Active NPI 1619986213 Individual Practitioner Male Practitioner

Dr. Michael Joseph Charboneau , DO

Surgery • Monroe, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Charboneau, DO is a certified Surgery practicing in Monroe, MI. With approximately 38 years of clinical experience since graduating from Des Moines University Of Osteopathic Medicine And Health Sciences in 1988, Dr. Charboneau delivers high-quality medical care to the local community at 730 N MACOMB ST.

Dr. Charboneau is affiliated with Promedica Monroe Physicians Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

730 N Macomb St
Suite 329

Monroe, MI 481622900

Telephone 7342405860

Fax 7342405899

Associated Practice Facility / Clinic

🏢 Interventional Pain Management Associates, Pc Facility NPI 1538113964

Medicare Profile & Education

Medical School

Des Moines University Of Osteopathic Medicine And Health Sciences

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Monroe, MI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +4.7 yrs vs City Avg

City Avg: 33.3 Yrs

State Avg: 25.8 Yrs

Regional Practice Density

4 Specialists

Practicing in Monroe, MI (1479 Statewide)

Telehealth Adoption Rate

25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

54.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Charboneau (38 Years) 38 Yrs

Monroe Specialty Average (33.3 Years) 33.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	69	44	$127.00	$78.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	46	$179.00	$126.13
99213 Established patient office or other outpatient visit, typically 15 minutes	36	32	$127.00	$89.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$167.00	$107.42
99221 Initial hospital inpatient care per day, typically 30 minutes	30	30	$177.00	$82.50
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	14	$75.00	$48.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	15	$79.00	$55.03
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	13	11	$182.00	$110.15
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	11	11	$824.00	$183.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	70	48	$75.00	$54.43
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	67	45	$127.00	$77.89
99231 Follow-up hospital inpatient care per day, typically 15 minutes	60	42	$75.00	$49.08
99213 Established patient office or other outpatient visit, typically 15 minutes	50	43	$112.00	$87.39
99202 New patient office or other outpatient visit, typically 20 minutes	43	43	$155.00	$67.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$167.00	$107.75
99221 Initial hospital inpatient care per day, typically 30 minutes	35	35	$177.00	$80.02
47562 Removal of gallbladder using an endoscope	14	14	$1708.00	$657.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	120	92	$112.00	$87.51
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	76	51	$127.00	$69.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	69	69	$167.00	$109.56
99221 Initial hospital inpatient care per day, typically 30 minutes	48	45	$177.00	$98.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	33	$75.00	$54.73
99231 Follow-up hospital inpatient care per day, typically 15 minutes	29	20	$75.00	$37.85
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$155.00	$70.53
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	11	$354.00	$194.34
45380 Biopsy of large bowel using an endoscope	11	11	$1309.00	$188.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	141	100	$112.00	$88.80
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	106	59	$127.00	$70.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	75	75	$177.32	$109.28
99221 Initial hospital inpatient care per day, typically 30 minutes	42	39	$177.00	$99.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	15	$75.00	$54.77
99231 Follow-up hospital inpatient care per day, typically 15 minutes	15	13	$75.00	$37.91
45380 Biopsy of large bowel using an endoscope	12	12	$1309.00	$169.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	136	91	$112.00	$73.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	76	76	$210.00	$104.95
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	48	33	$127.00	$72.65
99231 Follow-up hospital inpatient care per day, typically 15 minutes	38	23	$75.00	$39.60
99221 Initial hospital inpatient care per day, typically 30 minutes	23	22	$177.00	$102.37
45380 Biopsy of large bowel using an endoscope	15	15	$1309.00	$172.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	12	$75.00	$44.18
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	13	13	$49.00	$18.89
47562 Removal of gallbladder using an endoscope	12	12	$1708.00	$666.48
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$2678.00	$338.71
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$354.00	$203.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	240	147	$105.08	$70.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	78	78	$199.17	$102.15
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	66	37	$123.32	$69.86
99202 New patient office or other outpatient visit, typically 20 minutes	48	48	$121.77	$73.16
99221 Initial hospital inpatient care per day, typically 30 minutes	28	27	$171.86	$96.63
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	21	$75.00	$38.59
47562 Removal of gallbladder using an endoscope	23	23	$1708.00	$628.40
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	19	13	$179.32	$97.44
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	16	$341.65	$197.97
45378 Diagnostic exam of large bowel using a flexible endoscope	11	11	$824.00	$166.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	178	122	$92.00	$69.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	66	66	$145.00	$102.87
99231 Follow-up hospital inpatient care per day, typically 15 minutes	65	44	$75.51	$38.54
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	50	34	$119.46	$71.46
99221 Initial hospital inpatient care per day, typically 30 minutes	36	36	$163.69	$99.57
99202 New patient office or other outpatient visit, typically 20 minutes	35	35	$100.00	$71.99
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	22	16	$165.00	$102.27
49505 Repair of groin hernia (5 years or older)	16	16	$1010.44	$518.61
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	11	11	$824.00	$170.31
47562 Removal of gallbladder using an endoscope	11	11	$1708.00	$641.86
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$2678.00	$338.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	186	129	$92.00	$69.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	56	$128.00	$101.84
99202 New patient office or other outpatient visit, typically 20 minutes	57	57	$100.00	$71.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$145.00	$103.56
99231 Follow-up hospital inpatient care per day, typically 15 minutes	44	26	$75.00	$38.35
99221 Initial hospital inpatient care per day, typically 30 minutes	41	40	$161.00	$99.19
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	36	27	$118.00	$70.43
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	27	$218.00	$133.67
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	18	18	$2678.00	$304.29
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	16	$319.00	$197.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$65.00	$39.85
47562 Removal of gallbladder using an endoscope	14	14	$1708.00	$591.02
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	13	11	$103.00	$51.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$199.00	$147.55
36590 Removal of peripheral venous catheter for infusion	11	11	$750.00	$186.27

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MI 5101010247

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

4218443 (MI)

Commercial Insurance / Payer ID Hap

G22695 (MI)

Commercial Insurance / Payer ID Health Plan Of Michigan

11684 (MI)

Commercial Insurance / Payer ID Blue Care Netword

0255810524 (MI)

Commercial Insurance / Payer ID Rail Road Medicare

020046979 (MI)

Commercial Insurance / Payer ID Blue Cross Blue Shield

0255810524 (MI)

Hospital & Practice Group Affiliations

Promedica Monroe Physicians Pllc

730 N Macomb St, Monroe, MI 481622904

Phone: 7342405860

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Jennifer Mata , CNP

Nurse Practitioner

NPI 1831738079

Certified Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

📍

Updated Business Mailing Address March 21, 2018

Registered at 1 SEAGATE, # 800, TOLEDO, OH 436041558 (Tel: 5675851983)

✅

NPI Profile Active January 20, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location January 20, 2016

Registered at 730 N MACOMB ST, SUITE 329, MONROE, MI 481622900 (Tel: 7342405860)

📍

Updated Business Mailing Address January 20, 2016

Registered at 730 N MACOMB ST, SUITE 329, MONROE, MI 481622900 (Tel: 7342405860)

👤

Provider Name / Credentials Updated January 20, 2016

Recorded as MICHAEL CHARBONEAU, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 20, 2016

Surgery (License #5101010247 in MI)

🟢

Initial NPI Registration & Enumeration August 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619986213

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 05, 2006

Last Update: November 03, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1 Seagate, # 800

Toledo, OH 436041558

Phone: 5675851983

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.