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RACHEL METCALFE MD
NPI 1104322429
Psychiatry & Neurology - Psychiatry in Columbia, SC

Active since April 04, 2018PECOS EnrolledAccepts Medicare Assignment
720 GRACERN RD STE 102, COLUMBIA, SC 29210(803) 296-2585(803) 551-1254 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 2, 2025, Sep 18, 2024, Jun 26, 2020 (3 updates tracked since 2020).

About Rachel Metcalfe Md NPPES

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

RACHEL METCALFE MD (NPI 1104322429) is an individual psychiatry provider in Columbia, South Carolina, licensed in South Carolina (84167) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Prisma Health Baptist, and maintains a secondary practice location in Lexington.

NPPES Registry Identity

NPI1104322429
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameRACHEL METCALFECredential: MD
Location Address720 GRACERN RD STE 102Columbia, SC 29210-7658
Mailing Address300 E Mcbee Ave Ste 300Greenville, SC 29601-2899 · (864) 522-8611
Phone(803) 296-2585
Fax(803) 551-1254
Sole ProprietorYes
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2020
Enumeration DateApril 4, 2018
Last NPPES UpdateJuly 2, 20253 updates tracked since enumeration
NPPES CertifiedJuly 2, 2025
✔ NPI 1104322429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in SC · 84167
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
720 GRACERN RD STE 102, Columbia, SC 29210
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Secondary Practice Location 1

Location 1108 Palmetto Park Blvd Ste DLexington, SC 29072-7969 · Phone (803) 996-1500

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rachel Metcalfe 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 ID840726154
PECOS Enrollment IDI20241210003831
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Rachel Metcalfe reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Prisma Health Medical Group-Midlands
3.3 mi
Orthopaedic Surgery
14 RICHLAND MEDICAL PARK DR STE 200
Columbia, SC 29203
  • Reassigned Medicare billing, South Carolina enrollment
  • 1,466 clinicians in this Medicare group
NPI 1346761897 (803) 296-9200
South Carolina Dept Of Mental Health Accounting Office
3.7 mi
Primary Care
2715 COLONIAL DR # 200B
Columbia, SC 29203
  • Reassigned Medicare billing, South Carolina enrollment
  • 236 clinicians in this Medicare group
NPI 1861066854 (803) 898-4800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29210 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
$163.84 typical visit price
range $53.57 – $163.84
Typical copayment $40.96 (range $13.39 – $40.96)
Most-billed visit code 99205
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Rachel Metcalfe's NPI number?

The NPI number for Rachel Metcalfe is 1104322429. It was assigned to this individual provider in the NPPES registry on April 4, 2018.

Where is Rachel Metcalfe located?

Rachel Metcalfe practices at 720 Gracern Rd Ste 102, Columbia, SC 29210. The listed phone number is (803) 296-2585.

What is Rachel Metcalfe's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Rachel Metcalfe enrolled in Medicare?

Yes. Rachel Metcalfe 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.

Which organizations bill Medicare for Rachel Metcalfe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachel Metcalfe reassigns Medicare benefits to 2 organizations: Prisma Health Medical Group-Midlands (Columbia, SC) and South Carolina Dept Of Mental Health Accounting Office (Columbia, SC). Each 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 Rachel Metcalfe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rachel Metcalfe accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina and BlueCross BlueShield of South Carolina list Rachel Metcalfe 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 Rachel Metcalfe affiliated with any hospitals?

According to CMS data, Rachel Metcalfe is affiliated with Prisma Health Baptist.

When was this NPI record last updated?

The NPPES record for Rachel Metcalfe was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.