DON OWEN STOVALL JR. M.D.
NPI 1003844523
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in North Charleston, SC

Active since June 30, 2006PECOS EnrolledAccepts Medicare Assignment
82.75/100
CMS Quality Rating
2880 TRICOM ST, NORTH CHARLESTON, SC 29406(843) 797-5050(843) 797-3633 Get Directions Write a Review

NPPES record last updated: March 11, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Don Owen Stovall Jr. M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DON OWEN STOVALL JR. M.D. (NPI 1003844523) is an individual orthopaedic surgery of the spine provider in North Charleston, South Carolina, licensed in South Carolina (19225) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Trident Medical Center, and is a graduate of Medical College Of Georgia School Of Medicine (1991).

NPPES Registry Identity

NPI1003844523
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameDON OWEN STOVALL JR.Credential: M.D.
Location Address2880 TRICOM STNorth Charleston, SC 29406-9171
Mailing Address2880 Tricom StNorth Charleston, SC 29406-9171 · (843) 797-5050 · Fax (843) 797-3633
Fax(843) 797-3633
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1991
Enumeration DateJune 30, 2006
Last NPPES UpdateMarch 11, 2020
NPPES CertifiedMarch 11, 2020
NPI 1003844523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License Licensed in SC · 19225
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 19225 (SC)
2880 TRICOM ST, North Charleston, SC 29406

Other Identifiers 3

Other1326287434SC · Medicaid Dme Npi
MedicaidT31766SC
Other20076508SC · Select Health Dme

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Don Owen Stovall Jr. M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769372630
PECOS Enrollment IDI20100617000289
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
1,350 services21 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
581 services306 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
154 services127 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
150 services121 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
65 services65 patients
Mri scan of lower spinal canal without contrast 72148
An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
57 services56 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Trident Medical Center

Acute Care Hospitals · Charleston, SC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number420079
Location9330 Medical Plaza DrCharleston, SC 29406 · Charleston County
Emergency services Birthing friendly

Roper St Francis Hospital-Berkeley Inc

Acute Care Hospitals · Summerville, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420110
Location300 Callen BlvdSummerville, SC 29486 · Dorchester County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality69.19
Promoting Interoperability99
Improvement Activities40

Reported Quality Measures

Advance Care Plan
96%813 patients4/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
55%335 patients3/55-star benchmark: 87%
Colorectal Cancer Screening
24%1,292 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
53%77 patients3/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
98%65 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
98%4,236 patients4/55-star benchmark: 100%
e-Prescribing
99%190 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
53%782 patients3/55-star benchmark: 100%
Osteoporosis Management in Women Who Had a Fracture
36%61 patients
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 87% · 1,536 patients
Patients screened: 95% · 1,536 patients
38%191 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
87%814 patients4/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
18%409 patients1/55-star benchmark: 98%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
82%118 patients4/55-star benchmark: 91%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf L0650
DME-Orthotic Devices · category DF007N
2 suppliers38 claims38 services$1,015.24 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
2880 TRICOM ST
N CHARLESTON, SC 29406
Physician Assistant (Surgical)
2880 TRICOM ST
NORTH CHARLESTON, SC 29406
Orthopaedic Surgery
2880 TRICOM ST
NORTH CHARLESTON, SC 29406
Occupational Therapist (Hand)
2880 TRICOM ST, SIUTE B
NORTH CHARLESTON, SC 29406
Orthopaedic Surgery
2880 TRICOM ST
NORTH CHARLESTON, SC 29406
Orthopaedic Surgery
2880 TRICOM ST
NORTH CHARLESTON, SC 29406
Physical Therapist
2880 TRICOM ST, SUITE B
NORTH CHARLESTON, SC 29406
Nurse Practitioner (Adult Health)
2880 TRICOM ST
N CHARLESTON, SC 29406

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Don Stovall's NPI number?

The NPI number for Don Stovall is 1003844523. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is Don Stovall located?

Don Stovall practices at 2880 Tricom St, North Charleston, SC 29406. The listed phone number is (843) 797-5050.

What is Don Stovall's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Don Stovall enrolled in Medicare?

Yes. Don Stovall is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Don Stovall accept?

Health plans from BlueCross BlueShield of South Carolina, First Choice Next and UnitedHealthcare list Don Stovall as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Don Stovall affiliated with any hospitals?

According to CMS data, Don Stovall is affiliated with Trident Medical Center and Roper St Francis Hospital-Berkeley Inc.

When was this NPI record last updated?

The NPPES record for Don Stovall was last updated on March 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.