Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Roger John Charboneau, DO

Individual provider Sports Medicine (Orthopaedic Surgery) Physician · NPI 1609862689

Dr. Roger John Charboneau, DO is an Orthopedic Surgery in Ada, Oklahoma. Qualified in 1998, 28 years ago. Practices with Chickasaw Nation Division of Health, a 243-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
28
Licensed in
OK
In the registry since
2005
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1921 Stonecipher Dr
Ada, OK 74820-3439
Phone: (580) 559-0510
Fax: (580) 272-2715
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X · Licence 4037 (OK)

Record details

NPI number1609862689
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedSeptember 23, 2005
Last updated in NPPESAugust 10, 2016
Mailing address1921 Stonecipher Dr, Ada, OK 74820-3439

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Chickasaw Nation Division Of Health — 243 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount