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DR. JOSE A. CARDENAS M.D.
NPI 1245279314
Psychiatry & Neurology - Neurology in Aiken, SC

Active since June 05, 2006PECOS EnrolledAccepts Medicare Assignment
410 UNIVERSITY PKWY STE 1520, AIKEN, SC 29801(803) 502-8400(803) 641-7015 Get Directions Write a Review

NPPES record last updated: November 19, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jose A. Cardenas M.d. NPPES

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

DR. JOSE A. CARDENAS M.D. (NPI 1245279314) is an individual neurology provider in Aiken, South Carolina, licensed in South Carolina (83170) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Au Medical Center, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1245279314
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. JOSE A. CARDENASCredential: M.D.
Location Address410 UNIVERSITY PKWY STE 1520Aiken, SC 29801-6840
Mailing Address367 S. Gulph Rd, Attn: Ipm CredentialingKing Of Prussia, PA 19406-3121 · (803) 502-8400
Phone(803) 502-8400
Fax(803) 641-7015
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJune 5, 2006
Last NPPES UpdateNovember 19, 2019
✔ NPI 1245279314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in SC · 83170
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
410 UNIVERSITY PKWY STE 1520, Aiken, SC 29801
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Other Identifiers 2

Medicaid10025379100NE
Medicaid10025588700NE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

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 A. Cardenas 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 ID1456355510
PECOS Enrollment IDI20191209000874
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 Reassignments

2

Medicare enrollment records show Jose Cardenas reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Aiken Regional Medical Centers, LLC.
0.2 mi
Psychiatry
655 MEDICAL PARK DR, AURORA PAVILION BEHAVIORAL
Aiken, SC 29801
  • Reassigned Medicare billing, South Carolina enrollment
  • 59 clinicians in this Medicare group
NPI 1407988637 (803) 641-5000
Aiken Professional Association LLC
2.6 mi
Urgent Care
110 SASANQUA DRIVE
Graniteville, SC 29829
  • Reassigned Medicare billing, South Carolina enrollment
  • 61 clinicians in this Medicare group
NPI 1457825846 (803) 392-1811

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

Areas of Expertise CMS Part B claims 9

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.
562 services377 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.
104 services104 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
69 services69 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.
43 services38 patients
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.
35 services23 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.
33 services29 patients

Hospital Affiliations CMS Care Compare 2

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

Au Medical Center

Acute Care Hospitals · Augusta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110034
Location1120 15th StreetAugusta, GA 30912 · Richmond County
Emergency services Birthing friendly

Aiken Regional Medical Center

Acute Care Hospitals · Aiken, SC
2/5 CMS rating
OwnershipProprietary
CMS Certification Number420082
Location302 University ParkwayAiken, SC 29801 · Aiken County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29801 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
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.

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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
13%427 patients1/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
20%529 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
20%737 patients1/55-star benchmark: 85%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
60%83 patients3/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%2,453 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
24%1,572 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 99% · 639 patients
Patients tobacco: 13% · 72 patients
83%639 patients4/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

MISBBA KHAN MD
Psychiatry & Neurology (Neurology)
410 UNIVERSITY PKWY STE 1520
AIKEN, SC 29801
Aiken County (803) 502-8400
MR. JAMES DANIEL DILLON JR. MD
Neurological Surgery
410 UNIVERSITY PKWY STE 1520
AIKEN, SC 29801
Aiken County (803) 502-8400
DR. KHALED F KAMEL MD
Psychiatry & Neurology (Neurology)
410 UNIVERSITY PKWY STE 1520
AIKEN, SC 29801
Aiken County (803) 502-8400
TINA L NORDEEN NP
Nurse Practitioner (Family)
410 UNIVERSITY PKWY STE 1520
AIKEN, SC 29801
Aiken County (803) 502-8400

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 Cardenas's NPI number?

The NPI number for Jose Cardenas is 1245279314. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Where is Jose Cardenas located?

Jose Cardenas practices at 410 University Pkwy Ste 1520, Aiken, SC 29801. The listed phone number is (803) 502-8400.

What is Jose Cardenas's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Jose Cardenas enrolled in Medicare?

Yes. Jose Cardenas 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 organizations bill Medicare for Jose Cardenas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Cardenas reassigns Medicare benefits to 2 organizations: Aiken Regional Medical Centers, LLC. (Aiken, SC) and Aiken Professional Association LLC (Graniteville, SC). Each 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 Cardenas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jose Cardenas accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and Molina Healthcare and 1 other insurer list Jose Cardenas 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 Jose Cardenas affiliated with any hospitals?

According to CMS data, Jose Cardenas is affiliated with Au Medical Center and Aiken Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Jose Cardenas was last updated on November 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.