DR. ROBERT OSCAR RAINER MD
NPI 1255329926
Pathology - Anatomic Pathology & Clinical Pathology in Greenville, SC

NPI Status: Active since October 07, 2005

Contact Information

8 MEMORIAL MEDICAL CT STE 1
GREENVILLE, SC
ZIP 29605
Phone: (864) 295-3492
Fax: (864) 295-4817

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  • Individual
  • Male
  • Pathology
  • Anatomic Pathology & Clinical Pathology
  • Accepts Insurance
  • PECOS Enrolled

About ROBERT RAINER

This page provides the complete NPI Profile along with additional information for Robert Rainer, a provider established in Greenville, South Carolina with a medical specialization in Pathology, focusing in anatomic pathology & clinical pathology . The healthcare provider is registered in the NPI registry with number 1255329926 assigned on October 2005. The practitioner's primary taxonomy code is 207ZP0102X with license number 19352 (SC). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1255329926
Provider Name
DR. ROBERT OSCAR RAINER MD
Gender
Male
Entity Type
Individual
Location Address
8 MEMORIAL MEDICAL CT STE 1 GREENVILLE, SC 29605
Location Phone
(864) 295-3492
Location Fax
(864) 295-4817
Mailing Address
8 MEMORIAL MEDICAL CT STE 1 GREENVILLE, SC 29605
Mailing Phone
(864) 295-3492
Mailing Fax
(864) 295-4817
Is Sole Proprietor?
No
Enumeration Date
10-07-2005
Last Update Date
11-08-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pathology Anatomic Pathology & Clinical Pathology

Taxonomy Code
207ZP0102X
Type
Allopathic & Osteopathic Physicians
License No.
19352
License State
SC
Taxonomy Description
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207ZP0102XAllopathic & Osteopathic Physicians

Pathology
Anatomic Pathology & Clinical Pathology

93-00286 (NC)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Direction Bronze 1 - POS
  • Blue Direction Silver 1 - POS
  • Blue Direction Silver 1 + Adult Vision - POS
  • Blue Direction Silver 2 - POS
  • Blue Direction Standard Expanded Bronze - POS
  • Blue Direction Standard Gold - POS
  • Blue Direction Standard Silver - POS
  • Blue Reedy Bronze 1 - HMO
  • Blue Reedy Bronze 2 - HMO
  • Blue Reedy Gold 1 - HMO
  • Blue Reedy Silver 1 - HMO
  • Blue Reedy Silver 2 - HMO
  • Blue Reedy Silver 2 + Adult Vision - HMO
  • Blue Reedy Standard Expanded Bronze - HMO
  • Blue Reedy Standard Gold - HMO
  • Blue Reedy Standard Silver - HMO
  • Blue VirtuConnect Bronze 1 - EPO
  • Blue VirtuConnect Gold 1 - EPO
  • Blue VirtuConnect Silver 1 - EPO
  • BlueEssentials Bronze 4 - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Robert Rainer is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Crystal identification from tissue or body fluid

Crystal identification from tissue or body fluid is a medical test that helps identify the presence of certain substances in the body. It involves analyzing samples from your body to detect crystals that may indicate health conditions like gout or kidney stones.

This service was performed 67 times for 63 patients

Hemoglobin analysis and measurement, electrophoresis

Hemoglobin analysis and measurement, electrophoresis, is a lab test that separates and identifies proteins in your blood. It's used to diagnose conditions affecting red blood cells. It's a simple, painless procedure where a small blood sample is taken and analyzed.

This service was performed 45 times for 45 patients

Immunologic analysis technique on serum (immunofixation)

Immunofixation is a lab test that helps identify proteins called immunoglobulins in your blood serum. These proteins are part of your immune system. Changes in their levels can indicate certain diseases. The test is simple and only requires a blood sample.

