MARK A STELLINGWORTH MD NPI 1003000936

Internal Medicine (Advanced Heart Failure and Transplant Cardiology) in Hartsville, SC

NPI 1003000936 Individual Male Years of Experience 22 Internal Medicine Advanced Heart Failure and Transplant Ca... PECOS Enrolled Accepts Medicare Approved Payment

About MARK STELLINGWORTH

Mark Stellingworth is an internal medicine provider established in Hartsville, South Carolina and his medical specialization is internal medicine (advanced heart failure and transplant cardiology) with more than 22 years of experience. He graduated from Louisiana State University School Of Medicine In New Orleans in 2000. The NPI number of Mark Stellingworth is 1003000936 and was assigned on September 2007. The practitioner's primary taxonomy code is 207RA0001X with license number 36377 (SC). The provider is registered as an individual and his NPI record was last updated June 2021.

An internist like Mark A Stellingworth Md is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Mark Stellingworth is enrolled in PECOS and is eligible to order or refer healthcare 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

Mark Stellingworth is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Carolina Pines Regional Medical Center, Prisma Health Richland Hospital and Prisma Health Greenville Memorial Hospital.

NPI

1003000936

Provider Name MARK A STELLINGWORTH MD
Provider Location Address701 MEDICAL PARK DR STE 301 HARTSVILLE, SC 29550
Provider Mailing AddressPO BOX 743904 ATLANTA, GA 30374
GenderMale
NPI Entity TypeIndividual
Medical School NameLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduation Year2000
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date09-04-2007
Last Update Date06-25-2021


Primary Taxonomy

Taxonomy Code207RA0001X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationAdvanced Heart Failure and Transplant Cardiology
License No.36377
License StateSC
Taxonomy DescriptionSpecialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.

Business Address

MARK A STELLINGWORTH MD
701 MEDICAL PARK DR STE 301
HARTSVILLE, SC
ZIP 29550
Phone: (843) 383-5978
Fax: (843) 383-5977

Get Directions


Mailing Address

MARK A STELLINGWORTH MD
PO BOX 743904
ATLANTA, GA
ZIP 30374
Phone: (803) 296-7320
Fax: (803) 296-7330



Secondary Locations

8 Richland Medical Park Dr Suite 100
Columbia, SC 29203
(803) 434-3800

Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID9739278128
PECOS Enrollment IDI20140108000857
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 633Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • 366Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • 222Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report (HCPCS:93010)
  • 209Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function (HCPCS:93306)
  • 110Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report (HCPCS:93280)
  • 56Evaluation, testing and programming adjustment of defibrillator with analysis, review and report (HCPCS:93283)
  • 12Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Mark Stellingworth is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
CAROLINA PINES REGIONAL MEDICAL CENTER1304 W BOBO NEWSOM HWY
HARTSVILLE, SC 29550
(864) 339-2100Acute Care Hospitals420010
PRISMA HEALTH RICHLAND HOSPITAL5 MEDICAL PARK
COLUMBIA, SC 29203
(803) 296-2548Acute Care Hospitals420018
PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL905 VERDAE BLVD SUITE 102
GREENVILLE, SC 29605
(864) 455-7000Acute Care Hospitals420078

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease024969LANo

Taxonomy Description: an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
TL36377OTHER (01)SC
024969OTHER (01)LA
363779MEDICAID (05)SC

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1467819748 MELISSA YVETTE TURNER FNP-C
Individual
Nurse Practitioner701 MEDICAL PARK DR STE 301
HARTSVILLE, SC 29550
(843) 383-5978
1760979173PALMETTO HEALTH - UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP
Organization
Internal Medicine (Cardiovascular Disease)701 MEDICAL PARK DR STE 301
HARTSVILLE, SC 29550
(843) 383-5978
1396257325MRS. KELLEY HODGE BOSTIC FNP
Individual
Nurse Practitioner (Family)701 MEDICAL PARK DR STE 301
HARTSVILLE, SC 29550
(843) 383-6976

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.