DR. CHARLES W LAGOSKI (DO) – Geriatric Medicine (Family Medicine) Physician, NPI 1164479424

DR. CHARLES W LAGOSKI (DO) is a healthcare provider. based in Breese, Illinois. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 036060508 (IL). The NPI Number for DR. CHARLES W LAGOSKI (DO) is 1164479424

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHARLES W LAGOSKI (DO)
NPI
1164479424
Phone
(618) 526-7271
Address
9401 HOLY CROSS LN
Enumeration Date
30 May 2006
Last Update Date
17 October 2016

Doctor Profile

Medical School Name
MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Secondary Phone
8774646640
Graduation Year
1979 (47 years ago)
PAC ID
6002719481
Group Practice PAC ID
3678889789
Professional Enrollment ID
I20070201000452
Address ID
IL616370001PE530XXAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

5,037 FAMILY PRACTICE in IL

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Provider Addresses for DR. CHARLES W LAGOSKI (DO)

  • 9401, Holy Cross Lane, Breese, Clinton County, Illinois, 62230, United States

    BREESE, IL 622303510

    Phone: (618) 526-7271

    Fax: (618) 526-8248

    Type: Mailing

  • Saint Francis Medical Center, 530, Northeast Glen Oak Avenue, Peoria, Peoria County, Illinois, 61637, United States

    PEORIA, IL 616360001

    Phone: (309) 624-8818

    Fax: (309) 624-8820

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-02-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070201000452IFamily PracticeILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5641$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes4536$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes3329$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2222$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 62230)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678889789View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm DR. CHARLES W LAGOSKI (DO)'s NPI?
Yes. DR. CHARLES W LAGOSKI (DO) is listed with NPI 1164479424 in the public NPI dataset.
Does the file indicate DR. CHARLES W LAGOSKI (DO) is practicing under active NPI?
Directory data currently reports DR. CHARLES W LAGOSKI (DO) as active.
What is DR. CHARLES W LAGOSKI (DO) best known for clinically?
Directory data describes DR. CHARLES W LAGOSKI (DO) with Geriatric Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. CHARLES W LAGOSKI (DO) on a map?
Expect Breese, Illinois as a primary anchor for DR. CHARLES W LAGOSKI (DO) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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