HOLLI CHARBONNEAU M.D.
NPI 1588977193
Emergency Medicine in Sioux Falls, SD

Active since July 24, 2010PECOS EnrolledAccepts Medicare Assignment
76.69/100
CMS Quality Rating
1305 W 18TH ST, SIOUX FALLS, SD 57105(605) 333-1000 Get Directions Write a Review

NPPES record last updated: February 2, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 2, 2022, Apr 24, 2019 (2 updates tracked since 2019).

About Holli Charbonneau M.d. NPPES

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

HOLLI CHARBONNEAU M.D. (NPI 1588977193) is an individual emergency medicine provider in Sioux Falls, South Dakota, licensed in South Dakota (9116) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, is affiliated with Avera Mckennan Hospital & University Health Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1588977193
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameHOLLI CHARBONNEAUCredential: M.D.
Location Address1305 W 18TH STSioux Falls, SD 57105-0401
Mailing Address1448 Woodward Ave, Apt 411Detroit, MI 48226-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 24, 2010
Last NPPES UpdateFebruary 2, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2022
✔ NPI 1588977193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in SD · 9116
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedInternal MedicineTaxonomy 207R00000X · License 4301097098 (MI), 5315046547 (MI)
1305 W 18TH ST, Sioux Falls, SD 57105

Accepted 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

Holli Charbonneau 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 ID7214154186
PECOS Enrollment IDI20250806003329
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

5

Medicare enrollment records show Holli Charbonneau reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
300 N DAKOTA AVE., STE. 117
Sioux Falls, SD 57104
  • Reassigned Medicare billing, South Dakota enrollment
  • 1,277 clinicians in this Medicare group
Emergency Medicine
501 N NAVAJO DR
Page, AZ 86040
  • Reassigned Medicare billing, Arizona enrollment
  • 199 clinicians in this Medicare group
Emergency Medicine
7700 FLOYD CURL DR
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • 1,452 clinicians in this Medicare group
Emergency Medicine
2400 S AVENUE A
Yuma, AZ 85364
  • Reassigned Medicare billing, Arizona enrollment
  • 79 clinicians in this Medicare group
Emergency Medicine
1 PARKLAND DR
Derry, NH 03038
  • Reassigned Medicare billing, New Hampshire enrollment
  • 145 clinicians in this Medicare group

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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
138 services135 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
96 services91 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
24 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Avera Mckennan Hospital & University Health Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430016
Location1325 S Cliff AveSioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Corpus Christi Medical Center,the

Acute Care Hospitals · Corpus Christi, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number450788
Location6629 Woodridge RoadCorpus Christi, TX 78414 · Nueces County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57105 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
Most-billed visit code 99214
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.

76.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.56
Promoting Interoperability99
Improvement Activities40
Cost44.56

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.

Nurse Anesthetist, Certified Registered
1305 W 18TH ST
SIOUX FALLS, SD 57105
Nurse Anesthetist, Certified Registered
1305 W 18TH ST
SIOUX FALLS, SD 57105
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1305 W 18TH ST
SIOUX FALLS, SD 57105
Nurse Anesthetist, Certified Registered
1305 W 18TH ST
SIOUX FALLS, SD 57105
Nurse Practitioner (Neonatal)
1305 W 18TH ST
SIOUX FALLS, SD 57105
Nurse Practitioner
1305 W 18TH ST
SIOUX FALLS, SD 57105
Pathology (Anatomic Pathology & Clinical Pathology)
1305 W 18TH ST
SIOUX FALLS, SD 57105
Emergency Medicine
1305 W 18TH ST
SIOUX FALLS, SD 57105

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 Holli Charbonneau's NPI number?

The NPI number for Holli Charbonneau is 1588977193. It was assigned to this individual provider in the NPPES registry on July 24, 2010.

Where is Holli Charbonneau located?

Holli Charbonneau practices at 1305 W 18th St, Sioux Falls, SD 57105. The listed phone number is (605) 333-1000.

What is Holli Charbonneau's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Holli Charbonneau enrolled in Medicare?

Yes. Holli Charbonneau 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 Holli Charbonneau's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Holli Charbonneau reassigns Medicare benefits to 5 organizations: Avera Mckennan (Sioux Falls, SD), Emergency Professional Services, PC (Page, AZ), Emergency Medicine Services Of Tx, PLLC (San Antonio, TX), Sierra Estrellas Emergency Physicians LLC (Yuma, AZ) and Emergency Medicine Services Of Nh, LLC (Derry, NH). 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 Holli Charbonneau's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Holli Charbonneau accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna HealthCare of Arizona, Inc, Oscar Health Plan, Inc., UnitedHealthcare and Wellmark Health Plan of Iowa, Inc. and 1 other insurer list Holli Charbonneau 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 Holli Charbonneau affiliated with any hospitals?

According to CMS data, Holli Charbonneau is affiliated with Avera Mckennan Hospital & University Health Center and Corpus Christi Medical Center,the.

When was this NPI record last updated?

The NPPES record for Holli Charbonneau was last updated on February 2, 2022. 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.