ADAM CULBERTSON APRN
NPI 1245849835
Nurse Practitioner - Family in Columbia, SC

Active since July 29, 2020PECOS Enrolled
111 DOCTOR CIR, COLUMBIA, SC 29203(800) 491-0909 Get Directions Write a Review

NPPES record last updated: November 1, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 1, 2022, Apr 26, 2022, Jul 29, 2020 (3 updates tracked since 2020).

About Adam Culbertson Aprn NPPES

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

ADAM CULBERTSON APRN (NPI 1245849835) is an individual family provider in Columbia, South Carolina, licensed in South Carolina (24121) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1245849835
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameADAM CULBERTSONCredential: APRN
Location Address111 DOCTOR CIRColumbia, SC 29203-6502
Mailing Address111 Doctor CirColumbia, SC 29203-6502 · (800) 491-0909
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 29, 2020
Last NPPES UpdateNovember 1, 20223 updates tracked since enumeration
NPPES CertifiedNovember 1, 2022
✔ NPI 1245849835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in SC · 24121
111 DOCTOR CIR, Columbia, SC 29203

Other Identifiers 1

MedicaidNP7833SC

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adam Culbertson Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799104154
PECOS Enrollment IDI20201005000309, I20210728003541, I20231010001155, I20231025001781
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

11

Medicare enrollment records show Adam Culbertson reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Family Medicine
111 DOCTOR CIR
Columbia, SC 29203
  • Reassigned Medicare billing, South Carolina enrollment
  • 631 clinicians in this Medicare group
Nurse Practitioner
2 OFFICE PARK CT STE 103
Columbia, SC 29223
  • Reassigned Medicare billing, North Carolina and South Carolina enrollments
  • 193 clinicians in this Medicare group
Geriatric Medicine
212 S TYRON ST STE 1000
Charlotte, NC 28281
  • Reassigned Medicare billing, North Carolina and South Carolina enrollments
  • 264 clinicians in this Medicare group
Family Medicine
101 CABARRUS AVE E STE 200
Concord, NC 28025
  • Reassigned Medicare billing, North Carolina and South Carolina enrollments
  • 187 clinicians in this Medicare group
Nurse Practitioner
101 CABARRUS AVE E STE 100
Concord, NC 28025
  • Reassigned Medicare billing, Indiana and Kentucky enrollments
  • 139 clinicians in this Medicare group
Geriatric Medicine
101 CABARRUS AVE E STE 200
Concord, NC 28025
  • Reassigned Medicare billing, North Carolina enrollment
  • 169 clinicians in this Medicare group
Family Medicine
101 CABARRUS AVE E STE 200
Concord, NC 28025
  • Reassigned Medicare billing, North Carolina and South Carolina enrollments
  • 312 clinicians in this Medicare group
Nurse Practitioner
828 LANE ALLEN RD STE 219
Lexington, KY 40504
  • Reassigned Medicare billing, Indiana and Kentucky enrollments
  • 135 clinicians in this Medicare group
Nurse Practitioner
3958 BROWN PARK DR STE D
Hilliard, OH 43026
  • Reassigned Medicare billing, Indiana and Ohio enrollments
  • 150 clinicians in this Medicare group
Nurse Practitioner
150 W MARKET ST STE 400
Indianapolis, IN 46204
  • Reassigned Medicare billing, Indiana, Kentucky and Ohio enrollments
  • 210 clinicians in this Medicare group

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 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.

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
25 services24 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29203 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 4

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers21 claims21 services$57.16 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier15 claims15 services$14.91 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier15 claims15 services$62.27 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
5 suppliers19 claims19 services$20.68 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 20

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

Nurse Practitioner (Psychiatric/Mental Health)
111 DOCTOR CIR
COLUMBIA, SC 29203
Nurse Practitioner (Family)
111 DOCTOR CIR
COLUMBIA, SC 29203
Nurse Practitioner (Family)
111 DOCTOR CIR
COLUMBIA, SC 29203
Nurse Practitioner (Family)
111 DOCTOR CIR
COLUMBIA, SC 29203
Nurse Practitioner (Family)
111 DOCTOR CIR
COLUMBIA, SC 29203
Nurse Practitioner (Family)
111 DOCTOR CIR
COLUMBIA, SC 29203
Nurse Practitioner
111 DOCTOR CIR
COLUMBIA, SC 29203
Nurse Practitioner (Family)
111 DOCTOR CIR
COLUMBIA, SC 29203

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 Adam Culbertson's NPI number?

The NPI number for Adam Culbertson is 1245849835. It was assigned to this individual provider in the NPPES registry on July 29, 2020.

Where is Adam Culbertson located?

Adam Culbertson practices at 111 Doctor Cir, Columbia, SC 29203. The listed phone number is (800) 491-0909.

What is Adam Culbertson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Adam Culbertson enrolled in Medicare?

Yes. Adam Culbertson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Adam Culbertson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adam Culbertson reassigns Medicare benefits to 11 organizations: Sc House Calls Inc (Columbia, SC), Eventus Wh Southeast - South Carolina, LLC (Columbia, SC), Eventus Wh Southeast, LLC (Charlotte, NC), Eventus Value Care, LLC (Concord, NC), Eventus Wh Midwest Care, LLC (Concord, NC) and 6 more organizations, listed in the Medicare section above. 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 Adam Culbertson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adam Culbertson accept?

Health plans from Blue Cross and Blue Shield of NC list Adam Culbertson 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.

When was this NPI record last updated?

The NPPES record for Adam Culbertson was last updated on November 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.