ALEX JAMES CHARBONEAU MD
NPI 1649731068
Surgery in Louisville, KY

Q: What is Alex Charboneau's NPI number?

The NPI number for Alex Charboneau is 1649731068. It was assigned to this individual provider in the NPPES registry on March 28, 2019.

Q: What is Alex Charboneau's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Alex Charboneau was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 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.

Active since March 28, 2019PECOS Enrolled

550 S JACKSON ST, LOUISVILLE, KY 40202(502) 852-5193 Get Directions Write a Review

NPPES record last updated: September 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 1, 2026, Jul 13, 2026, Jun 2, 2025 and 2 more (5 updates tracked since 2019).

On this page

About Alex James Charboneau Md NPPES

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

ALEX JAMES CHARBONEAU MD (NPI 1649731068) is an individual surgery provider in Louisville, Kentucky, licensed in Wisconsin (87076) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Green Bay.

NPPES Registry Identity

NPI1649731068

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameALEX JAMES CHARBONEAUCredential: MD

Location Address550 S JACKSON STLouisville, KY 40202-1622

Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250

Phone(502) 852-5193

Sole ProprietorNo

Enumeration DateMarch 28, 2019

Last NPPES UpdateSeptember 1, 20265 updates tracked since enumeration

NPPES CertifiedSeptember 1, 2026

✔ NPI 1649731068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in WI · 87076✔ Licensed in WA · 60951432✔ Licensed in KY · 60508

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.

Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X · License 87076 (WI)

Also ListedColon & Rectal SurgeryTaxonomy 208C00000X · License 87076-20 (WI)

550 S JACKSON ST, Louisville, KY 40202

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Secondary Practice Location 1

Location 12845 Greenbrier RdGreen Bay, WI 54311-6519 · Phone (920) 490-9046

Other Identifiers 1

Medicaid100427680WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) 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 (PECOS)

Alex James Charboneau 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.

Medicare Billing Reassignment

Medicare enrollment records show Alex Charboneau reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Baycare Aurora, LLC

445 mi

General Acute Care Hospital

2845 GREENBRIER RD
Green Bay, WI 54311

Reassigned Medicare billing, Wisconsin enrollment
394 clinicians in this Medicare group

NPI 1255387726 (920) 288-8000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

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 20

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

BROCK AARON MARTIN M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

550 S JACKSON ST
LOUISVILLE, KY 40202

Jefferson County (502) 852-1816

UNIVERSITY PHYSICIAN ASSOCIATES

Internal Medicine (Critical Care Medicine)

550 S JACKSON ST, 3RD FLOOR
LOUISVILLE, KY 40202

Jefferson County (502) 561-8686

KATHRYN KENDALL BURKE MD

Student in an Organized Health Care Education/Training Program

550 S JACKSON ST
LOUISVILLE, KY 40202

Jefferson County (502) 852-5666

STANLEY A. GALL M.D.

Obstetrics & Gynecology (Maternal & Fetal Medicine)

550 S JACKSON ST, 3RD FLOOR
LOUISVILLE, KY 40202

Jefferson County (502) 561-8850

DR. STEVEN B LIPPMANN M.D.

Psychiatry & Neurology (Psychiatry)

550 S JACKSON ST
LOUISVILLE, KY 40202

Jefferson County (502) 852-1759

UNIVERISTY PHYSICIAN ASSOCIATES

Surgery (Vascular Surgery)

550 S JACKSON ST, 2ND FLOOR
LOUISVILLE, KY 40202

Jefferson County (502) 562-6511

AMELIA EINFALT POWER MD

Student in an Organized Health Care Education/Training Program

550 S JACKSON ST
LOUISVILLE, KY 40202

Jefferson County (502) 852-4277

SANAD FAYEZ HATTAR DMD

Student in an Organized Health Care Education/Training Program

550 S JACKSON ST
LOUISVILLE, KY 40202

Jefferson County (502) 852-3534

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 Alex Charboneau's NPI number?

The NPI number for Alex Charboneau is 1649731068. It was assigned to this individual provider in the NPPES registry on March 28, 2019.

Where is Alex Charboneau located?

Alex Charboneau practices at 550 S Jackson St, Louisville, KY 40202. The listed phone number is (502) 852-5193.

What is Alex Charboneau's specialty?

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

Is Alex Charboneau enrolled in Medicare?

Yes. Alex Charboneau is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alex Charboneau's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alex Charboneau reassigns Medicare benefits to Baycare Aurora, LLC (Green Bay, WI). The 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 Alex Charboneau's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alex Charboneau accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 2 other insurers list Alex 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.

When was this NPI record last updated?

The NPPES record for Alex Charboneau was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 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.