SYDNEY GUALTIERI
NPI 1215632617
Pediatrics in Sumter, SC

Q: What is Sydney Gualtieri's NPI number?

The NPI number for Sydney Gualtieri is 1215632617. It was assigned to this individual provider in the NPPES registry on April 4, 2023.

Q: What is Sydney Gualtieri'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 Sydney Gualtieri was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 04, 2023PECOS EnrolledAccepts Medicare Assignment

129 N WASHINGTON ST, SUMTER, SC 29150(803) 774-9680(803) 434-3955 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 29, 2026, Jul 11, 2023, Apr 4, 2023 (3 updates tracked since 2023).

On this page

About Sydney Gualtieri NPPES

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

SYDNEY GUALTIERI (NPI 1215632617) is an individual pediatrics provider in Sumter, South Carolina, licensed in South Carolina (89721) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Columbia, and is a graduate of West Virginia School Of Osteopathic Medicine (2023).

NPPES Registry Identity

NPI1215632617

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameSYDNEY GUALTIERI

Location Address129 N WASHINGTON STSumter, SC 29150-4949

Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842

Phone(803) 774-9680

Fax(803) 434-3955

Sole ProprietorYes

Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2023

Enumeration DateApril 4, 2023

Last NPPES UpdateJuly 29, 20263 updates tracked since enumeration

NPPES CertifiedJuly 29, 2026

✔ NPI 1215632617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in SC · 89721

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.

129 N WASHINGTON ST, Sumter, SC 29150

Open in Google Maps ↗

Secondary Practice Location 1

Location 19 Richland Medical Park DrColumbia, SC 29203-6859 · Phone (803) 434-7606

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

Sydney Gualtieri 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 ID9537522768

PECOS Enrollment IDI20260611002881

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 Sydney Gualtieri reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Prisma Health Medical Group-Midlands

0.5 mi

Plastic and Reconstructive Surgery

115 N SUMTER ST STE 115
Sumter, SC 29150

Reassigned Medicare billing, South Carolina enrollment
1,466 clinicians in this Medicare group

NPI 1447749510 (803) 774-7546

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29150 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 20

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

DR. TERRY ANTHONY GODFREY M.D.

Hospitalist