DR. SUZANN HUTTO WEATHERS M.D. NPI 1013087493
Family Medicine in Summerville, SC

About DR. SUZANN HUTTO WEATHERS M.D.

Suzann Weathers is a primary care provider established in Summerville, South Carolina and her medical specialization is Family Medicine with more than 17 years of experience. She graduated from Medical University Of South Carolina College Of Medicine in 2006. The NPI number of Suzann Weathers is 1013087493 and was assigned on November 2006. The practitioner's primary taxonomy code is 207Q00000X with license number 28868 (SC). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1013087493
Provider NameDR. SUZANN HUTTO WEATHERS M.D.
Location Address87 SPRINGVIEW LN SUMMERVILLE, SC 29485
Location Phone(843) 876-7979
Mailing AddressPO BOX 602108 CHARLOTTE, NC 28260
GenderFemale
NPI Entity TypeIndividual
Medical School NameMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year2006
Is Sole Proprietor?No
Enumeration Date11-09-2006
Last Update Date08-07-2019

A primary care provider (PCP) like Dr. Suzann Hutto Weathers M.d. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc Suzann Weathers is enrolled in PECOS and is eligible to order or refer health care 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.

Suzann Weathers 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 she has hospital affiliations with Musc Medical Center and Trident Medical Center.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 94.4, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The typical physician office visit costs for Medicare beneficiaries in this area are: $21.4 for a new patient copayment and $24.79 for an established patient copayment.



Primary Taxonomy

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.

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.28868
License StateSC
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

DR. SUZANN HUTTO WEATHERS M.D.
87 SPRINGVIEW LN
SUMMERVILLE, SC
ZIP 29485
Phone: (843) 876-7979

Get Directions


Mailing Address

DR. SUZANN HUTTO WEATHERS M.D.
PO BOX 602108
CHARLOTTE, NC
ZIP 28260
Phone: (843) 792-6200


Location Map

PECOS Enrollment and Medicare Participation Status

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.

Registered in PECOS? Yes
PECOS PAC ID3678627262
PECOS Enrollment IDI20090817000435
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

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 29485 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$55.43 $169.76 $85.63
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$13.85 $42.44 $21.4
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$17.06 $138.69 $99.16
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.26 $34.67 $24.79

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 100
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% 70.1
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 94.4
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

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. Suzann Weathers is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
MUSC MEDICAL CENTER169 ASHLEY AVE
CHARLESTON, SC 29425
(843) 792-2300Acute Care Hospitals420004
TRIDENT MEDICAL CENTER9330 MEDICAL PLAZA DR
CHARLESTON, SC 29406
(843) 847-4100Acute Care Hospitals420079

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 Identifier Issuer
GP1551OTHER (01)SCMEDICAID GROUP#
5277OTHER (01)SCMEDICARE GROUP #
288682MEDICAID (05)SC

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013087493
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20230814418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 8 + 1 + 4 + 4 + 1 + 8 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1013087493 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1780613653 HEATHER BROOKE JOYE ANTHONY PA
Individual
Physician Assistant87 SPRINGVIEW LN
SUMMERVILLE, SC 29485
(843) 876-7979
1881077253 CHERIKA STEPHANIE GADSON NP-C
Individual
Nurse Practitioner (Family)87 SPRINGVIEW LN
SUMMERVILLE, SC 29485
(843) 876-7979
1508811522 HEIDI LYNN TATUM PA-C
Individual
Physician Assistant87 SPRINGVIEW LN
SUMMERVILLE, SC 29485
(843) 876-7979
1235595422CAROLINA FAMILY CARE, INC
Organization
Family Medicine87 SPRINGVIEW LN
SUMMERVILLE, SC 29485
(843) 876-7979
1902967912SUMMERVILLE SURGICAL ASSOCIATES, PA
Organization
Specialist87 SPRINGVIEW LN SUITE A
SUMMERVILLE, SC 29485
(843) 851-0200

Frequently Asked Questions

What is Dr. Suzann Weathers M.D. NPI number?

The NPI number assigned to Dr. Suzann Weathers M.D. is 1013087493, registered as an "individual" on November 09, 2006

Where is Dr. Suzann Weathers M.D. located?

The provider is located at 87 Springview Ln Summerville, Sc 29485 and the phone number is (843) 876-7979

Which is Dr. Suzann Weathers M.D. specialty?

The provider's speciality is Family Medicine

How many years of experience does Dr. Suzann Weathers M.D. have?

The provider has more than 17 years of experience. She graduated from Medical University Of South Carolina College Of Medicine in 2006.

What insurance does Dr. Suzann Weathers M.D. accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

Is Dr. Suzann Weathers M.D. registered in PECOS?

Yes, as of November 14, 2022 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary 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.

How much is a visit to Dr. Suzann Weathers M.D.?

Medicare beneficiaries should expect a typical cost of $85.63 with an average copayment of $21.4 for new patient appointments. Established patients should expect a typical charge of $99.16 and an average copayment of 24.79. Please review your insurance plan or contact the provider directly to determine your specific costs.

Is Dr. Suzann Weathers M.D. affiliated to any hospitals?

The practitioner is affiliated to the following hospitals: MUSC MEDICAL CENTER and TRIDENT MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

How do I update my NPI information?

The NPI record of Dr. Suzann Weathers M.D. was last updated on November 09, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]