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BARTHOLOMEW MICHAEL LOPRESTI M.D.
NPI 1225012214
Family Medicine in Carrollton, VA

Active since December 02, 2005PECOS Enrolled
95.11/100
CMS Quality Rating
20209 SENTARA WAY, STE 200, CARROLLTON, VA 23314(757) 542-2000(757) 542-2001 Get Directions Write a Review

NPPES record last updated: April 20, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bartholomew Michael Lopresti M.d. NPPES

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

BARTHOLOMEW MICHAEL LOPRESTI M.D. (NPI 1225012214) is an individual family medicine provider in Carrollton, Virginia, licensed in Virginia (0101037607) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225012214
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBARTHOLOMEW MICHAEL LOPRESTICredential: M.D.
Location Address20209 SENTARA WAY, STE 200Carrollton, VA 23314-3573
Mailing Address20209 Sentara Way, Ste 200Carrollton, VA 23314-3573 · (757) 542-2000 · Fax (757) 542-2001
Phone(757) 542-2000
Fax(757) 542-2001
Sole ProprietorNo
Enumeration DateDecember 2, 2005
Last NPPES UpdateApril 20, 2012
✔ NPI 1225012214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VA · 0101037607
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.
20209 SENTARA WAY, Carrollton, VA 23314
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Other Identifiers 5

Medicare UPINC60275VA
Other381158VA · Anthem Provider Number
Medicare ID-Type Unspecified080002142VA
Medicaid5624304VA
Other61014VA · Optima Health Provder No.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bartholomew Michael Lopresti M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Bartholomew Lopresti reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sentara Medical Group
21 mi
Family Medicine
824 N MILITARY HWY STE 100
Norfolk, VA 23502
  • Reassigned Medicare billing, Virginia enrollment
  • 1,901 clinicians in this Medicare group
NPI 1265485270 (757) 252-2900

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.
59 services59 patients
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.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23314 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
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.

95.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.31
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers73 claims198 services$6.42 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
4 suppliers20 claims20 services$2.95 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers35 claims57 services$1.13 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
1 supplier12 claims120 services$5.50 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$2.94 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers12 claims12 services$26.05 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 7

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

VELOCITY URGENT CARE, LLC
Clinic/Center
20209 SENTARA WAY
CARROLLTON, VA 23314
Isle of Wight County (757) 772-6125
RACHAEL MARGARET FRYE FNP-C
Nurse Practitioner (Family)
20209 SENTARA WAY
CARROLLTON, VA 23314
Isle of Wight County (757) 542-1000
SENTARA MEDICAL GROUP
Family Medicine
20209 SENTARA WAY, SUITE 200
CARROLLTON, VA 23314
Isle of Wight County (757) 542-2000
DR. FOROOZAN AFSHARCHI M.D.
Family Medicine
20209 SENTARA WAY, STE 200
CARROLLTON, VA 23314
Isle of Wight County (757) 542-2000
SENTARA MEDICAL GROUP
Internal Medicine (Cardiovascular Disease)
20209 SENTARA WAY, STE 104
CARROLLTON, VA 23314
Isle of Wight County (757) 357-5307
MRS. CATHERINE MARY EMERICK FNP
Nurse Practitioner (Family)
20209 SENTARA WAY
CARROLLTON, VA 23314
Isle of Wight County (757) 542-1000
SENTARA MEDICAL GROUP
Clinic/Center (Urgent Care)
20209 SENTARA WAY, SUITE 100
CARROLLTON, VA 23314
Isle of Wight County (757) 542-2010

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 Bartholomew Lopresti's NPI number?

The NPI number for Bartholomew Lopresti is 1225012214. It was assigned to this individual provider in the NPPES registry on December 2, 2005.

Where is Bartholomew Lopresti located?

Bartholomew Lopresti practices at 20209 Sentara Way Ste 200, Carrollton, VA 23314. The listed phone number is (757) 542-2000.

What is Bartholomew Lopresti's specialty?

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

Is Bartholomew Lopresti enrolled in Medicare?

Yes. Bartholomew Lopresti is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Bartholomew Lopresti's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bartholomew Lopresti reassigns Medicare benefits to Sentara Medical Group (Norfolk, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bartholomew Lopresti's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Bartholomew Lopresti was last updated on April 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.