UPSTATE PLASTIC SURGERY
NPI 1013075712
Plastic Surgery in Greer, SC
About Upstate Plastic Surgery NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
UPSTATE PLASTIC SURGERY (NPI 1013075712) is a healthcare organization registered as a plastic surgery in Greer, South Carolina and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through July 6, 2028 and lists Kevin M Keller, Phy Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Upstate Plastic Surgery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Upstate Plastic Surgery, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 42D1056130
Upstate Plastic Surgery Surgery Center On The Parkway · Greer, SCFrequently 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 Upstate Plastic Surgery's NPI number?
The NPI number for Upstate Plastic Surgery is 1013075712. It was assigned to this organization in the NPPES registry on December 5, 2006.
Where is Upstate Plastic Surgery located?
Upstate Plastic Surgery is located at 301 The Parkway, Greer, SC 29650. The listed phone number is (864) 968-0168.
What is Upstate Plastic Surgery's specialty?
The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.
Is Upstate Plastic Surgery enrolled in Medicare?
Yes. Upstate Plastic Surgery is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Upstate Plastic Surgery?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Plastic and Reconstructive Surgery, reassign their Medicare billing to Upstate Plastic Surgery. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Upstate Plastic Surgery hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 42D1056130) is associated with this NPI, valid through July 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Upstate Plastic Surgery accept?
Health plans from BlueCross BlueShield of South Carolina, First Choice Next, InStil Health and Molina Healthcare list Upstate Plastic Surgery 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.
When was this NPI record last updated?
The NPPES record for Upstate Plastic Surgery was last updated on August 22, 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.
# Upstate Plastic Surgery · NPI 1013075712
Plastic Surgery organization in Greer, South Carolina. Organization record, active in the CMS NPPES registry since December 5, 2006.
## Identity
- **NPI:** 1013075712 (Entity type: Organization)
- **Enumerated:** December 5, 2006
- **Primary specialty:** Plastic Surgery · taxonomy 208200000X
- **Organization subpart:** No
- **Authorized official:** Kevin Keller, PHY OWNER
## Practice location
- **Address:** 301 THE PARKWAY, Greer, SC 29650
- **Phone:** (864) 968-0168 · **Fax:** (864) 968-9248
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Plastic and Reconstructive Surgery) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **Other identifiers:** Other 1467569574; Other 1558475574; Medicaid 161372 (SC); and 1 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1013075712) · Data from the CMS NPPES public registry.