DR. CHARLTON CASTILLO LACERNA M.D.
NPI 1235373135
Family Medicine in Detroit, MI

Q: What is Charlton Lacerna's NPI number?

The NPI number for Charlton Lacerna is 1235373135. It was assigned to this individual provider in the NPPES registry on April 23, 2009.

Q: What is Charlton Lacerna's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Charlton Lacerna was last updated on October 4, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 23, 2009PECOS EnrolledAccepts Medicare Assignment

19460 GRAND RIVER AVE, DETROIT, MI 48223(313) 387-1097(313) 387-8795 Get Directions Write a Review

NPPES record last updated: October 4, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 4, 2023, Mar 2, 2021, Nov 19, 2018 (3 updates tracked since 2018).

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About Dr. Charlton Castillo Lacerna M.d. NPPES

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

DR. CHARLTON CASTILLO LACERNA M.D. (NPI 1235373135) is an individual family medicine provider in Detroit, Michigan, licensed in Michigan (4301116455) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with Kaiser Foundation Hospital, and maintains a secondary practice location in Kent.

NPPES Registry Identity

NPI1235373135

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. CHARLTON CASTILLO LACERNACredential: M.D.

Location Address19460 GRAND RIVER AVEDetroit, MI 48223

Mailing Address225 Touraine RdGrosse Pointe Farms, MI 48236-3323 · (808) 228-8127

Phone(313) 387-1097

Fax(313) 387-8795

Sole ProprietorYes

Medical School CMSOtherGraduated 1998

Enumeration DateApril 23, 2009

Last NPPES UpdateOctober 4, 20233 updates tracked since enumeration

NPPES CertifiedOctober 4, 2023

✔ NPI 1235373135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in MI · 4301116455✔ Licensed in WA · 60287621

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.

19460 GRAND RIVER AVE, Detroit, MI 48223

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Secondary Practice Location 1

Location 126004 104th Ave SEKent, WA 98030-7677 · Phone (425) 251-4040

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Kaiser Permanente, PacificSource Health Plans.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. Charlton Castillo Lacerna 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 ID2365694775

PECOS Enrollment IDI20231206001554

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 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.

38 services28 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

12 services12 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Kaiser Foundation Hospital

Acute Care Hospitals · Honolulu, HI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number120011

Location3288 Moanalua RdHonolulu, HI 96819 · Honolulu County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48223 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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.

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.

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Internal Medicine