Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. STEPHEN M CHARBONNET M.D.
NPI 1205815354
Specialist in Houma, LA

Active since January 16, 2006PECOS EnrolledAccepts Medicare Assignment
26.23/100
CMS Quality Rating
1020 SCHOOL ST, HOUMA, LA 70360(985) 868-4320(985) 868-3617 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Stephen M Charbonnet M.d. NPPES

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

DR. STEPHEN M CHARBONNET M.D. (NPI 1205815354) is an individual specialist in Houma, Louisiana, licensed in Louisiana (14884) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Terrebonne General Medical Center - Parish, and is a graduate of Louisiana State University School Of Medicine In New Orleans (1998).

NPPES Registry Identity

NPI1205815354
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. STEPHEN M CHARBONNETCredential: M.D.
Location Address1020 SCHOOL STHouma, LA 70360-4630
Mailing Address1020 School StHouma, LA 70360-4630 · (985) 868-4320 · Fax (985) 868-3617
Fax(985) 868-3617
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1998
Enumeration DateJanuary 16, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1205815354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in LA · 14884
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1020 SCHOOL ST, Houma, LA 70360

Other Identifiers 1

Medicaid1150673LA

Accepted 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

Dr. Stephen M Charbonnet M.d. 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 ID6507995263
PECOS Enrollment IDI20100519000219
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 15

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
625 services387 patients
Complete ultrasound scan behind abdominal cavity 76770
A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.
216 services181 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.
89 services89 patients
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.
73 services64 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
33 services31 patients
Limited ultrasound scan of pelvis 76857
A limited ultrasound scan of the pelvis is a non-invasive imaging test. It uses high-frequency sound waves to create pictures of the lower abdomen area. This helps doctors view and assess the health of certain internal structures. It's painless and usually takes about 30 minutes.
32 services29 patients

Hospital Affiliations CMS Care Compare 2

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

Terrebonne General Medical Center - Parish

Acute Care Hospitals · Houma, LA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190008
Location8166 Main StreetHouma, LA 70360 · Terrebonne County
Emergency services Birthing friendly

Physicians Medical Center

Acute Care Hospitals · Houma, LA
OwnershipPhysician
CMS Certification Number190241
Location218 Corporate DriveHouma, LA 70360 · Terrebonne County

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.

26.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost87.45

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.

Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4338
DME-Orthotic Devices · category DF000N
2 suppliers11 claims11 services$11.87 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
2 suppliers27 claims3,818 services$1.28 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
2 suppliers11 claims22 services$9.39 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 6

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

Clinic/Center (Ambulatory Surgical)
1020 SCHOOL ST
HOUMA, LA 70360
Specialist
1020 SCHOOL ST
HOUMA, LA 70360
Specialist
1020 SCHOOL ST
HOUMA, LA 70360
Specialist
1020 SCHOOL ST
HOUMA, LA 70360
Specialist
1020 SCHOOL ST
HOUMA, LA 70360
Specialist
1020 SCHOOL ST
HOUMA, LA 70360

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 Stephen Charbonnet's NPI number?

The NPI number for Stephen Charbonnet is 1205815354. It was assigned to this individual provider in the NPPES registry on January 16, 2006.

Where is Stephen Charbonnet located?

Stephen Charbonnet practices at 1020 School St, Houma, LA 70360. The listed phone number is (985) 868-4320.

What is Stephen Charbonnet's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Stephen Charbonnet enrolled in Medicare?

Yes. Stephen Charbonnet 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 Stephen Charbonnet accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Stephen Charbonnet 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 Stephen Charbonnet affiliated with any hospitals?

According to CMS data, Stephen Charbonnet is affiliated with Terrebonne General Medical Center - Parish and Physicians Medical Center.

When was this NPI record last updated?

The NPPES record for Stephen Charbonnet was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days 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.