DR. SEMIRA CHARBONEAU (D.O.) – Internal Medicine Physician, NPI 1619975745

DR. SEMIRA CHARBONEAU (D.O.) is a healthcare provider. based in Konawa, Oklahoma. specializing in INTERNAL MEDICINE. They hold the professional credentials D.O.. They hold a License No. 4038 (OK). The NPI Number for DR. SEMIRA CHARBONEAU (D.O.) is 1619975745

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. SEMIRA CHARBONEAU (D.O.)
NPI
1619975745
Phone
(580) 925-3286
Address
527 W 3rd St
Enumeration Date
12 July 2005
Last Update Date
22 February 2023

Doctor Profile

Medical School Name
OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
5809253286227
Graduation Year
1999 (27 years ago)
PAC ID
4688662174
Group Practice PAC ID
9931189685
Professional Enrollment ID
I20040504000428
Address ID
OK748491415KO527XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,474 INTERNAL MEDICINE in OK

Provider Addresses for DR. SEMIRA CHARBONEAU (D.O.)

  • 527 W 3rd St

    Konawa, OK 748491415

    Phone: (580) 925-3286

    Fax: (580) 925-9149

    Type: Location

  • 527, West 3rd Street, Konawa, Seminole County, Oklahoma, 74849, United States

    KONAWA, OK 748491415

    Phone: (580) 925-3286

    Fax: (580) 925-9149

    Type: Mailing

  • 905 COLONY DR

    ADA, OK 748202329

    Phone: (580) 436-5111

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $55.

Total Amount is formed as General ($55) + Research ($0) + Ownership ($0) = $55.

Last reported payment date: 2024-10-08 • Largest payer in this snapshot: ABBVIE INC. ($26).

Total Amount

$55

General + Research + Ownership

Payments

3

Total payment records

General Amount

$55

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-08

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-08-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100820000058IInternal MedicineOKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
81003Automated urinalysis test231153$0
83036Hemoglobin a1c level5046$0
96372Injection of drug or substance under skin or into muscle4720$0
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)2219$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report2019$0
View full utilization report →

Insurance plans in this area (ZIP 74849)

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Provider's Procedures

DR. SEMIRA CHARBONEAU (D.O.) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEOK85610Blood test, clotting time34727

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9931189685View full group profile
NameSpecialtyState
Physician AssistantOK
Nurse PractitionerOK
Nurse PractitionerOK
Family PracticeOK
Family Practice, Osteopathic Manipulative Medicine, Sports MedicineOK
Family PracticeOK
Nurse PractitionerOK
Physician AssistantOK
Endocrinology, Internal MedicineOK
Nurse PractitionerOK

Reviews

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Frequently asked questions

Does DR. SEMIRA CHARBONEAU (D.O.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. SEMIRA CHARBONEAU (D.O.) uses 1619975745.
Is DR. SEMIRA CHARBONEAU (D.O.) listed as active for patients and plans?
The listing shows DR. SEMIRA CHARBONEAU (D.O.) as active in the NPI system.
What is DR. SEMIRA CHARBONEAU (D.O.)'s primary classification?
Internal Medicine Physician is the headline specialty for DR. SEMIRA CHARBONEAU (D.O.) here. Clinical services aligned with this taxonomy classification.
What address line appears for DR. SEMIRA CHARBONEAU (D.O.)?
DR. SEMIRA CHARBONEAU (D.O.)'s geographic hint is Konawa, Oklahoma in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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