DONALD L POWELL MD
NPI 1255436093
Emergency Medicine in Columbia, SC

Active since September 14, 2006PECOS EnrolledAccepts Medicare Assignment
83.03/100
CMS Quality Rating
7035 SAINT ANDREWS RD, COLUMBIA, SC 29212(803) 749-0924(803) 407-4101 Get Directions Write a Review

NPPES record last updated: November 10, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 10, 2020, Oct 1, 2020, Jun 6, 2017 (3 updates tracked since 2017).

About Donald L Powell Md NPPES

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

DONALD L POWELL MD (NPI 1255436093) is an individual emergency medicine provider in Columbia, South Carolina, licensed in South Carolina (14016) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Lexington Medical Center, and is a graduate of Medical University Of South Carolina College Of Medicine (1987).

NPPES Registry Identity

NPI1255436093
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDONALD L POWELLCredential: MD
Location Address7035 SAINT ANDREWS RDColumbia, SC 29212-1177
Mailing AddressPo Box 6069West Columbia, SC 29171-6069
Fax(803) 407-4101
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 1987
Enumeration DateSeptember 14, 2006
Last NPPES UpdateNovember 10, 20203 updates tracked since enumeration
NPPES CertifiedNovember 10, 2020
NPI 1255436093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in SC · 14016
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

7035 SAINT ANDREWS RD, Columbia, SC 29212

Other Names 1

Other Name (5)Donald Langston Powell Md

Other Identifiers 1

MedicaidLL6884SC

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

Donald L Powell 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 ID5193771202
PECOS Enrollment IDI20050323000179
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 36

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
272 services32 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.
265 services236 patients
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.
179 services166 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
146 services146 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
117 services111 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
113 services107 patients

Hospital Affiliations CMS Care Compare

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

Lexington Medical Center

Acute Care Hospitals · West Columbia, SC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420073
Location2720 Sunset BlvdWest Columbia, SC 29169 · Lexington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29212 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.

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.

83.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.45
Promoting Interoperability89
Improvement Activities40
Cost72.17

Other Providers at the Same Location NPPES 17

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

Family Medicine
7035 SAINT ANDREWS RD
COLUMBIA, SC 29212
Internal Medicine
7035 SAINT ANDREWS RD
COLUMBIA, SC 29212
Physical Therapy Assistant
7035 SAINT ANDREWS RD
COLUMBIA, SC 29212
Emergency Medicine
7035 SAINT ANDREWS RD
COLUMBIA, SC 29212
Clinic/Center (Radiology)
7035 SAINT ANDREWS RD
COLUMBIA, SC 29212
Emergency Medicine
7035 SAINT ANDREWS RD
COLUMBIA, SC 29212
Physician Assistant (Medical)
7035 SAINT ANDREWS RD
COLUMBIA, SC 29212
Family Medicine
7035 SAINT ANDREWS RD
COLUMBIA, SC 29212

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 Donald Powell's NPI number?

The NPI number for Donald Powell is 1255436093. It was assigned to this individual provider in the NPPES registry on September 14, 2006. The provider is also known as Donald Langston Powell MD.

Where is Donald Powell located?

Donald Powell practices at 7035 Saint Andrews Rd, Columbia, SC 29212. The listed phone number is (803) 749-0924.

What is Donald Powell's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Donald Powell enrolled in Medicare?

Yes. Donald Powell 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 Donald Powell accept?

Health plans from Ambetter from Absolute Total Care and Ambetter of North Carolina list Donald Powell 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 Donald Powell affiliated with any hospitals?

According to CMS data, Donald Powell is affiliated with Lexington Medical Center.

When was this NPI record last updated?

The NPPES record for Donald Powell was last updated on November 10, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.