CHARLES RAYMOND SHIDEMAN M.D., PH.D.
NPI 1841466026
Radiology - Radiation Oncology in Saint Paul, MN

Active since May 07, 2008PECOS EnrolledAccepts Medicare Assignment
640 JACKSON ST, SAINT PAUL, MN 55101(651) 254-2039(651) 254-9333 Get Directions Write a Review

NPPES record last updated: October 3, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Charles Raymond Shideman M.d., Ph.d. NPPES

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

CHARLES RAYMOND SHIDEMAN M.D., PH.D. (NPI 1841466026) is an individual radiation oncology provider in Saint Paul, Minnesota, licensed in Minnesota (54992) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Lakeview Memorial Hospital, and is a graduate of University Of Minnesota Medical School (2007).

NPPES Registry Identity

NPI1841466026
Entity TypeIndividualMale
Primary Taxonomy2085R0001X
Provider Legal NameCHARLES RAYMOND SHIDEMANCredential: M.D., PH.D.
Location Address640 JACKSON STSaint Paul, MN 55101-2502
Mailing Address7401 Metro Blvd Ste 210Edina, MN 55439-3086 · (952) 920-4915 · Fax (952) 915-6098
Fax(651) 254-9333
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2007
Enumeration DateMay 7, 2008
Last NPPES UpdateOctober 3, 2017
NPI 1841466026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
License Licensed in MN · 54992
Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

640 JACKSON ST, Saint Paul, MN 55101

Other Identifiers 1

Other1841466026MN · Npi

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

Charles Raymond Shideman M.d., Ph.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 ID6608022561
PECOS Enrollment IDI20120808000415, I20180424001628
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 14

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ct guidance for insertion of radiation therapy fields 77014
CT guidance for insertion of radiation therapy fields involves using a CT scan to accurately map the area of your body where radiation will be applied. This ensures the radiation targets only the necessary area, minimizing impact to healthy tissues.
699 services48 patients
Radiation treatment management, 5 treatment sessions 77427
Radiation treatment management involves a series of 5 sessions where targeted radiation is used to destroy or shrink cancer cells in your body. Each session is carefully planned to maximize effectiveness while minimizing harm to healthy tissues. You may experience side effects which will be closely monitored and managed for your comfort.
229 services68 patients
Calculation of radiation therapy dose 77300
Radiation therapy dose calculation is a process to determine the exact amount of radiation needed to treat a specific area in the body. This calculation helps ensure the treatment is effective while minimizing harm to healthy tissues. It's a key part of planning your radiation therapy.
197 services61 patients
Design and construction of complex radiation treatment device 77334
The design and construction of a complex radiation treatment device is a process where a specialized instrument is created. This device targets harmful cells with high-energy rays to destroy or damage them, while minimizing impact on healthy cells. This aids in treating conditions like cancer.
151 services68 patients
Complex radiation therapy planning 77263
Complex radiation therapy planning is a process to determine the most effective way to deliver radiation to a specific area in your body. It involves detailed imaging to map your body's structure, allowing for precise targeting of cancer cells while sparing healthy tissue.
79 services76 patients
High precision radiation therapy planning 77301
High precision radiation therapy planning involves detailed mapping of your body to target cancer cells accurately. Advanced imaging techniques help identify the exact location of the tumor, minimizing harm to healthy tissues. This personalized approach enhances effectiveness and reduces side effects.
55 services55 patients

Hospital Affiliations CMS Care Compare 2

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

Lakeview Memorial Hospital

Acute Care Hospitals · Stillwater, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number240066
Location927 West Churchill StreetStillwater, MN 55082 · Washington County
Emergency services Birthing friendly

Regions Hospital

Acute Care Hospitals · Saint Paul, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240106
Location640 Jackson StreetSaint Paul, MN 55101 · Ramsey County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55101 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
$168.28 typical visit price
range $56.00 – $168.28
Typical copayment $42.07 (range $14.00 – $42.07)
Most-billed visit code 99205
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

Physician Assistant
640 JACKSON ST
SAINT PAUL, MN 55101
Orthopaedic Surgery
640 JACKSON ST
SAINT PAUL, MN 55101
Otolaryngology
640 JACKSON ST, MC 11503J
ST PAUL, MN 55101
Family Medicine
640 JACKSON ST
SAINT PAUL, MN 55101
Internal Medicine
640 JACKSON ST, MC21110Q
SAINT PAUL, MN 55101
Internal Medicine
640 JACKSON ST
ST PAUL, MN 55101
Internal Medicine
640 JACKSON ST, MC21110Q
SAINT PAUL, MN 55101
Internal Medicine
640 JACKSON ST, MC21110Q
SAINT PAUL, MN 55101

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1841466026, enumerated as an "individual" on May 07, 2008.

The provider is located at 640 JACKSON ST SAINT PAUL, MN 55101 and the phone number is (651) 254-2039.

Radiology with taxonomy code 2085R0001X and a focus in Radiation Oncology.

The provider might be accepting Accepts: HealthPartners, Medica, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Charles Shideman is affiliated with: LAKEVIEW MEMORIAL HOSPITAL and REGIONS HOSPITAL.