CHARLES CHRISTOPHER WALCOTT D.O.
NPI 1790043446
Family Medicine in Johnson City, NY

Q: What is Charles Walcott's NPI number?

The NPI number for Charles Walcott is 1790043446. It was assigned to this individual provider in the NPPES registry on May 1, 2012.

Q: What is Charles Walcott'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 Charles Walcott was last updated on August 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since May 01, 2012PECOS EnrolledAccepts Medicare Assignment

93.27/100

CMS Quality Rating

40 ARCH ST, JOHNSON CITY, NY 13790(607) 763-6075(607) 763-5234 Get Directions Write a Review

NPPES record last updated: August 21, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Charles Christopher Walcott D.o. NPPES

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

CHARLES CHRISTOPHER WALCOTT D.O. (NPI 1790043446) is an individual family medicine provider in Johnson City, New York, licensed in Connecticut (054219) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2012).

NPPES Registry Identity

NPI1790043446

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameCHARLES CHRISTOPHER WALCOTTCredential: D.O.

Location Address40 ARCH STJohnson City, NY 13790-2102

Mailing Address346 Grand AveJohnson City, NY 13790-2580 · (607) 763-6075 · Fax (607) 763-5234

Phone(607) 763-6075

Fax(607) 763-5234

Sole ProprietorNo

Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2012

Enumeration DateMay 1, 2012

Last NPPES UpdateAugust 21, 2015

✔ NPI 1790043446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CT · 054219

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

40 ARCH ST, Johnson City, NY 13790

Open in Google Maps ↗

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

Charles Christopher Walcott D.o. 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 ID5092946764

PECOS Enrollment IDI20150923000372

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 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.

409 services155 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.

81 services81 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.

64 services52 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

61 services20 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

48 services35 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

37 services36 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

28 services28 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

20 services13 patients

Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected 0241U

This test detects the RNA of respiratory viruses, including COVID-19, Influenza A, Influenza B, and Respiratory Syncytial Virus, in an upper respiratory specimen. The test result will report if each virus is detected or not, helping in accurate diagnosis.

19 services19 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.

14 services14 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

13 services13 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13790 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

93.27/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

81.72

Promoting Interoperability

78.03

Improvement Activities

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

5 suppliers13 claims30 services$6.15 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 20

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

JULIE DOUGLASS

Dietitian, Registered

40 ARCH ST
JOHNSON CITY, NY 13790

Broome County (607) 763-6092

DR. PERIKA SHAUGN DEROCHE MD

Student in an Organized Health Care Education/Training Program

40 ARCH ST
JOHNSON CITY, NY 13790

Broome County (607) 763-6075

CHRISTINE WOZNIAK RD

Dietitian, Registered

40 ARCH ST
JOHNSON CITY, NY 13790

Broome County (607) 763-6075

OLAYINKA O WILHELM MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

40 ARCH ST, DIABETES CENTER - PICCIANO 2
JOHNSON CITY, NY 13790

Broome County (607) 763-6092

JILLENE MYRNELLE BRATHWAITE D.O.

Internal Medicine (Endocrinology, Diabetes & Metabolism)

40 ARCH ST
JOHNSON CITY, NY 13790

Broome County (607) 763-6092

TYSON DON BRIERLEY D.O.

Family Medicine

40 ARCH ST
JOHNSON CITY, NY 13790

Broome County (607) 763-6075

DR. AHMED FAISAL CHOWDHURY MD

Student in an Organized Health Care Education/Training Program

40 ARCH ST
JOHNSON CITY, NY 13790

Broome County (607) 763-6075

KATHERINE HOLMES MD

Family Medicine

40 ARCH ST
JOHNSON CITY, NY 13790

Broome County (607) 763-6075

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 Walcott's NPI number?

The NPI number for Charles Walcott is 1790043446. It was assigned to this individual provider in the NPPES registry on May 1, 2012.

Where is Charles Walcott located?

Charles Walcott practices at 40 Arch St, Johnson City, NY 13790. The listed phone number is (607) 763-6075.

What is Charles Walcott's specialty?

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

Is Charles Walcott enrolled in Medicare?

Yes. Charles Walcott 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.

When was this NPI record last updated?

The NPPES record for Charles Walcott was last updated on August 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.