CHARLES JOSEPH PRESTIGIACOMO M.D.
NPI 1174658272
Neurological Surgery in Cincinnati, OH

Active since February 22, 2007PECOS EnrolledAccepts Medicare Assignment
78.78/100
CMS Quality Rating
3113 BELLEVUE AVE, CINCINNATI, OH 45219(513) 475-8990(513) 475-8577 Get Directions Write a Review

NPPES record last updated: March 29, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charles Joseph Prestigiacomo M.d. NPPES

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

CHARLES JOSEPH PRESTIGIACOMO M.D. (NPI 1174658272) is an individual neurological surgery provider in Cincinnati, Ohio, licensed in Ohio (35.134660) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with University Of Cincinnati Medical Center, Llc, and is a graduate of Columbia University College Of Physicians And Surgeons (1993).

NPPES Registry Identity

NPI1174658272
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameCHARLES JOSEPH PRESTIGIACOMOCredential: M.D.
Location Address3113 BELLEVUE AVECincinnati, OH 45219
Mailing AddressPo Box 636256Cincinnati, OH 45263-6256 · (513) 585-5505
Fax(513) 475-8577
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1993
Enumeration DateFebruary 22, 2007
Last NPPES UpdateMarch 29, 2019
NPI 1174658272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Licenses Licensed in OH · 35.134660 Licensed in NJ · 25MA07461000
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
3113 BELLEVUE AVE, Cincinnati, OH 45219

Other Identifiers 1

Medicaid8921903NJ

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

Charles Joseph Prestigiacomo 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 ID4284663253
PECOS Enrollment IDI20181003003387
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 5

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
28 services24 patients
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.
16 services14 patients
Insertion of tube into brain artery for diagnosis or treatment with review by radiologist 36226
This procedure involves inserting a thin tube into a brain artery. It aids in diagnosing or treating brain conditions. A radiologist reviews the process to ensure accuracy and safety. It's a critical step in managing brain health effectively.
14 services13 patients
Insertion of tube into internal neck artery for diagnosis or treatment with review by radiologist 36224
This procedure involves placing a small tube into your neck artery. It helps diagnose or treat certain conditions. A radiologist, a doctor specializing in medical imaging, reviews the process to ensure accuracy and safety.
12 services11 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Cincinnati Medical Center, LLC

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360003
Location3188 Bellevue AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

West Chester Hospital

Acute Care Hospitals · West Chester, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360354
Location7700 University DriveWest Chester, OH 45069 · Butler County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45219 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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.

78.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.42
Promoting Interoperability100
Improvement Activities40
Cost58.86

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.

Nurse Practitioner
3113 BELLEVUE AVE
CINCINNATI, OH 45219
Student in an Organized Health Care Education/Training Program
3113 BELLEVUE AVE
CINCINNATI, OH 45219
Student in an Organized Health Care Education/Training Program
3113 BELLEVUE AVE
CINCINNATI, OH 45219
Student in an Organized Health Care Education/Training Program
3113 BELLEVUE AVE
CINCINNATI, OH 45219
Nurse Practitioner
3113 BELLEVUE AVE
CINCINNATI, OH 45219
Student in an Organized Health Care Education/Training Program
3113 BELLEVUE AVE
CINCINNATI, OH 45219
Student in an Organized Health Care Education/Training Program
3113 BELLEVUE AVE
CINCINNATI, OH 45219
Nurse Practitioner (Family)
3113 BELLEVUE AVE
CINCINNATI, OH 45219

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 Charles Prestigiacomo's NPI number?

The NPI number for Charles Prestigiacomo is 1174658272. It was assigned to this individual provider in the NPPES registry on February 22, 2007.

Where is Charles Prestigiacomo located?

Charles Prestigiacomo practices at 3113 Bellevue Ave, Cincinnati, OH 45219. The listed phone number is (513) 475-8990.

What is Charles Prestigiacomo's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Charles Prestigiacomo enrolled in Medicare?

Yes. Charles Prestigiacomo 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 Charles Prestigiacomo accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Charles Prestigiacomo 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 Charles Prestigiacomo affiliated with any hospitals?

According to CMS data, Charles Prestigiacomo is affiliated with University Of Cincinnati Medical Center, LLC and West Chester Hospital.

When was this NPI record last updated?

The NPPES record for Charles Prestigiacomo was last updated on March 29, 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.