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DR. CHARLES SALVATORE LOPRESTO III DO
NPI 1326538695
Internal Medicine in Flushing, NY

Active since May 12, 2018PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
5645 MAIN ST DEPT OF, FLUSHING, NY 11355(718) 670-2000 Get Directions Write a Review

NPPES record last updated: October 14, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 14, 2021, May 12, 2018 (2 updates tracked since 2018).

About Dr. Charles Salvatore Lopresto Iii Do NPPES

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

DR. CHARLES SALVATORE LOPRESTO III DO (NPI 1326538695) is an individual internal medicine provider in Flushing, New York, licensed in New York (312903) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with New York-presbyterian/queens, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1326538695
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. CHARLES SALVATORE LOPRESTO IIICredential: DO
Location Address5645 MAIN ST DEPT OFFlushing, NY 11355-5045
Mailing Address5645 Main St Dept OfFlushing, NY 11355-5045 · (718) 670-2000
Phone(718) 670-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 12, 2018
Last NPPES UpdateOctober 14, 20212 updates tracked since enumeration
NPPES CertifiedOctober 14, 2021
✔ NPI 1326538695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 312903
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5645 MAIN ST DEPT OF, Flushing, NY 11355
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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. Charles Salvatore Lopresto Iii Do 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 ID3476898693
PECOS Enrollment IDI20220423000020
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
183 services89 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
138 services72 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
72 services71 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
18 services13 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

New York-Presbyterian/Queens

Acute Care Hospitals · Flushing, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330055
Location56-45 Main StreetFlushing, NY 11355 · Queens County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11355 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
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

GEOFFREY MARANO
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
5645 MAIN ST DEPT OF
FLUSHING, NY 11355
Queens County (718) 670-2000
JENNIFER YANG RN
Nurse Anesthetist, Certified Registered
5645 MAIN ST DEPT OF
FLUSHING, NY 11355
Queens County (929) 626-0054
MARK REBOLOS M.D. , F.A.C.O.G
Obstetrics & Gynecology
5645 MAIN ST DEPT OF
FLUSHING, NY 11355
Queens County (718) 670-2000
KE LIN MD
Radiology (Diagnostic Radiology)
5645 MAIN ST DEPT OF
FLUSHING, NY 11355
Queens County (718) 670-1888
DR. VARUNA MEENAKSHI SUNDARAM M.D.
Surgery (Vascular Surgery)
5645 MAIN ST DEPT OF
FLUSHING, NY 11355
Queens County (718) 303-6100
CALVIN HWANG M.D.
Internal Medicine (Critical Care Medicine)
5645 MAIN ST DEPT OF
FLUSHING, NY 11355
Queens County (718) 912-0632

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 Lopresto's NPI number?

The NPI number for Charles Lopresto is 1326538695. It was assigned to this individual provider in the NPPES registry on May 12, 2018.

Where is Charles Lopresto located?

Charles Lopresto practices at 5645 Main St Dept Of, Flushing, NY 11355. The listed phone number is (718) 670-2000.

What is Charles Lopresto's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Charles Lopresto enrolled in Medicare?

Yes. Charles Lopresto 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.

Is Charles Lopresto affiliated with any hospitals?

According to CMS data, Charles Lopresto is affiliated with New York-Presbyterian/Queens.

When was this NPI record last updated?

The NPPES record for Charles Lopresto was last updated on October 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.