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DR. SHEA CHARBENEAU DPM
NPI 1801383120
Podiatrist - Foot & Ankle Surgery in Edmond, OK

Active since April 23, 2018PECOS EnrolledAccepts Medicare Assignment
29.94/100
CMS Quality Rating
101 S SAINTS BLVD STE 101, EDMOND, OK 73034(405) 513-8326(405) 513-7739 Get Directions Write a Review

NPPES record last updated: July 14, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 14, 2021, Apr 23, 2018 (2 updates tracked since 2018).

About Dr. Shea Charbeneau Dpm NPPES

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

DR. SHEA CHARBENEAU DPM (NPI 1801383120) is an individual foot & ankle surgery provider in Edmond, Oklahoma, licensed in Oklahoma (351) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Anthony Hospital - Oklahoma City, and is a graduate of Kent State University College Of Podiatric Medicine (2018).

NPPES Registry Identity

NPI1801383120
Entity TypeIndividualFemale
Primary Taxonomy213ES0103X
Provider Legal NameDR. SHEA CHARBENEAUCredential: DPM
Location Address101 S SAINTS BLVD STE 101Edmond, OK 73034-3082
Mailing Address9500 Euclid Ave # Na23Cleveland, OH 44195-0001 · (216) 444-2200
Phone(405) 513-8326
Fax(405) 513-7739
Sole ProprietorYes
Medical School CMSKent State University College Of Podiatric MedicineGraduated 2018
Enumeration DateApril 23, 2018
Last NPPES UpdateJuly 14, 20212 updates tracked since enumeration
NPPES CertifiedJuly 14, 2021
✔ NPI 1801383120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in OK · 351
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
101 S SAINTS BLVD STE 101, Edmond, OK 73034
Open in Google Maps ↗

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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. Shea Charbeneau Dpm 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 ID5294082236
PECOS Enrollment IDI20210608001592
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 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.
111 services68 patients
Removal of muscle and/or tissue, 20.0 sq cm or less 11043
This procedure involves the surgical removal of a specified area (20.0 sq cm or less) of muscle and/or tissue. It's typically done to treat conditions like tumors, infections, or injuries. Local or general anesthesia ensures comfort. Recovery time varies.
77 services25 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
57 services36 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.
47 services47 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
39 services11 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.
26 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Ssm Health St Anthony Hospital - Oklahoma City

Acute Care Hospitals · Oklahoma City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370037
Location1000 North Lee AvenueOklahoma City, OK 73101 · Oklahoma County
Emergency services Birthing friendly

Oklahoma Center For Orthopaedic & Multi-Sp

Acute Care Hospitals · Oklahoma City, OK
OwnershipVoluntary non-profit - Private
CMS Certification Number370212
Location8100 South Walker Bldg COklahoma City, OK 73139 · Oklahoma 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.

29.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality55.74
Improvement Activities0

Referred Medical Equipment & Supplies CMS DME claims 5

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

Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402
DME-Medical/Surgical Supplies · category DA023N
1 supplier19 claims1,170 services$0.11 avg. paid by Medicare
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446
DME-Medical/Surgical Supplies · category DA023N
1 supplier16 claims1,782 services$0.37 avg. paid by Medicare
Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories A6550
DME-Other DME · category DE000N
2 suppliers15 claims160 services$20.82 avg. paid by Medicare
Canister, disposable, used with suction pump, each A7000
DME-Other DME · category DE000N
2 suppliers12 claims105 services$7.04 avg. paid by Medicare
Negative pressure wound therapy electrical pump, stationary or portable E2402
DME-Other DME · category DE000N
2 suppliers15 claims15 services$642.42 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 4

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

MRS. HANNAH COX RDN
Dietitian, Registered
101 S SAINTS BLVD STE 101
EDMOND, OK 73034
Oklahoma County (405) 513-8326
KEVIN WAYNE HARGROVE M.D.
Specialist
101 S SAINTS BLVD STE 101
EDMOND, OK 73034
Oklahoma County (405) 513-8326
MS. DANIELLE VIRGINIA JOHNSEN PTA, AAS
Physical Therapy Assistant
101 S SAINTS BLVD STE 101
EDMOND, OK 73034
Oklahoma County (405) 359-1864
DR. MEGAN FILKINS DPM
Podiatrist (Foot & Ankle Surgery)
101 S SAINTS BLVD STE 101
EDMOND, OK 73034
Oklahoma County (405) 513-8326

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 Shea Charbeneau's NPI number?

The NPI number for Shea Charbeneau is 1801383120. It was assigned to this individual provider in the NPPES registry on April 23, 2018.

Where is Shea Charbeneau located?

Shea Charbeneau practices at 101 S Saints Blvd Ste 101, Edmond, OK 73034. The listed phone number is (405) 513-8326.

What is Shea Charbeneau's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Shea Charbeneau enrolled in Medicare?

Yes. Shea Charbeneau 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 Shea Charbeneau accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Shea Charbeneau 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 Shea Charbeneau affiliated with any hospitals?

According to CMS data, Shea Charbeneau is affiliated with Ssm Health St Anthony Hospital - Oklahoma City and Oklahoma Center For Orthopaedic & Multi-Sp.

When was this NPI record last updated?

The NPPES record for Shea Charbeneau was last updated on July 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.