Active NPI 1518919695 Individual Practitioner Male Practitioner

Dr. Luis Gimpaya Carpio , MD

Internal Medicine • Chesapeake, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Luis Carpio, MD is a certified Internal Medicine practicing in Chesapeake, VA. With approximately 48 years of clinical experience since completing medical education in 1978, Dr. Carpio delivers high-quality medical care to the local community at 111 COASTAL WAY.

Dr. Carpio is affiliated with First Care Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include insertion of needle into vein for collection of blood sample, established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

111 Coastal Way

Chesapeake, VA 233204603

Telephone 7575499671

Fax 7575496802

Associated Practice Facility / Clinic

🏢 Tidewater Medical Clinic Pc Facility NPI 1467579482

Medicare Profile & Education

Medical School

Other

Graduation Year

1978

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Chesapeake, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

48 Yrs +19.1 yrs vs City Avg

City Avg: 28.9 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

61 Specialists

Practicing in Chesapeake, VA (3758 Statewide)

Telehealth Adoption Rate

24.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

10.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Carpio (48 Years) 48 Yrs

Chesapeake Specialty Average (28.9 Years) 28.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	442	215	$8.00	$7.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	346	195	$145.00	$122.86
99213 Established patient office or other outpatient visit, typically 15 minutes	324	169	$102.50	$86.96
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	158	158	$155.00	$125.10
G0008 Administration of influenza virus vaccine	79	79	$31.91	$30.88
90656 Vaccine for influenza for administration into muscle, 0.5 ml dosage	78	78	$25.00	$21.34
81002 Urinalysis, manual test	13	12	$6.50	$3.41
99496 Transitional care management services for problem of high complexity	13	11	$250.00	$246.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$194.40	$173.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	386	205	$145.00	$124.85
99213 Established patient office or other outpatient visit, typically 15 minutes	368	179	$99.00	$87.64
36415 Insertion of needle into vein for collection of blood sample	219	179	$7.70	$7.49
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	176	176	$155.00	$126.23
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	140	139	$27.76	$21.56
G0008 Administration of influenza virus vaccine	136	135	$24.94	$24.44
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	28	$194.40	$175.48
99497 Advance care planning, first 30 minutes	28	27	$86.00	$80.76
81002 Urinalysis, manual test	27	20	$6.58	$3.41
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$198.40	$161.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	399	211	$145.00	$126.95
99213 Established patient office or other outpatient visit, typically 15 minutes	387	186	$99.00	$90.18
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	204	204	$155.00	$129.94
G0008 Administration of influenza virus vaccine	129	125	$23.00	$22.56
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	129	125	$25.19	$21.06
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	41	13	$5.12	$1.18
36415 Insertion of needle into vein for collection of blood sample	20	20	$5.00	$2.95
81002 Urinalysis, manual test	20	16	$6.40	$3.43
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$194.40	$180.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	399	218	$138.55	$128.83
99213 Established patient office or other outpatient visit, typically 15 minutes	385	200	$97.58	$91.29
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	216	216	$151.44	$132.86
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	142	141	$29.12	$20.36
G0008 Administration of influenza virus vaccine	139	138	$23.00	$17.01
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	34	29	$194.40	$182.04
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	22	14	$5.00	$1.27
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	16	16	$198.40	$168.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	380	223	$130.00	$107.89
99213 Established patient office or other outpatient visit, typically 15 minutes	373	194	$95.00	$74.49
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	194	194	$145.00	$115.51
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	163	157	$25.00	$19.53
G0008 Administration of influenza virus vaccine	162	156	$23.00	$16.74
81002 Urinalysis, manual test	19	15	$6.40	$3.45
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	16	11	$5.00	$1.47
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$185.00	$170.11
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$198.40	$167.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	469	260	$130.00	$106.73
99213 Established patient office or other outpatient visit, typically 15 minutes	424	212	$95.00	$72.01
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	195	195	$145.00	$115.31
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	118	118	$24.95	$18.49
G0008 Administration of influenza virus vaccine	114	114	$23.00	$16.42
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	24	14	$5.00	$1.51
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	19	$194.40	$144.75
81002 Urinalysis, manual test	18	16	$6.40	$3.41
20610 Aspiration and/or injection of fluid from large joint	15	13	$80.00	$58.07
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$198.40	$164.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	373	213	$95.00	$68.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	347	237	$130.00	$99.36
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	161	161	$145.00	$108.80
36415 Insertion of needle into vein for collection of blood sample	103	94	$5.00	$2.89
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	87	87	$22.00	$18.22
G0008 Administration of influenza virus vaccine	83	83	$23.00	$20.24
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	31	17	$5.32	$1.83
20610 Aspiration and/or injection of fluid from large joint	22	17	$80.00	$56.71
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	22	22	$198.40	$155.25
81002 Urinalysis, manual test	20	17	$6.40	$3.41
99495 Transitional care management services for problem of at least moderate complexity	15	13	$175.00	$153.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	451	221	$95.00	$67.21
36415 Insertion of needle into vein for collection of blood sample	424	250	$4.49	$2.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	393	228	$129.91	$98.90
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	177	177	$145.00	$106.20
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	121	119	$22.00	$18.52
G0008 Administration of influenza virus vaccine	114	112	$23.00	$22.54
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	43	20	$5.00	$1.79
20610 Aspiration and/or injection of fluid from large joint	25	20	$80.00	$55.98
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	22	18	$76.00	$49.82
81002 Urinalysis, manual test	19	17	$6.40	$3.43
G0009 Administration of pneumococcal vaccine	13	13	$27.00	$24.99
99495 Transitional care management services for problem of at least moderate complexity	12	12	$175.00	$150.74

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License VA 0101055402

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

005842522 (VA)

Hospital & Practice Group Affiliations

First Care Pc

4053 Taylor Rd, Chesapeake, VA 233215526

Phone: 7574836401

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 05, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location July 05, 2011

Registered at 111 COASTAL WAY, CHESAPEAKE, VA 233204603 (Tel: 7575499671)

📍

Updated Business Mailing Address July 05, 2011

Registered at 111 COASTAL WAY, CHESAPEAKE, VA 233204603 (Tel: 7575499671)

👤

Provider Name / Credentials Updated July 05, 2011

Recorded as LUIS CARPIO, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 05, 2011

Internal Medicine (License #0101055402 in VA)

🟢

Initial NPI Registration & Enumeration May 16, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1518919695

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 16, 2006

Last Update: July 05, 2011

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

111 Coastal Way

Chesapeake, VA 233204603

Phone: 7575499671

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.