DR. MICHAEL LOGAN RAWLINS MD
NPI 1225199441
Surgery in Summerville, SC

Active since December 12, 2006PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
295A MIDLAND PKWY STE 260, SUMMERVILLE, SC 29485(843) 875-8994(843) 875-8981 Get Directions Write a Review

NPPES record last updated: August 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 23, 2024, Oct 8, 2020 (2 updates tracked since 2020).

About Dr. Michael Logan Rawlins Md NPPES

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

DR. MICHAEL LOGAN RAWLINS MD (NPI 1225199441) is an individual surgery provider in Summerville, South Carolina, licensed in South Carolina (91634) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Trident Medical Center, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1225199441
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. MICHAEL LOGAN RAWLINSCredential: MD
Location Address295A MIDLAND PKWY STE 260Summerville, SC 29485-5901
Mailing Address295a Midland Pkwy Ste 260Summerville, SC 29485-5901 · (843) 875-8994 · Fax (843) 875-8981
Fax(843) 875-8981
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateDecember 12, 2006
Last NPPES UpdateAugust 23, 20242 updates tracked since enumeration
NPPES CertifiedAugust 23, 2024
NPI 1225199441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses Licensed in SC · 91634 Licensed in PA · MD469143
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
295A MIDLAND PKWY STE 260, Summerville, SC 29485

Other Identifiers 1

Medicaid103740154PA

Accepted 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

Dr. Michael Logan Rawlins Md 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 ID9436313137
PECOS Enrollment IDI20240614000891
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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
47 services19 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
27 services27 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.
21 services15 patients

Hospital Affiliations CMS Care Compare

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

Trident Medical Center

Acute Care Hospitals · Charleston, SC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number420079
Location9330 Medical Plaza DrCharleston, SC 29406 · Charleston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29485 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.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

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.

Surgery
295A MIDLAND PKWY STE 260
SUMMERVILLE, SC 29485
Dietitian, Registered
295A MIDLAND PKWY STE 260
SUMMERVILLE, SC 29485
Physician Assistant
295A MIDLAND PKWY STE 260
SUMMERVILLE, SC 29485
Pediatrics (Pediatric Gastroenterology)
295A MIDLAND PKWY STE 260
SUMMERVILLE, SC 29485

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 Rawlins's NPI number?

The NPI number for Michael Rawlins is 1225199441. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is Michael Rawlins located?

Michael Rawlins practices at 295A Midland Pkwy Ste 260, Summerville, SC 29485. The listed phone number is (843) 875-8994.

What is Michael Rawlins's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Michael Rawlins enrolled in Medicare?

Yes. Michael Rawlins 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 Rawlins accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, CareSource and First Choice Next and 2 other insurers list Michael Rawlins 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 Rawlins affiliated with any hospitals?

According to CMS data, Michael Rawlins is affiliated with Trident Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Rawlins was last updated on August 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.