DR. ALISA MARY CAUDELL M.D.
NPI 1114308541
Pathology - Anatomic Pathology & Clinical Pathology in Charleston, SC

Q: What is Alisa Caudell's NPI number?

The NPI number for Alisa Caudell is 1114308541. It was assigned to this individual provider in the NPPES registry on June 11, 2015.

Q: What is Alisa Caudell's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Alisa Caudell was last updated on July 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since June 11, 2015PECOS EnrolledAccepts Medicare Assignment

109 BEE ST, CHARLESTON, SC 29401(843) 718-5294 Get Directions Write a Review

NPPES record last updated: July 25, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 25, 2019, Jul 10, 2019, Jul 13, 2016 (3 updates tracked since 2016).

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About Dr. Alisa Mary Caudell M.d. NPPES

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

DR. ALISA MARY CAUDELL M.D. (NPI 1114308541) is an individual anatomic pathology & clinical pathology provider in Charleston, South Carolina, licensed in South Carolina (LL38305) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Colleton Medical Center, and is a graduate of Medical University Of South Carolina College Of Medicine (2015).

NPPES Registry Identity

NPI1114308541

Entity TypeIndividualFemale

Primary Taxonomy207ZP0102X

Provider Legal NameDR. ALISA MARY CAUDELLCredential: M.D.

Location Address109 BEE STCharleston, SC 29401-5703

Mailing Address109 Bee StCharleston, SC 29401-5703 · (843) 718-5294

Phone(843) 718-5294

Sole ProprietorNo

Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2015

Enumeration DateJune 11, 2015

Last NPPES UpdateJuly 25, 20193 updates tracked since enumeration

✔ NPI 1114308541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

License✔ Licensed in SC · LL38305

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

109 BEE ST, Charleston, SC 29401

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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. Alisa Mary Caudell 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 ID8022300938

PECOS Enrollment IDI20260203002163

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.

Hospital Affiliations CMS Care Compare 2

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

Colleton Medical Center

Acute Care Hospitals · Walterboro, SC

3/5 CMS rating

OwnershipProprietary

CMS Certification Number420030

Location501 Robertson BoulevardWalterboro, SC 29488 · Colleton County

Emergency services Birthing friendly

Trident Medical Center

Acute Care Hospitals · Charleston, SC

3/5 CMS rating

OwnershipProprietary

CMS Certification Number420079

Location9330 Medical Plaza DrCharleston, SC 29406 · Charleston County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29401 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.

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.

MRS. PAMELA STAKER MSN, FNP-BC

Nurse Practitioner (Family)