RACHEL S FOGARTY NP-C
NPI 1265077622
Nurse Practitioner - Adult Health in West Columbia, SC

Q: What is Rachel Fogarty's NPI number?

The NPI number for Rachel Fogarty is 1265077622. It was assigned to this individual provider in the NPPES registry on November 8, 2019.

Q: What is Rachel Fogarty's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Rachel Fogarty was last updated on October 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since November 08, 2019PECOS EnrolledAccepts Medicare Assignment

83.03/100

CMS Quality Rating

2728 SUNSET BLVD STE 300, WEST COLUMBIA, SC 29169(803) 744-4940(803) 744-4938 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 27, 2020, Sep 29, 2020, Aug 27, 2020 and 3 more (6 updates tracked since 2019).

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About Rachel S Fogarty Np-c NPPES

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

RACHEL S FOGARTY NP-C (NPI 1265077622) is an individual adult health provider in West Columbia, South Carolina, licensed in South Carolina (23114) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS, is affiliated with Lexington Medical Center, and maintains a secondary practice location in Columbia.

NPPES Registry Identity

NPI1265077622

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameRACHEL S FOGARTYCredential: NP-C

Location Address2728 SUNSET BLVD STE 300West Columbia, SC 29169-4815

Mailing AddressPo Box 6069West Columbia, SC 29171-6069

Phone(803) 744-4940

Fax(803) 744-4938

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateNovember 8, 2019

Last NPPES UpdateOctober 27, 20206 updates tracked since enumeration

NPPES CertifiedOctober 27, 2020

✔ NPI 1265077622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in SC · 23114

2728 SUNSET BLVD STE 300, West Columbia, SC 29169

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Secondary Practice Location 1

Location 190 Summit Centre DrColumbia, SC 29229-6926 · Phone (803) 744-4940 · Fax (803) 744-4938

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, Molina Healthcare, UnitedHealthcare.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

Rachel S Fogarty Np-c 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 ID7810322153

PECOS Enrollment IDI20200115001589

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

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.

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.

15 services15 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 29169 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

Quality

80.45

Promoting Interoperability

Improvement Activities

Cost

72.17

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.

DR. ROBERT ANTHONY LEONARDI M.D.

Internal Medicine (Interventional Cardiology)