SAMANTHA BROGAN FNP-C
NPI 1164852703
Nurse Practitioner - Family in Mount Pleasant, SC

Active since November 18, 2013PECOS Enrolled
80.17/100
CMS Quality Rating
250 MATHIS FERRY RD STE 101, MOUNT PLEASANT, SC 29464(843) 469-1001(843) 388-1612 Get Directions Write a Review

NPPES record last updated: October 12, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Samantha Brogan Fnp-c NPPES

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

SAMANTHA BROGAN FNP-C (NPI 1164852703) is an individual family provider in Mount Pleasant, South Carolina, licensed in South Carolina (27774) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164852703
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSAMANTHA BROGANCredential: FNP-C
Location Address250 MATHIS FERRY RD STE 101Mount Pleasant, SC 29464-2988
Mailing Address250 Mathis Ferry Rd Ste 101Mount Pleasant, SC 29464-2988 · (843) 469-1001 · Fax (843) 388-1612
Fax(843) 388-1612
Sole ProprietorNo
Enumeration DateNovember 18, 2013
Last NPPES UpdateOctober 12, 2023
NPPES CertifiedOctober 12, 2023
NPI 1164852703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in SC · 27774 Licensed in MD · AC001272
250 MATHIS FERRY RD STE 101, Mount Pleasant, SC 29464

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Samantha Brogan Fnp-c 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 29464 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.

80.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.69
Promoting Interoperability100
Improvement Activities40
Cost53.49

Referred Medical Equipment & Supplies CMS DME claims 9

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
8 suppliers23 claims84 services$6.79 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
4 suppliers15 claims15 services$2.75 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers15 claims34 services$1.20 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers14 claims14 services$51.80 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
2 suppliers13 claims13 services$13.52 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers14 claims76 services$2.03 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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
250 MATHIS FERRY RD STE 101
MOUNT PLEASANT, SC 29464
Psychologist (Clinical)
250 MATHIS FERRY RD STE 101
MT PLEASANT, SC 29464
Clinic/Center
250 MATHIS FERRY RD STE 101
MOUNT PLEASANT, SC 29464

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 Samantha Brogan's NPI number?

The NPI number for Samantha Brogan is 1164852703. It was assigned to this individual provider in the NPPES registry on November 18, 2013.

Where is Samantha Brogan located?

Samantha Brogan practices at 250 Mathis Ferry Rd Ste 101, Mount Pleasant, SC 29464. The listed phone number is (843) 469-1001.

What is Samantha Brogan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Samantha Brogan enrolled in Medicare?

Yes. Samantha Brogan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samantha Brogan was last updated on October 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.