DR. JONATHAN CATES M.D.
NPI 1023499381
Internal Medicine - Critical Care Medicine in West Columbia, SC

Active since June 12, 2015PECOS EnrolledAccepts Medicare Assignment
83.03/100
CMS Quality Rating
2720 SUNSET BLVD, WEST COLUMBIA, SC 29169(803) 936-7372(803) 936-4102 Get Directions Write a Review

NPPES record last updated: February 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 28, 2025, Jun 7, 2023, Mar 1, 2022 (3 updates tracked since 2022).

About Dr. Jonathan Cates M.d. NPPES

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

DR. JONATHAN CATES M.D. (NPI 1023499381) is an individual critical care medicine provider in West Columbia, South Carolina, licensed in South Carolina (89767) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Lexington Medical Center, and maintains a secondary practice location in Gainesville.

NPPES Registry Identity

NPI1023499381
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameDR. JONATHAN CATESCredential: M.D.
Location Address2720 SUNSET BLVDWest Columbia, SC 29169-4810
Mailing AddressPo Box 6069West Columbia, SC 29171-6069 · (803) 936-7372 · Fax (803) 936-4102
Fax(803) 936-4102
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2015
Enumeration DateJune 12, 2015
Last NPPES UpdateFebruary 28, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2025
NPI 1023499381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in SC · 89767
Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedAnesthesiologyTaxonomy 207L00000X · License ME145361 (FL), 89767 (SC)
2720 SUNSET BLVD, West Columbia, SC 29169

Secondary Practice Location 1

Location 11600 SW Archer RdGainesville, FL 32610-3003 · Phone (352) 265-0916

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

Dr. Jonathan Cates 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 ID2961712062
PECOS Enrollment IDI20230621003147
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 7

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
257 services111 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
84 services57 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
49 services35 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
23 services20 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
18 services18 patients
Emergent insertion of breathing tube into windpipe using an endoscope 31500
This is a procedure where a thin tube is inserted into your windpipe to aid in breathing. It's done in emergency situations, using an endoscope, a tool with a light and camera, to ensure correct placement.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Lexington Medical Center

Acute Care Hospitals · West Columbia, SC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420073
Location2720 Sunset BlvdWest Columbia, SC 29169 · Lexington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29169 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

83.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.45
Promoting Interoperability89
Improvement Activities40
Cost72.17

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.

Dietitian, Registered
2720 SUNSET BLVD
WEST COLUMBIA, SC 29169
Occupational Therapist
2720 SUNSET BLVD
WEST COLUMBIA, SC 29169
Nurse Anesthetist, Certified Registered
2720 SUNSET BLVD
WEST COLUMBIA, SC 29169
Nurse Anesthetist, Certified Registered
2720 SUNSET BLVD
WEST COLUMBIA, SC 29169
Nurse Anesthetist, Certified Registered
2720 SUNSET BLVD
WEST COLUMBIA, SC 29169
Nurse Anesthetist, Certified Registered
2720 SUNSET BLVD
WEST COLUMBIA, SC 29169
Speech-Language Pathologist
2720 SUNSET BLVD
WEST COLUMBIA, SC 29169
Nurse Practitioner
2720 SUNSET BLVD
WEST COLUMBIA, SC 29169

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 Jonathan Cates's NPI number?

The NPI number for Jonathan Cates is 1023499381. It was assigned to this individual provider in the NPPES registry on June 12, 2015.

Where is Jonathan Cates located?

Jonathan Cates practices at 2720 Sunset Blvd, West Columbia, SC 29169. The listed phone number is (803) 936-7372.

What is Jonathan Cates's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Jonathan Cates enrolled in Medicare?

Yes. Jonathan Cates 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 Jonathan Cates accept?

Health plans from Ambetter from Absolute Total Care and Ambetter of North Carolina list Jonathan Cates 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 Jonathan Cates affiliated with any hospitals?

According to CMS data, Jonathan Cates is affiliated with Lexington Medical Center.

When was this NPI record last updated?

The NPPES record for Jonathan Cates was last updated on February 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.