ABNER H BAGENSTOSE III MD - NPI 1104888403 - Internal Medicine in Port Royal, SC

Q: What is Abner Bagenstose's NPI number?

The NPI number for Abner Bagenstose is 1104888403. It was assigned to this individual provider in the NPPES registry on April 4, 2006.

Q: What is Abner Bagenstose's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Abner Bagenstose was last updated on June 12, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Abner H Bagenstose Iii Md NPPES

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

ABNER H BAGENSTOSE III MD (NPI 1104888403) is an individual internal medicine provider in Port Royal, South Carolina, licensed in South Carolina (32682) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Columbus.

NPPES Registry Identity

NPI1104888403

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameABNER H BAGENSTOSE IIICredential: MD

Location Address1320 RIBAUT RDPort Royal, SC 29935-1118

Mailing Address721 Okatie HwyOkatie, SC 29909-3963 · (843) 987-7400

Phone(843) 986-0900

Sole ProprietorNo

Enumeration DateApril 4, 2006

Last NPPES UpdateJune 12, 2026

NPPES CertifiedJune 12, 2026

✔ NPI 1104888403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in SC · 32682

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.

Also ListedAllergy & ImmunologyTaxonomy 207K00000X · License 32682 (SC)

1320 RIBAUT RD, Port Royal, SC 29935

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Secondary Practice Location 1

Location 14830 Knightsbridge Blvd, Ste CColumbus, OH 43214-2300 · Phone (614) 459-4949 · Fax (614) 459-4951

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Abner H Bagenstose Iii Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29935 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.