medicare
Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type L8000
DME-Orthotic Devices · category DF000N
2 suppliers15 claims26 services$35.41 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

CHRISTOPHER DO
Physician Assistant
700 S PARK ST
MADISON, WI 53715
Dane County (608) 251-6100
JEREMI THOMAS OLSON PA-C
Physician Assistant (Surgical)
700 S PARK ST, DEAN ST. MARY'S OUTPATIENT CENTER
MADISON, WI 53715
Dane County (608) 260-2900
TIMOTHY J MORTON PA-C
Physician Assistant
700 S PARK ST, DEAN MEDICAL CENTER
MADISON, WI 53715
Dane County (608) 251-6100
STEPHEN H VANDER SLUIS
Anesthesiology
700 S PARK ST
MADISON, WI 53715
Dane County (608) 251-6100
BENJAMIN KLEIBER M.D.
Internal Medicine (Cardiovascular Disease)
700 S PARK ST, DEAN & ST. MARY'S OUTPATIENT CENTER
MADISON, WI 53715
Dane County (608) 260-2900
ERIN M MULLAN-TOWNS PA-C
Physician Assistant
700 S PARK ST
MADISON, WI 53715
Dane County (608) 260-2900
CONNIE SUE MCCULLICK APNP
Nurse Practitioner
700 S PARK ST
MADISON, WI 53715
Dane County (608) 251-6100
JUSTIN ALLEN LEHRKE CRNA
Nurse Anesthetist, Certified Registered
700 S PARK ST
MADISON, WI 53715
Dane County (608) 251-6100

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 Susan Charboneau's NPI number?

The NPI number for Susan Charboneau is 1194773275. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Susan Charboneau located?

Susan Charboneau practices at 700 S Park St Dean Medical Center, Madison, WI 53715. The listed phone number is (608) 260-2900.

What is Susan Charboneau's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Susan Charboneau enrolled in Medicare?

Yes. Susan Charboneau is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Susan Charboneau accept?

Health plans from Anthem Blue Cross and Blue Shield list Susan Charboneau as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Susan Charboneau affiliated with any hospitals?

According to CMS data, Susan Charboneau is affiliated with Ssm Health St Clare Hospital - Baraboo, Ssm Health St Mary's Hospital - Madison and Stoughton Hospital.

When was this NPI record last updated?

The NPPES record for Susan Charboneau was last updated on October 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.