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DR. CHARLES LAWTON OGBURN III MD
NPI 1306059613
Orthopaedic Surgery in Athens, GA

Active since May 07, 2007PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
190 NANTAHALA AVE, ATHENS, GA 30601(706) 627-7281 Get Directions Write a Review

NPPES record last updated: September 8, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 8, 2026, Aug 9, 2024, Dec 22, 2021 and 1 more (4 updates tracked since 2021).

About Dr. Charles Lawton Ogburn Iii Md NPPES

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

DR. CHARLES LAWTON OGBURN III MD (NPI 1306059613) is an individual orthopaedic surgery provider in Athens, Georgia, licensed in Georgia (61928) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Billings Clinic, and maintains a secondary practice location in Newburgh.

NPPES Registry Identity

NPI1306059613
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. CHARLES LAWTON OGBURN IIICredential: MD
Location Address190 NANTAHALA AVEAthens, GA 30601-1935
Mailing Address190 Nantahala AveAthens, GA 30601-1935 · (706) 627-7281
Phone(706) 627-7281
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2004
Enumeration DateMay 7, 2007
Last NPPES UpdateSeptember 8, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2026
✔ NPI 1306059613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in GA · 61928
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Orthopaedic TraumaTaxonomy 207XX0801X · License 01101026A (IN)
190 NANTAHALA AVE, Athens, GA 30601
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Secondary Practice Location 1

Location 14011 Gateway BlvdNewburgh, IN 47630-8947 · Phone (812) 490-4550

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Charles Lawton Ogburn Iii 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 ID3870648819
PECOS Enrollment IDI20260513003360
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Charles Ogburn reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Susquehanna Physician Services
611 mi
Cardiovascular Disease
740 HIGH ST, SUITE 2001
Williamsport, PA 17701
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 91 clinicians in this Medicare group
NPI 1861431116 (570) 321-2800
Billings Clinic
1,456 mi
Family Medicine
620 S HAYNES AVE
Miles City, MT 59301
  • Reassigned Medicare billing, Montana enrollment
  • 1,264 clinicians in this Medicare group
NPI 1427194836 (406) 233-7000
Scl Health Medical Group-Butte LLC
1,728 mi
Rural Health
214 S MAIN ST
Boulder, MT 59632
  • Reassigned Medicare billing, Montana enrollment
  • 278 clinicians in this Medicare group
NPI 1861031122 (406) 225-4201

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

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.
78 services67 patients
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.
49 services47 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
46 services33 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
22 services15 patients
X-ray of thigh bone, minimum 2 views 73552
An X-ray of the thigh bone is a non-invasive imaging test. It involves passing a small amount of radiation through the thigh to produce images of the bone structure. At least two different angles are captured for a comprehensive view. This helps detect fractures, infections, or other abnormalities.
22 services15 patients
Mri scan of leg joint without contrast 73721
An MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.
21 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Billings Clinic

Acute Care Hospitals · Billings, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270004
Location2800 10th Ave NBillings, MT 59101 · Yellowstone County
Emergency services Birthing friendly

St James Healthcare

Acute Care Hospitals · Butte, MT
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270017
Location400 S Clark StButte, MT 59701 · Silver Bow County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30601 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 2

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

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
1 supplier39 claims41 services$43.60 avg. paid by Medicare
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
1 supplier38 claims38 services$221.55 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Ogburn's NPI number?

The NPI number for Charles Ogburn is 1306059613. It was assigned to this individual provider in the NPPES registry on May 7, 2007.

Where is Charles Ogburn located?

Charles Ogburn practices at 190 Nantahala Ave, Athens, GA 30601. The listed phone number is (706) 627-7281.

What is Charles Ogburn's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Charles Ogburn enrolled in Medicare?

Yes. Charles Ogburn 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.

Which organizations bill Medicare for Charles Ogburn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Ogburn reassigns Medicare benefits to 3 organizations: Susquehanna Physician Services (Williamsport, PA), Billings Clinic (Miles City, MT) and Scl Health Medical Group-Butte LLC (Boulder, MT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charles Ogburn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Ogburn accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans, Providence Health Plan and UnitedHealthcare list Charles Ogburn 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 Charles Ogburn affiliated with any hospitals?

According to CMS data, Charles Ogburn is affiliated with Billings Clinic and St James Healthcare.

When was this NPI record last updated?

The NPPES record for Charles Ogburn was last updated on September 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.