1. Home
  2. Directory
  3. South Carolina
  4. Columbia
  5. Family Medicine
  6. NPI Profile

DR. JOSE D. CHAVEZ M.D.
NPI 1194779900
Family Medicine in Columbia, SC

Active since May 19, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 42D0690142 · Waiver
17 SURREY CT, COLUMBIA, SC 29212(803) 772-4172(803) 772-4841 Get Directions Write a Review

NPPES record last updated: June 23, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Jose D. Chavez M.d. NPPES

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

DR. JOSE D. CHAVEZ M.D. (NPI 1194779900) is an individual family medicine provider in Columbia, South Carolina, licensed in South Carolina (8636) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through January 23, 2028, and is affiliated with Lexington Medical Center.

NPPES Registry Identity

NPI1194779900
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOSE D. CHAVEZCredential: M.D.
Location Address17 SURREY CTColumbia, SC 29212-3139
Mailing Address17 Surrey CtColumbia, SC 29212-3139 · (803) 772-4172 · Fax (803) 772-4841
Phone(803) 772-4172
Fax(803) 772-4841
Sole ProprietorYes
Medical School CMSOtherGraduated 1967
Enumeration DateMay 19, 2006
Last NPPES UpdateJune 23, 2008
✔ NPI 1194779900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in SC · 8636
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
17 SURREY CT, Columbia, SC 29212
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type UnspecifiedD907122173SC
Medicare UPIN2173SC
Medicaid08636SC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jose D. Chavez 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 ID4789824855
PECOS Enrollment IDI20130712000714
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.

Medicare Billing Reassignment

Medicare enrollment records show Jose Chavez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jose D Chavez MD PA
Same address
Family Medicine
17 SURREY CT
Columbia, SC 29212
  • Reassigned Medicare billing, South Carolina enrollment
NPI 1720265952 (803) 772-4172

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D0690142

Jose J Chavez MD · Columbia, SC
Active · expires Jan 23, 2028
CLIA Number42D0690142
Laboratory TypePhysician Office
Certificate Effective DateJanuary 24, 2026
Certificate Expiration DateJanuary 23, 2028
Laboratory DirectorJose J. Chavez MD
Laboratory Phone(803) 772-4172
Laboratory LocationJose J Chavez MD17 Surrey Court, Columbia, SC 29212
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

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.
73 services23 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
46 services19 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 29212 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$24.27 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$6.82 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

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

JOSE D CHAVEZ MD PA
Family Medicine
17 SURREY CT
COLUMBIA, SC 29212
Lexington County (803) 772-4172

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 Jose Chavez's NPI number?

The NPI number for Jose Chavez is 1194779900. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Jose Chavez located?

Jose Chavez practices at 17 Surrey Ct, Columbia, SC 29212. The listed phone number is (803) 772-4172.

What is Jose Chavez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jose Chavez enrolled in Medicare?

Yes. Jose Chavez 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.

Which organization bills Medicare for Jose Chavez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Chavez reassigns Medicare benefits to Jose D Chavez MD PA (Columbia, SC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jose Chavez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does Jose Chavez hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D0690142) is associated with this NPI, valid through January 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Jose Chavez affiliated with any hospitals?

According to CMS data, Jose Chavez is affiliated with Lexington Medical Center.

When was this NPI record last updated?

The NPPES record for Jose Chavez was last updated on June 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.