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MICHAEL M FROST DO
NPI 1174082184
Internal Medicine in Conway, SC

Active since March 19, 2019PECOS EnrolledAccepts Medicare Assignment
72.72/100
CMS Quality Rating
2701 CHURCH ST, STE A, CONWAY, SC 29526(843) 365-0295(843) 365-0354 Get Directions Write a Review

NPPES record last updated: November 22, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 22, 2024, Aug 2, 2022, Jul 19, 2019 and 1 more (4 updates tracked since 2019).

About Michael M Frost Do NPPES

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

MICHAEL M FROST DO (NPI 1174082184) is an individual internal medicine provider in Conway, South Carolina, licensed in South Carolina (82192) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Conway Medical Center, and is a graduate of Liberty Univ College Of Osteopathic Medicine (2019).

NPPES Registry Identity

NPI1174082184
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMICHAEL M FROSTCredential: DO
Location Address2701 CHURCH ST, STE AConway, SC 29526-4422
Mailing Address300 Singleton Ridge Rd, Attn Pns CredentialingConway, SC 29526-9142 · (843) 234-6946
Phone(843) 365-0295
Fax(843) 365-0354
Sole ProprietorNo
Medical School CMSLiberty Univ College Of Osteopathic MedicineGraduated 2019
Enumeration DateMarch 19, 2019
Last NPPES UpdateNovember 22, 20244 updates tracked since enumeration
NPPES CertifiedNovember 22, 2024
✔ NPI 1174082184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in SC · 82192
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.
2701 CHURCH ST, Conway, SC 29526
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Other Identifiers 1

Medicaid821927SC

Accepted Insurance

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

Michael M Frost Do 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 ID9830429729
PECOS Enrollment IDI20220816000762
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 9

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.

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.
852 services448 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.
350 services291 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.
57 services52 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
49 services49 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
28 services28 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
23 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Conway Medical Center

Acute Care Hospitals · Conway, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420049
Location300 Singleton Ridge RoadConway, SC 29526 · Horry County
Emergency services Birthing friendly

Grand Strand Regional Medical Center

Acute Care Hospitals · Myrtle Beach, SC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number420085
Location809 82nd ParkwayMyrtle Beach, SC 29572 · Horry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29526 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.

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.

72.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.98
Promoting Interoperability100
Improvement Activities40
Cost48.1

Other Providers at the Same Location NPPES 4

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

CONWAY HOSPITAL, INC.
Internal Medicine
2701 CHURCH ST, STE A
CONWAY, SC 29526
Horry County (843) 365-0295
DR. CHARLES M FROST DO
Internal Medicine
2701 CHURCH ST, STE A
CONWAY, SC 29526
Horry County (843) 365-0295
HERBIE SEYMOUR BRYAN MD
Internal Medicine (Pulmonary Disease)
2701 CHURCH ST, STE D
CONWAY, SC 29526
Horry County (843) 234-6888
CONWAY HOSPITAL, INC.
Pediatrics
2701 CHURCH ST, STE F
CONWAY, SC 29526
Horry County (843) 369-0024

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 Michael Frost's NPI number?

The NPI number for Michael Frost is 1174082184. It was assigned to this individual provider in the NPPES registry on March 19, 2019.

Where is Michael Frost located?

Michael Frost practices at 2701 Church St Ste A, Conway, SC 29526. The listed phone number is (843) 365-0295.

What is Michael Frost's specialty?

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

Is Michael Frost enrolled in Medicare?

Yes. Michael Frost 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 Michael Frost accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare list Michael Frost 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 Michael Frost affiliated with any hospitals?

According to CMS data, Michael Frost is affiliated with Conway Medical Center and Grand Strand Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Frost was last updated on November 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.