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SUSAN LESTER
NPI 1073513388
Family Medicine in Charlotte, NC

Active since July 28, 2005PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
5727 PROSPERITY CROSSING DRIVE, SUITE 2200, CHARLOTTE, NC 28269(704) 863-9830 Get Directions Write a Review

NPPES record last updated: February 13, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 13, 2019, Jan 18, 2019, Jan 4, 2019 and 8 more (11 updates tracked since 2016).

About Susan Lester NPPES

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

SUSAN LESTER (NPI 1073513388) is an individual family medicine provider in Charlotte, North Carolina, licensed in North Carolina (200000874) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and is a graduate of University Of Virginia School Of Medicine (1997).

NPPES Registry Identity

NPI1073513388
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSUSAN LESTER
Location Address5727 PROSPERITY CROSSING DRIVE, SUITE 2200Charlotte, NC 28269
Mailing Address5727 Prosperity Crossing DriveCharlotte, NC 28269
Phone(704) 863-9830
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 1997
Enumeration DateJuly 28, 2005
Last NPPES UpdateFebruary 13, 201911 updates tracked since enumeration
✔ NPI 1073513388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 200000874
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5727 PROSPERITY CROSSING DRIVE, Charlotte, NC 28269
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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

Susan Lester 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 ID5799759825
PECOS Enrollment IDI20050822000188
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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
79 services37 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28269 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

LAWRENCE RAYMOND
Internal Medicine
5727 PROSPERITY CROSSING DRIVE, SUITE 1100
CHARLOTTE, NC 28269
Mecklenburg County (704) 863-9930

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 Susan Lester's NPI number?

The NPI number for Susan Lester is 1073513388. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Where is Susan Lester located?

Susan Lester practices at 5727 Prosperity Crossing Drive Suite 2200, Charlotte, NC 28269. The listed phone number is (704) 863-9830.

What is Susan Lester's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Susan Lester enrolled in Medicare?

Yes. Susan Lester 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 Susan Lester accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 3 other insurers list Susan Lester 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 Susan Lester affiliated with any hospitals?

According to CMS data, Susan Lester is affiliated with Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Susan Lester was last updated on February 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.