COLTON W BACHMAN AGACNP-BC
NPI 1164996369
Nurse Practitioner in West Columbia, SC

Active since January 22, 2019PECOS EnrolledAccepts Medicare Assignment
83.03/100
CMS Quality Rating
222 E MEDICAL LN STE 101, WEST COLUMBIA, SC 29169(803) 739-3660(803) 739-3663 Get Directions Write a Review

NPPES record last updated: October 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 13, 2020, Sep 28, 2020, Aug 28, 2020 and 2 more (5 updates tracked since 2019).

About Colton W Bachman Agacnp-bc NPPES

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

COLTON W BACHMAN AGACNP-BC (NPI 1164996369) is an individual nurse practitioner in West Columbia, South Carolina, licensed in South Carolina (22548) and active in the NPI registry since January 2019. He is enrolled in Medicare PECOS, is affiliated with Lexington Medical Center, and is a graduate of University Of South Carolina School Of Medicine (2018).

NPPES Registry Identity

NPI1164996369
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameCOLTON W BACHMANCredential: AGACNP-BC
Location Address222 E MEDICAL LN STE 101West Columbia, SC 29169-4847
Mailing AddressPo Box 6069West Columbia, SC 29171-6069
Fax(803) 739-3663
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2018
Enumeration DateJanuary 22, 2019
Last NPPES UpdateOctober 13, 20205 updates tracked since enumeration
NPPES CertifiedOctober 13, 2020
NPI 1164996369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in SC · 22548
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 22548 (SC)
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 22548 (SC)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 22548 (SC)
222 E MEDICAL LN STE 101, West Columbia, SC 29169

Accepted 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

Colton W Bachman Agacnp-bc 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 ID6103164934
PECOS Enrollment IDI20190220001889
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 11

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
1,690 services16 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
429 services323 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.
341 services257 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
308 services262 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
295 services211 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
185 services101 patients

Hospital Affiliations CMS Care Compare

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

Lexington Medical Center

Acute Care Hospitals · West Columbia, SC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420073
Location2720 Sunset BlvdWest Columbia, SC 29169 · Lexington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29169 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.

83.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.45
Promoting Interoperability89
Improvement Activities40
Cost72.17

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.

Nurse Practitioner
222 E MEDICAL LN STE 101
WEST COLUMBIA, SC 29169
Urology
222 E MEDICAL LN STE 101
WEST COLUMBIA, SC 29169
Nurse Practitioner
222 E MEDICAL LN STE 101
WEST COLUMBIA, SC 29169
Nurse Practitioner
222 E MEDICAL LN STE 101
WEST COLUMBIA, SC 29169
Urology
222 E MEDICAL LN STE 101
WEST COLUMBIA, SC 29169
Urology
222 E MEDICAL LN STE 101
WEST COLUMBIA, SC 29169
Physician Assistant (Surgical)
222 E MEDICAL LN STE 101
WEST COLUMBIA, SC 29169
Urology
222 E MEDICAL LN STE 101
WEST COLUMBIA, SC 29169

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 Colton Bachman's NPI number?

The NPI number for Colton Bachman is 1164996369. It was assigned to this individual provider in the NPPES registry on January 22, 2019.

Where is Colton Bachman located?

Colton Bachman practices at 222 E Medical Ln Ste 101, West Columbia, SC 29169. The listed phone number is (803) 739-3660.

What is Colton Bachman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Colton Bachman enrolled in Medicare?

Yes. Colton Bachman 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 Colton Bachman accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, Molina Healthcare and UnitedHealthcare list Colton Bachman 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 Colton Bachman affiliated with any hospitals?

According to CMS data, Colton Bachman is affiliated with Lexington Medical Center.

When was this NPI record last updated?

The NPPES record for Colton Bachman was last updated on October 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.