DR. LEE RESTA M.D.
NPI 1003882432
Internal Medicine - Hematology & Oncology in Winchester, VA

Active since February 25, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
400 CAMPUS BLVD STE 100, WINCHESTER, VA 22601(540) 662-1108 Get Directions Write a Review

NPPES record last updated: May 24, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 24, 2023, Aug 22, 2022, Feb 28, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Lee Resta M.d. NPPES

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

DR. LEE RESTA M.D. (NPI 1003882432) is an individual hematology & oncology provider in Winchester, Virginia, licensed in Virginia (0101242990) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Winchester Medical Center, and is a graduate of Duke University School Of Medicine (1999).

NPPES Registry Identity

NPI1003882432
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. LEE RESTACredential: M.D.
Location Address400 CAMPUS BLVD STE 100Winchester, VA 22601-6906
Mailing Address400 Campus Blvd, Ste 100Winchester, VA 22601-6906 · (540) 662-1108 · Fax (540) 450-2244
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 1999
Enumeration DateFebruary 25, 2006
Last NPPES UpdateMay 24, 20234 updates tracked since enumeration
NPPES CertifiedMay 24, 2023
NPI 1003882432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in VA · 0101242990
Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Also ListedInternal MedicineTaxonomy 207R00000X · License MD13131 (HI), D0063734 (MD), MD425365 (PA), 219131 (MA)
400 CAMPUS BLVD STE 100, Winchester, VA 22601

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

Dr. Lee Resta M.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 ID5496737280
PECOS Enrollment IDI20120529000489
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 64

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.

Injection, aprepitant, 1 mg J0185
Aprepitant injection is a medication used to prevent nausea and vomiting caused by chemotherapy. It works by blocking certain substances in the brain that trigger these symptoms. The dosage is based on your medical condition and response to treatment.
16,900 services63 patients
Injection, oxaliplatin, 0.5 mg J9263
Oxaliplatin is a chemotherapy drug that is administered via injection. It works by stopping cancer cells from growing and dividing, which helps in the treatment of certain types of cancer. The dosage is 0.5 mg, and it's important to follow your doctor's instructions for this treatment.
14,900 services14 patients
Injection, pembrolizumab, 1 mg J9271
Pembrolizumab is a medication given via injection to help your body's immune system fight certain types of cancer. It's typically administered in a hospital or clinic by a healthcare professional.
12,900 services34 patients
Injection, daratumumab, 10 mg and hyaluronidase-fihj J9144
Daratumumab and hyaluronidase-fihj is an injection administered to treat certain types of blood cancer. The medication works by targeting and killing specific cancer cells. It's often given under the skin to reduce side effects and improve patient comfort.
4,500 services14 patients
Injection, paclitaxel, 1 mg J9267
Paclitaxel is a medication administered via injection to treat various types of cancer. It works by inhibiting cell division, thus preventing cancer cells from growing and multiplying. Each dose is tailored to the patient's body size.
3,858 services14 patients
Injection, granisetron, extended-release, 0.1 mg J1627
Granisetron extended-release injection is a medication that helps prevent nausea and vomiting often caused by cancer treatments like chemotherapy. It's administered under the skin and slowly releases the drug over time to provide long-lasting effects.
3,400 services21 patients

Hospital Affiliations CMS Care Compare 5

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

Winchester Medical Center

Acute Care Hospitals · Winchester, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490005
Location1840 Amherst StWinchester, VA 22601 · Winchester City County
Emergency services Birthing friendly

Shenandoah Memorial Hospital

Critical Access Hospitals · Woodstock, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number491305
Location759 South Main StreetWoodstock, VA 22664 · Shenandoah County
Emergency services

Valley Health War Memorial Hospital

Critical Access Hospitals · Berkeley Springs, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511309
Location1 Healthy WayBerkeley Springs, WV 25411 · Morgan County
Emergency services

Hampshire Memorial Hospital

Critical Access Hospitals · Romney, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511311
Location363 Sunrise BoulevardRomney, WV 26757 · Hampshire County
Emergency services

Grant Memorial Hospital

Critical Access Hospitals · Petersburg, WV
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number511316
Location117 Hospital DrivePetersburg, WV 26847 · Grant County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22601 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
$170.30 typical visit price
range $56.19 – $170.30
Typical copayment $42.57 (range $14.04 – $42.57)
Most-billed visit code 99205
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality94.99
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Advance Care Plan
100%491 patients5/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
96%167 patients5/55-star benchmark: 87%
Oncology: Advance Care Planning in Metastatic Cancer Patients
99%98 patients5/55-star benchmark: 85%
Oncology: Medical and Radiation - Plan of Care for Pain
100%77 patients5/55-star benchmark: 100%
Oncology: Supportive Care Drug Utilization in Last 14 Days of Life
Lower rates are better for this measure.
3%35 patients
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
58%597 patients3/55-star benchmark: 97%
Provide Patients Electronic Access to Their Health Information
100%400 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$38.84 avg. paid by Medicare
Capecitabine, oral, 150 mg J8520
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier12 claims672 services$0.35 avg. paid by Medicare
Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier71 claims4,970 services$0.67 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier46 claims46 services$17.31 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
1 supplier37 claims37 services$11.97 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 20

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

Internal Medicine (Hematology & Oncology)
400 CAMPUS BLVD STE 100
WINCHESTER, VA 22601
Nurse Practitioner (Family)
400 CAMPUS BLVD STE 100
WINCHESTER, VA 22601
Social Worker (Clinical)
400 CAMPUS BLVD STE 100
WINCHESTER, VA 22601
Internal Medicine (Hematology & Oncology)
400 CAMPUS BLVD STE 100
WINCHESTER, VA 22601
Internal Medicine (Hematology & Oncology)
400 CAMPUS BLVD STE 100
WINCHESTER, VA 22601
Nurse Practitioner (Family)
400 CAMPUS BLVD STE 100
WINCHESTER, VA 22601
Nurse Practitioner (Family)
400 CAMPUS BLVD STE 100
WINCHESTER, VA 22601
Internal Medicine (Hematology & Oncology)
400 CAMPUS BLVD STE 100
WINCHESTER, VA 22601

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 Lee Resta's NPI number?

The NPI number for Lee Resta is 1003882432. It was assigned to this individual provider in the NPPES registry on February 25, 2006.

Where is Lee Resta located?

Lee Resta practices at 400 Campus Blvd Ste 100, Winchester, VA 22601. The listed phone number is (540) 662-1108.

What is Lee Resta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Lee Resta enrolled in Medicare?

Yes. Lee Resta 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 Lee Resta accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Lee Resta 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 Lee Resta affiliated with any hospitals?

According to CMS data, Lee Resta is affiliated with Winchester Medical Center, Shenandoah Memorial Hospital, Valley Health War Memorial Hospital, Hampshire Memorial Hospital and Grant Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Lee Resta was last updated on May 24, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.