This service was performed 21 times for 21 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 29605 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $124.04
  • Minimum New Patient Price $53.57
  • Maximum New Patient Price $163.84
  • Average New Patient Copayment $31.01
  • Minimum New Patient Copayment $13.39
  • Maximum New Patient Copayment $40.96

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $95.12
  • Minimum Established Patient Price $16.96
  • Maximum Established Patient Price $133.52
  • Average Established Patient Copayment $23.78
  • Minimum Established Patient Copayment $4.24
  • Maximum Established Patient Copayment $33.38

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1255329926, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
5
Unchanged
Pos 5
3
Doubled → 6
Pos 6
2
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
9
Unchanged
Pos 9
2
Doubled → 4
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 3 → 6 9 → 18 → 9 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 0 + 5 + 6 + 2 + 1 + 8 + 9 + 4 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1255329926.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Clinical Medical Laboratory
8 MEMORIAL MEDICAL CT STE 1
GREENVILLE, SC 29605
Pathology (Anatomic Pathology & Clinical Pathology)
8 MEMORIAL MEDICAL CT STE 1
GREENVILLE, SC 29605
Pathology (Anatomic Pathology & Clinical Pathology)
8 MEMORIAL MEDICAL CT STE 1
GREENVILLE, SC 29605
Pathology (Anatomic Pathology & Clinical Pathology)
8 MEMORIAL MEDICAL CT STE 1
GREENVILLE, SC 29605
Pathology (Anatomic Pathology & Clinical Pathology)
8 MEMORIAL MEDICAL CT STE 1
GREENVILLE, SC 29605
Pathology (Anatomic Pathology & Clinical Pathology)
8 MEMORIAL MEDICAL CT STE 1
GREENVILLE, SC 29605
Pathology (Anatomic Pathology & Clinical Pathology)
8 MEMORIAL MEDICAL CT STE 1
GREENVILLE, SC 29605
Pathology (Anatomic Pathology & Clinical Pathology)
8 MEMORIAL MEDICAL CT STE 1
GREENVILLE, SC 29605
Pathology (Forensic Pathology)
8 MEMORIAL MEDICAL CT STE 1
GREENVILLE, SC 29605
Pathology (Anatomic Pathology & Clinical Pathology)
8 MEMORIAL MEDICAL CT STE 1
GREENVILLE, SC 29605
Pathology (Anatomic Pathology & Clinical Pathology)
8 MEMORIAL MEDICAL CT STE 1
GREENVILLE, SC 29605
Pathology (Anatomic Pathology & Clinical Pathology)
8 MEMORIAL MEDICAL CT STE 1
GREENVILLE, SC 29605
Pathology (Anatomic Pathology & Clinical Pathology)
8 MEMORIAL MEDICAL CT STE 1
GREENVILLE, SC 29605
Pathology (Forensic Pathology)
8 MEMORIAL MEDICAL CT STE 1
GREENVILLE, SC 29605
Pathology (Anatomic Pathology & Clinical Pathology)
8 MEMORIAL MEDICAL CT STE 1
GREENVILLE, SC 29605
Pathology (Anatomic Pathology & Clinical Pathology)
8 MEMORIAL MEDICAL CT STE 1
GREENVILLE, SC 29605
Pathology (Anatomic Pathology & Clinical Pathology)
8 MEMORIAL MEDICAL CT STE 1
GREENVILLE, SC 29605
Pathology (Anatomic Pathology)
8 MEMORIAL MEDICAL CT STE 1
GREENVILLE, SC 29605
Pathology (Anatomic Pathology & Clinical Pathology)
8 MEMORIAL MEDICAL CT STE 1
GREENVILLE, SC 29605
Pathology (Anatomic Pathology & Clinical Pathology)
8 MEMORIAL MEDICAL CT STE 1
GREENVILLE, SC 29605

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255329926, enumerated as an "individual" on October 07, 2005.

The provider is located at 8 MEMORIAL MEDICAL CT STE 1 GREENVILLE, SC 29605 and the phone number is (864) 295-3492.

Pathology with taxonomy code 207ZP0102X and a focus in Anatomic Pathology & Clinical Pathology.

The provider might be accepting Accepts: BlueCross BlueShield of South Carolina. Please consult your insurance carrier or call the provider to verify.