Presto, Joseph

Joseph Presto, MD, a sole proprietorship based in New York City, provides independent medical case reviews for the Social Security Administration's disability determination and appeals reconsideration processes, operating exclusively as a prime contractor on BPA call orders with no subcontract footprint. The vendor operates under NAICS 621111 (Offices of Physicians except Mental Health Specialists) and PSC Medical—Medical/Psychiatric Consultation, with all 22 recent awards flowing from a single customer agency and no socioeconomic set-aside designations across the prime portfolio.

Joseph Presto's customer concentration is singular and stable. The Social Security Administration accounts for 100% of recent awards and combined potential value — all 22 awards, totaling $7.5 million in combined potential value. The vendor operates under three active SSA Blanket Purchase Agreements: BPA 28321321AC0240014 (7 task orders, $703 thousand combined potential value), BPA SS021240002 (7 task orders, $146 thousand combined potential value), and BPA SS02174C002 (5 task orders, $255 thousand combined potential value). These BPAs enable SSA to issue call orders for Dr. Presto's medical consulting services on an as-needed basis, with individual call order values typically ranging from approximately $12 thousand to $143 thousand. Representative recent work includes a firm fixed-price BPA call of $112,228.85 awarded June 18, 2026, for 1,100 independent disability claim case reviews in New York with ultimate completion by June 30, 2027; a $144,385.40 call order awarded April 2, 2025, for independent case reviews running through April 1, 2026; and a $143,318 call order awarded March 28, 2024, with completion by March 30, 2025.

Activity volume is modest and flat. The vendor has received between one and two awards per year over the past five years, with one award (combined potential value $112 thousand) facing ultimate completion within the next twenty-four months. Combined dollars obligated across all awards total $1.1 million — 15% of combined potential value — indicating substantial backlog or multi-year obligation tail on individual call orders. The vendor has maintained continuous SSA engagement since 2012, with no evidence of sub-award activity or teaming relationships; all work is delivered by Dr. Presto directly from his New York location.

Board Eligible/Certified Internal Medicine.

Public Health Policy and Administration.

Public Health Informatics.

Medical and Disability Review.

Medical Director.