NICHOLAS PATRICK LOPREIATO MD
NPI 1265878151
Orthopaedic Surgery in Bethesda, MD
NPI Status: Active since May 17, 2013
Contact Information
4494 PALMER ROAD NORTH
BETHESDA, MD
ZIP 20889
Phone: (301) 400-3416
- Individual
- Male
- Orthopaedic Surgery
- Accepts Insurance
- PECOS Enrolled
About NICHOLAS LOPREIATO
This page provides the complete NPI Profile along with additional information for Nicholas Lopreiato, a provider established in Bethesda, Maryland with a medical specialization in Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1265878151 assigned on May 2013. The practitioner's primary taxonomy code is 207X00000X with license number MD485260 (PA). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1265878151
- Provider Name
- NICHOLAS PATRICK LOPREIATO MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4494 PALMER ROAD NORTH BETHESDA, MD 20889
- Location Phone
- (301) 400-3416
- Mailing Address
- PO BOX 780125 PHILADELPHIA, PA 19178
- Mailing Phone
- (804) 922-4844
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-17-2013
- Last Update Date
- 12-09-2024
- Code Navigator
Location Map
Secondary Locations
- 1000 E Broad St
Richmond, VA 23219
(804) 828-2467 - 1250 E Marshall St
Richmond, VA 23298
(804) 828-7069 - 34800 Bob Wilson Dr
San Diego, CA 92134
(619) 532-8429 - 500 University Dr
Hershey, PA 17033
(717) 531-5638 - 9300 DeWitt Loop
Fort Belvoir, VA 22060
(571) 231-2317
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Orthopaedic Surgery
- Taxonomy Code
- 207X00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD485260
- License State
- PA
- Taxonomy Description
- An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 171000000X | Other Service Providers | Military Health Care Provider | 28042 (NE) |
| 2 | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 0101278477 (VA) |
| 3 | 207XP3100X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 0101278477 (VA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? 901 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Nicholas Lopreiato is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 20889 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $100.31
- Minimum New Patient Price $65.18
- Maximum New Patient Price $194.86
- Average New Patient Copayment $25.07
- Minimum New Patient Copayment $16.29
- Maximum New Patient Copayment $48.71
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $80.66
- Minimum Established Patient Price $21.4
- Maximum Established Patient Price $158.88
- Average Established Patient Copayment $20.16
- Minimum Established Patient Copayment $5.35
- Maximum Established Patient Copayment $39.72
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 6 | 5 | 8 | 7 | 8 | 1 | 5 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 12 | 5 | 16 | 7 | 16 | 1 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 2 + 5 + 1 + 6 + 7 + 1 + 6 + 1 + 1 + 0 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1265878151 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1770723256 | DR. JAMES AUSTIN COX M.D. Individual | Dermatology | 4494 PALMER ROAD NORTH BETHESDA, MD 20889 (301) 295-2427 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265878151, enumerated in the NPI registry as an "individual" on May 17, 2013
The provider is located at 4494 Palmer Road North Bethesda, Md 20889 and the phone number is (301) 400-3416
The provider's speciality is Orthopaedic Surgery with taxonomy code 207X00000X
The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $100.31 with an average copayment of $25.07 for new patient appointments. Established patients should expect a typical charge of $80.66 and an average copayment of 20.16. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on May 17, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.