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MARGARET BAURA PA-C
NPI 1194158147
Physician Assistant in Rock Hill, SC

Active since August 14, 2013PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
200 S HERLONG AVE STE A, ROCK HILL, SC 29732(803) 328-1864(803) 328-1865 Get Directions Write a Review

NPPES record last updated: April 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 27, 2021, Aug 14, 2017, May 25, 2017 (3 updates tracked since 2017).

About Margaret Baura Pa-c NPPES

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

MARGARET BAURA PA-C (NPI 1194158147) is an individual physician assistant in Rock Hill, South Carolina, licensed in South Carolina (2780) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS, is affiliated with Musc Health Lancaster Medical Center, and is a graduate of Medical University Of South Carolina College Of Medicine (2012).

NPPES Registry Identity

NPI1194158147
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARGARET BAURACredential: PA-C
Location Address200 S HERLONG AVE STE ARock Hill, SC 29732-1182
Mailing Address6035 Fairview RdCharlotte, NC 28210-3256 · (704) 295-3000
Phone(803) 328-1864
Fax(803) 328-1865
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2012
Enumeration DateAugust 14, 2013
Last NPPES UpdateApril 27, 20213 updates tracked since enumeration
NPPES CertifiedApril 27, 2021
✔ NPI 1194158147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in SC · 2780✔ Licensed in GA · 006884
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
200 S HERLONG AVE STE A, Rock Hill, SC 29732
Open in Google Maps ↗

Other Identifiers 1

Medicaid1692PASC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, BlueCross BlueShield of South Carolina, UnitedHealthcare.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

Margaret Baura Pa-c 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 ID5496998007
PECOS Enrollment IDI20171107001667
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 6

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 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.
91 services77 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
70 services58 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.
54 services47 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.
24 services24 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients
Exam of ear using a microscope 92504
An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Musc Health Lancaster Medical Center

Acute Care Hospitals · Lancaster, SC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number420036
Location800 W Meeting StLancaster, SC 29720 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29732 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
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

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.

DR. ROBYN ADELE BOGAN AU.D.
Audiologist
200 S HERLONG AVE STE A
ROCK HILL, SC 29732
York County (803) 328-1864
NEELA RAO MD
Otolaryngology
200 S HERLONG AVE STE A
ROCK HILL, SC 29732
York County (803) 328-1864
DR. GREGORY STOKES PARSONS MD
Otolaryngology (Otolaryngic Allergy)
200 S HERLONG AVE STE A
ROCK HILL, SC 29732
York County (803) 328-1864

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 Margaret Baura's NPI number?

The NPI number for Margaret Baura is 1194158147. It was assigned to this individual provider in the NPPES registry on August 14, 2013.

Where is Margaret Baura located?

Margaret Baura practices at 200 S Herlong Ave Ste A, Rock Hill, SC 29732. The listed phone number is (803) 328-1864.

What is Margaret Baura's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Margaret Baura enrolled in Medicare?

Yes. Margaret Baura 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 Margaret Baura accept?

Health plans from AmeriHealth Caritas Next, BlueCross BlueShield of South Carolina and UnitedHealthcare list Margaret Baura 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 Margaret Baura affiliated with any hospitals?

According to CMS data, Margaret Baura is affiliated with Musc Health Lancaster Medical Center.

When was this NPI record last updated?

The NPPES record for Margaret Baura was last updated on April 27, 2021. 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.