DR. CARL J LETO MD
NPI 1528136512
Ophthalmology in Vienna, VA

Active since November 30, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
8150 LEESBURG PIKE, SUITE 909, VIENNA, VA 22182(703) 790-1780(703) 734-0491 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Carl J Leto Md NPPES

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

DR. CARL J LETO MD (NPI 1528136512) is an individual ophthalmology provider in Vienna, Virginia and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Inova Fairfax Hospital, and is a graduate of Tufts University School Of Medicine (1980).

NPPES Registry Identity

NPI1528136512
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. CARL J LETOCredential: MD
Location Address8150 LEESBURG PIKE, SUITE 909Vienna, VA 22182-2714
Mailing Address8150 Leesburg PikeVienna, VA 22182-2714 · (703) 790-1780 · Fax (703) 734-0491
Fax(703) 734-0491
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 1980
Enumeration DateNovember 30, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1528136512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
8150 LEESBURG PIKE, Vienna, VA 22182

Other Identifiers 3

Medicare ID-Type Unspecified009636T98
Medicaid6368492VA
Medicare UPINC61792

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. Carl J Leto Md 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 ID7012088404
PECOS Enrollment IDI20100406000256
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 12

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
1,202 services1,099 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
596 services372 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
406 services403 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
223 services222 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
93 services93 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.
84 services73 patients

Hospital Affiliations CMS Care Compare

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

Inova Fairfax Hospital

Acute Care Hospitals · Falls Church, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490063
Location3300 Gallows RoadFalls Church, VA 22042 · Fairfax County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22182 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Dilated Macular Examination
98%203 patients4/55-star benchmark: 100%
Diabetes: Eye Exam
100%338 patients5/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
94%90 patients4/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
96%745 patients
Overuse of Imaging for the Evaluation of Primary Headache
Lower rates are better for this measure.
0%47 patients
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%383 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 2,020 patients
Patients totalRate: 0% · 2,020 patients
0%2,020 patients5/55-star benchmark: 100%
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.

Other Providers at the Same Location NPPES 11

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

Dentist (Endodontics)
8150 LEESBURG PIKE, SUITE 502
VIENNA, VA 22182
Specialist
8150 LEESBURG PIKE, SUITE 910
VIENNA, VA 22182
Technician/Technologist (Optician)
8150 LEESBURG PIKE, SUITE 901
VIENNA, VA 22182
Ophthalmology
8150 LEESBURG PIKE
VIENNA, VA 22182
Counselor (Addiction (Substance Use Disorder))
8150 LEESBURG PIKE
VIENNA, VA 22182
Ophthalmology
8150 LEESBURG PIKE, SUITE #909
VIENNA, VA 22182
Dentist (General Practice)
8150 LEESBURG PIKE, SUITE 900
VIENNA, VA 22182
Dentist (General Practice)
8150 LEESBURG PIKE, SUITE 503
VIENNA, VA 22182

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 Carl Leto's NPI number?

The NPI number for Carl Leto is 1528136512. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Where is Carl Leto located?

Carl Leto practices at 8150 Leesburg Pike Suite 909, Vienna, VA 22182. The listed phone number is (703) 790-1780.

What is Carl Leto's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Carl Leto enrolled in Medicare?

Yes. Carl Leto 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 Carl Leto affiliated with any hospitals?

According to CMS data, Carl Leto is affiliated with Inova Fairfax Hospital.

When was this NPI record last updated?

The NPPES record for Carl Leto was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.