AMANDA RUSCIN VARTANIAN M.D. - NPI 1205249117

Q: What is Amanda Vartanian's NPI number?

The NPI number for Amanda Vartanian is 1205249117. It was assigned to this individual provider in the NPPES registry on June 9, 2014.

Q: What is Amanda Vartanian's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Vartanian was last updated on July 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Amanda Ruscin Vartanian M.d. NPPES

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

AMANDA RUSCIN VARTANIAN M.D. (NPI 1205249117) is an individual pediatrics provider in Lexington, South Carolina, licensed in South Carolina (LL36978) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1205249117

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameAMANDA RUSCIN VARTANIANCredential: M.D.

Location Address811 W MAIN ST STE 204Lexington, SC 29072-2500

Mailing AddressPo Box 6069West Columbia, SC 29171-6069

Phone(803) 359-8855

Fax(803) 359-1257

Sole ProprietorNo

Enumeration DateJune 9, 2014

Last NPPES UpdateJuly 23, 20266 updates tracked since enumeration

NPPES CertifiedJuly 23, 2026

✔ NPI 1205249117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in SC · LL36978✔ Licensed in SC · 36978

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

811 W MAIN ST STE 204, Lexington, SC 29072

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Secondary Practice Locations 3

Location 114 Medical Park, Ste 400, Children's Hospital Outpatient CenterColumbia, SC 29203 · Phone (803) 434-6155 · Fax (803) 434-6979

Location 23240 Sunset BlvdWest Columbia, SC 29169-3428 · Phone (803) 359-8855

Location 34080 Augusta Hwy Ste 100Gilbert, SC 29054-8893 · Phone (803) 892-1800

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 (PECOS)

Amanda Ruscin Vartanian M.d. 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 29072 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.

Other Providers at the Same Location NPPES 6

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

DR. TANNER K NELSON MD

Student in an Organized Health Care Education/Training Program