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ANDRES FELIPE OSPINA MD
NPI 1073138301
Internal Medicine in Charleston, SC

Active since June 12, 2020PECOS EnrolledAccepts Medicare Assignment
73.84/100
CMS Quality Rating
169 ASHLEY AVENUE, RM 202, MAIN HOSPITAL, CHARLESTON, SC 29425(843) 792-5386 Get Directions Write a Review

NPPES record last updated: June 12, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Andres Felipe Ospina Md NPPES

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

ANDRES FELIPE OSPINA MD (NPI 1073138301) is an individual internal medicine provider in Charleston, South Carolina, licensed in South Carolina (MMD.84281LL) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, is affiliated with Musc Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1073138301
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameANDRES FELIPE OSPINACredential: MD
Location Address169 ASHLEY AVENUE, RM 202, MAIN HOSPITALCharleston, SC 29425
Mailing Address169 Ashley Avenue, Rm 202, Main HospitalCharleston, SC 29425 · (843) 792-5386
Phone(843) 792-5386
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 12, 2020
NPPES CertifiedJune 12, 2020
✔ NPI 1073138301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in SC · MMD.84281LL
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
169 ASHLEY AVENUE, Charleston, SC 29425
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina.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

Andres Felipe Ospina Md 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 ID5193144715
PECOS Enrollment IDI20230801000869
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 6

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.

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.
273 services108 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.
87 services59 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
66 services64 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
54 services53 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.
20 services11 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Musc Medical Center

Acute Care Hospitals · Charleston, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420004
Location169 Ashley AveCharleston, SC 29425 · Charleston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29425 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.

73.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.28
Promoting Interoperability99
Improvement Activities40
Cost53.36

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.

DR. JAMES HOWARD BENSON III MD
Internal Medicine
169 ASHLEY AVENUE, ROOM 202 MAIN HOSPITAL MSC333
CHARLESTON, SC 29425
Charleston County (843) 792-4074
COURTNEY AUGUSTA LUKITSCH MD
Psychiatry & Neurology (Psychiatry)
169 ASHLEY AVENUE, ROOM 202 MAIN HOSPITAL, MSC333
CHARLESTON, SC 29425
Charleston County (843) 792-9162
DR. CHARLES SPENCER TEIXEIRA DO
Internal Medicine (Infectious Disease)
169 ASHLEY AVENUE, ROOM 202 MAIN HOSPITAL MSC 333
CHARLESTON, SC 29425
Charleston County (843) 792-2575
CHELSEA WRIGHT-VOID MD
Pathology (Anatomic Pathology & Clinical Pathology)
169 ASHLEY AVENUE, ROOM 202 MAIN HOSPITAL MSC333
CHARLESTON, SC 29425
Charleston County (843) 792-1086
HELEN JENSIE BURTON MD
Internal Medicine
169 ASHLEY AVENUE, ROOM 202 MSC333
CHARLESTON, SC 29425
Charleston County (843) 792-2911
DR. MITCHELL BENTON MD
Internal Medicine
169 ASHLEY AVENUE, ROOM 202 MAIN HOSPITAL MSC333
CHARLESTON, SC 29425
Charleston County (843) 792-5386
DR. ALLISON CRECELIUS DO
Emergency Medicine
169 ASHLEY AVENUE, ROOM 202 MAIN HOSPITAL MSC333
CHARLESTON, SC 29425
Charleston County (314) 808-5444
RONIT KULKARNI
Surgery
169 ASHLEY AVENUE, ROOM 202 MAIN HOSPITAL MSC333
CHARLESTON, SC 29425
Charleston County (843) 792-2081

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 Andres Ospina's NPI number?

The NPI number for Andres Ospina is 1073138301. It was assigned to this individual provider in the NPPES registry on June 12, 2020.

Where is Andres Ospina located?

Andres Ospina practices at 169 Ashley Avenue Rm 202, Main Hospital, Charleston, SC 29425. The listed phone number is (843) 792-5386.

What is Andres Ospina's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Andres Ospina enrolled in Medicare?

Yes. Andres Ospina 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 Andres Ospina accept?

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

According to CMS data, Andres Ospina is affiliated with Musc Medical Center.

When was this NPI record last updated?

The NPPES record for Andres Ospina was last updated on June 12, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.