Doctor profile · Federal record

Dr. Charles Walcott, D.O.

Family Medicine Physician (CMS: Family Practice) · Student in an Organized Health Care Education/Training Program · Johnson City, NY

  • NPI 1790043446
  • Accepts Medicare
  • MIPS 84.3 / 100 · 2023
  • 14 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
40 Arch St
Johnson City, NY 137902102
(607) 763-6075
fax (607) 763-5234
Mailing address
346 Grand Ave
Johnson City, NY 137902580

Credentials & registration

NPPES · NUCC
NPI registered
May 2012 — 14 yrs on file
Profile last updated
August 21, 2015
Year of graduation
2012 — 14 yrs since
Specialty taxonomy
207Q00000X — NUCC code
State license (1)
Connecticut #054219

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1790043446. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
1,029
Distinct HCPCS
10
Medicare allowed
$99,805
HCPCS Description Services Patients Avg allowed
99214 Established patient office or other outpatient visit, 30-39 minutes 431 183 $123
11042 Removal of skin and tissue, 20.0 sq cm or less 126 29 $62
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 88 88 $137
99213 Established patient office or other outpatient visit, 20-29 minutes 87 62 $79
99215 Established patient office or other outpatient visit, 40-54 minutes 52 34 $173
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 38 37 $16
99212 Established patient office or other outpatient visit, 10-19 minutes 34 15 $38
G0008 Administration of influenza virus vaccine 28 28 $33
83036 Hemoglobin a1c level 27 20 $10
90662 Influenza vaccine split virus, preservative free 24 24 $72

In context: peer comparison

Among 10 peers in this city , average services per provider: 73. This provider delivers 14× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
1,688
Patients
490
Total drug cost
$78,602
Drug Type Claims Patients Total cost
Atorvastatin Calcium Generic 319 91 $4,851
Lisinopril Generic 164 54 $1,354
Levothyroxine Sodium Generic 153 47 $3,196
Metformin Hcl Generic 114 40 $1,174
Amlodipine Besylate Generic 111 36 $1,230
Gabapentin Generic 107 25 $3,457
Metoprolol Succinate Generic 107 32 $3,346
Hydrochlorothiazide Generic 106 29 $640
Lisinopril-Hydrochlorothiazide (Lisinopril/Hydrochlorothiazide) Brand 79 20 $1,019
Pantoprazole Sodium Generic 77 25 $1,693

Frequently asked questions

Auto-generated from federal data
What is Dr. Charles Walcott's medical specialty?
Dr. Charles Walcott practices Family Medicine Physician in Johnson City, NY.
Where does Dr. Charles Walcott practice?
Dr. Charles Walcott practices at 40 Arch St, Johnson City, NY 137902102. Office phone: 6077636075.
What is Dr. Charles Walcott's NPI?
Dr. Charles Walcott's National Provider Identifier (NPI) is 1790043446, issued by NPPES.
Does Dr. Charles Walcott accept Medicare assignment?
Yes. Dr. Charles Walcott accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Charles Walcott commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Removal of skin and tissue, 20.0 sq cm or less (HCPCS 11042); Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS G0439). Source: CMS Medicare Physician & Other Practitioners file.