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DR. LEI S CHARLTON M.D.
NPI 1427146133
Internal Medicine in Richmond, VA

Active since October 10, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 49D0226950 · Waiver
5000 MONUMENT AVE STE 103, RICHMOND, VA 23230(804) 649-1277(804) 649-1026 Get Directions Write a Review

NPPES record last updated: April 10, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lei S Charlton M.d. NPPES

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

DR. LEI S CHARLTON M.D. (NPI 1427146133) is an individual internal medicine provider in Richmond, Virginia, licensed in Virginia (0101036378) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through May 26, 2027, and is affiliated with Bon Secours St Marys Hospital.

NPPES Registry Identity

NPI1427146133
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. LEI S CHARLTONCredential: M.D.
Location Address5000 MONUMENT AVE STE 103Richmond, VA 23230-3627
Mailing Address5000 Monument Ave Ste 103Richmond, VA 23230-3627 · (804) 649-1277 · Fax (804) 649-1026
Phone(804) 649-1277
Fax(804) 649-1026
Sole ProprietorYes
Medical School CMSMeharry Medical College School Of MedicineGraduated 1981
Enumeration DateOctober 10, 2006
Last NPPES UpdateApril 10, 2019
✔ NPI 1427146133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in VA · 0101036378
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.
5000 MONUMENT AVE STE 103, Richmond, VA 23230
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Secondary Practice Location 1

Location 11122 N 25th St Ste ARichmond, VA 23223-5254 · Phone (804) 649-1277 · Fax (804) 649-1026

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. Lei S Charlton 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 ID4880781293
PECOS Enrollment IDI20071101000474
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D0226950

Lei S Charlton, MD PC · Richmond, VA
Active · expires May 26, 2027
CLIA Number49D0226950
Laboratory TypePhysician Office
Certificate Effective DateMay 27, 2025
Certificate Expiration DateMay 26, 2027
Laboratory DirectorLei Charlton
Laboratory Phone(804) 649-1277
Laboratory LocationLei S Charlton, MD PC5000 Monument Avenue Suite 103, Richmond, VA 23230
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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.
136 services60 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.
34 services34 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.
31 services23 patients

Hospital Affiliations CMS Care Compare 3

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

Bon Secours St Marys Hospital

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number490059
Location5801 Bremo RdRichmond, VA 23226 · Richmond City County
Emergency services Birthing friendly

Bon Secours Memorial Regional Medical Center

Acute Care Hospitals · Mechanicsville, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number490069
Location8260 Atlee RoadMechanicsville, VA 23116 · Hanover County
Emergency services Birthing friendly

Bon Secours Richmond Community Hospital

Acute Care Hospitals · Richmond, VA
OwnershipVoluntary non-profit - Private
CMS Certification Number490094
Location1500 N. 28th StreetRichmond, VA 23223 · Richmond City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23230 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
70%157 patients3/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
60%338 patients3/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
51%128 patients3/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%4,083 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
34%165 patients2/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%153 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
88%557 patients4/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
76%542 patients4/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
39%428 patients2/55-star benchmark: 88%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
83%557 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
1%557 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
8%557 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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
8 suppliers27 claims66 services$5.13 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Lei Charlton's NPI number?

The NPI number for Lei Charlton is 1427146133. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Lei Charlton located?

Lei Charlton practices at 5000 Monument Ave Ste 103, Richmond, VA 23230. The listed phone number is (804) 649-1277.

What is Lei Charlton's specialty?

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

Is Lei Charlton enrolled in Medicare?

Yes. Lei Charlton 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.

Does Lei Charlton hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D0226950) is associated with this NPI, valid through May 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Lei Charlton affiliated with any hospitals?

According to CMS data, Lei Charlton is affiliated with Bon Secours St Marys Hospital, Bon Secours Memorial Regional Medical Center and Bon Secours Richmond Community Hospital.

When was this NPI record last updated?

The NPPES record for Lei Charlton was last updated on April 10, 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.