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PREXA DOLATRAI NAIK MD
NPI 1073718615
Family Medicine in Columbia, SC

Active since June 15, 2007PECOS EnrolledAccepts Medicare Assignment
99.32/100
CMS Quality Rating
3010 FARROW RD, SUITE 300, COLUMBIA, SC 29203(803) 434-1210(803) 434-1212 Get Directions Write a Review

NPPES record last updated: October 22, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 22, 2019, Jan 12, 2016 (2 updates tracked since 2016).

About Prexa Dolatrai Naik Md NPPES

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

PREXA DOLATRAI NAIK MD (NPI 1073718615) is an individual family medicine provider in Columbia, South Carolina, licensed in South Carolina (31162) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Prisma Health Richland Hospital, and is a graduate of University Of South Carolina School Of Medicine (2007).

NPPES Registry Identity

NPI1073718615
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NamePREXA DOLATRAI NAIKCredential: MD
Location Address3010 FARROW RD, SUITE 300Columbia, SC 29203-7607
Mailing AddressPo Box 743904Atlanta, GA 30374-3904 · (803) 296-7320 · Fax (803) 296-7330
Phone(803) 434-1210
Fax(803) 434-1212
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2007
Enumeration DateJune 15, 2007
Last NPPES UpdateOctober 22, 20192 updates tracked since enumeration
✔ NPI 1073718615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in SC · 31162
Definition
Family 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.
3010 FARROW RD, Columbia, SC 29203
Open in Google Maps ↗

Other Identifiers 2

Medicaid311629SC
Other2014-01900NC · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South 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

Prexa Dolatrai Naik 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 ID1052568086
PECOS Enrollment IDI20120827000885
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 5

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
294 services166 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.
186 services115 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
149 services149 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
129 services42 patients
Assessment of and care planning for patient with impaired thought processing, typically 60 minutes 99483
This service involves a thorough evaluation of your thought processes, which may be impacting your daily life. In a typical 50-minute session, a healthcare professional will assess your cognitive abilities, identify any areas of concern, and develop a personalized care plan to help improve your mental function.
29 services25 patients

Hospital Affiliations CMS Care Compare 3

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

Prisma Health Richland Hospital

Acute Care Hospitals · Columbia, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420018
Location5 Medical ParkColumbia, SC 29203 · Richland County
Emergency services Birthing friendly

Prisma Health Baptist

Acute Care Hospitals · Columbia, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420086
Location1330 Taylor At Marion StColumbia, SC 29220 · Richland County
Emergency services Birthing friendly

Prisma Health Baptist Parkridge

Acute Care Hospitals · Columbia, SC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420106
Location400 Palmetto Health ParkwayColumbia, SC 29212 · Lexington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29203 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
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.

99.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality90.59
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers27 claims102 services$6.76 avg. paid by Medicare
Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg J7614
DME-Drugs Administered Through DME · category DG006N
1 supplier12 claims975 services$0.05 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers18 claims18 services$15.93 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.

RICHLAND COMMUNITY HEALTH CARE ASSOCIATION
Clinic/Center (Federally Qualified Health Center (FQHC))
3010 FARROW RD, SUITE 230
COLUMBIA, SC 29203
Richland County (803) 799-1284
MRS. TONI CAROL NATRIGO-WATERS LMSW LISW CP
Social Worker (Clinical)
3010 FARROW RD, SUITE 300
COLUMBIA, SC 29203
Richland County (803) 434-3191
MRS. STEPHANIE KAYLOR SCHARF OTR/L
Occupational Therapist
3010 FARROW RD, SUITE 300
COLUMBIA, SC 29203
Richland County (803) 434-1448
PALMETTO HEALTH
Family Medicine (Geriatric Medicine)
3010 FARROW RD, CAROLINA MEDICAL PLAZA SUITE 200
COLUMBIA, SC 29203
Richland County (803) 434-2741
NALANTI DEANNA PARKER NP
Nurse Practitioner (Adult Health)
3010 FARROW RD, SUITE 110
COLUMBIA, SC 29203
Richland County (803) 434-3694
DR. CHARLES DAVID PETIT MD
Family Medicine (Geriatric Medicine)
3010 FARROW RD, SUITE 300
COLUMBIA, SC 29203
Richland County (803) 434-1210
TIFFANY JOHNSON NP
Nurse Practitioner (Primary Care)
3010 FARROW RD
COLUMBIA, SC 29203
Richland County (803) 434-2650
ERIN TEAL JACOBSON PT
Physical Therapist
3010 FARROW RD, STE 120
COLUMBIA, SC 29203
Richland County (803) 434-7750

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 Prexa Naik's NPI number?

The NPI number for Prexa Naik is 1073718615. It was assigned to this individual provider in the NPPES registry on June 15, 2007.

Where is Prexa Naik located?

Prexa Naik practices at 3010 Farrow Rd Suite 300, Columbia, SC 29203. The listed phone number is (803) 434-1210.

What is Prexa Naik's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Prexa Naik enrolled in Medicare?

Yes. Prexa Naik 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 Prexa Naik accept?

Health plans from BlueCross BlueShield of South Carolina list Prexa Naik 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 Prexa Naik affiliated with any hospitals?

According to CMS data, Prexa Naik is affiliated with Prisma Health Richland Hospital, Prisma Health Baptist and Prisma Health Baptist Parkridge.

When was this NPI record last updated?

The NPPES record for Prexa Naik was last updated on October 22, 2019. 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.