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DR. JOSEPH ANTHONY DESTEFANO III MD
NPI 1275190738
Family Medicine in Gaffney, SC

Active since May 21, 2019PECOS EnrolledAccepts Medicare Assignment
96.08/100
CMS Quality Rating
840 W FLOYD BAKER BLVD, GAFFNEY, SC 29341(864) 489-3300(864) 488-3744 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 15, 2023, Apr 6, 2023, Jun 5, 2020 and 1 more (4 updates tracked since 2019).

About Dr. Joseph Anthony Destefano Iii Md NPPES

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

DR. JOSEPH ANTHONY DESTEFANO III MD (NPI 1275190738) is an individual family medicine provider in Gaffney, South Carolina, licensed in South Carolina (82516) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Spartanburg Medical Center, and is a graduate of University Of South Carolina School Of Medicine (2019).

NPPES Registry Identity

NPI1275190738
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOSEPH ANTHONY DESTEFANO IIICredential: MD
Location Address840 W FLOYD BAKER BLVDGaffney, SC 29341-1845
Mailing AddressPo Box 277723Atlanta, GA 30384-7723 · (864) 560-4123 · Fax (864) 560-4023
Phone(864) 489-3300
Fax(864) 488-3744
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2019
Enumeration DateMay 21, 2019
Last NPPES UpdateAugust 15, 20234 updates tracked since enumeration
NPPES CertifiedAugust 15, 2023
✔ NPI 1275190738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in SC · 82516
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
840 W FLOYD BAKER BLVD, Gaffney, SC 29341
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Other Identifiers 4

OtherSCH783J577SC · Medicare Pin
Medicaid825165SC
OtherSCH7836067SC · Medicare Pin
OtherSCH7836084SC · Medicare Pin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South 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. Joseph Anthony Destefano Iii 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 ID9436570926
PECOS Enrollment IDI20200610000184
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 Joseph Destefano reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cherokee Medical Center
Same address
Family Medicine
840 W FLOYD BAKER BLVD
Gaffney, SC 29341
  • Reassigned Medicare billing, South Carolina enrollment
  • 139 clinicians in this Medicare group
NPI 1285275305 (864) 489-3300
Spartanburg Medical Center
Same address
Internal Medicine
840 W FLOYD BAKER BLVD
Gaffney, SC 29341
  • Reassigned Medicare billing, South Carolina enrollment
  • Also billed through NPI 1396220554 (South Carolina), NPI 1952870057 (South Carolina)
  • 193 clinicians in this Medicare group
NPI 1285026765 (864) 585-5433

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

Hospital Affiliations CMS Care Compare 2

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

Spartanburg Medical Center

Acute Care Hospitals · Spartanburg, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420007
Location101 E Wood StSpartanburg, SC 29303 · Spartanburg County
Emergency services Birthing friendly

Cherokee Medical Center

Acute Care Hospitals · Gaffney, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420043
Location1530 N Limestone StGaffney, SC 29340 · Cherokee County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29341 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.

96.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality92.17
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$1.82 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 12

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

EMILY STAGGS D.O.
Family Medicine
840 W FLOYD BAKER BLVD
GAFFNEY, SC 29341
Cherokee County (864) 489-3300
JODI CAMERON CROCKER NP
Nurse Practitioner (Family)
840 W FLOYD BAKER BLVD
GAFFNEY, SC 29341
Cherokee County (864) 489-3300
DR. ROBERT WAYNE KAEMMERLEN M.D.
Family Medicine
840 W FLOYD BAKER BLVD
GAFFNEY, SC 29341
Cherokee County (864) 489-3300
SPARTANBURG MEDICAL CENTER
Internal Medicine
840 W FLOYD BAKER BLVD
GAFFNEY, SC 29341
Cherokee County (864) 585-5433
CHEROKEE MEDICAL CENTER
Family Medicine
840 W FLOYD BAKER BLVD
GAFFNEY, SC 29341
Cherokee County (864) 489-3300
JAMIE TIDMORE BURNS DO
Family Medicine
840 W FLOYD BAKER BLVD
GAFFNEY, SC 29341
Cherokee County (864) 489-3300
DR. MARILU LOPEZ NAZARENO M.D.
Family Medicine
840 W FLOYD BAKER BLVD
GAFFNEY, SC 29341
Cherokee County (864) 489-3300
JULIE SHELTON DANIELS NP
Nurse Practitioner (Family)
840 W FLOYD BAKER BLVD
GAFFNEY, SC 29341
Cherokee County (864) 489-3300

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 Joseph Destefano's NPI number?

The NPI number for Joseph Destefano is 1275190738. It was assigned to this individual provider in the NPPES registry on May 21, 2019.

Where is Joseph Destefano located?

Joseph Destefano practices at 840 W Floyd Baker Blvd, Gaffney, SC 29341. The listed phone number is (864) 489-3300.

What is Joseph Destefano's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Joseph Destefano enrolled in Medicare?

Yes. Joseph Destefano 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 Joseph Destefano's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Destefano reassigns Medicare benefits to 2 organizations: Cherokee Medical Center (Gaffney, SC) and Spartanburg Medical Center (Gaffney, 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 Joseph Destefano's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joseph Destefano accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and InStil Health and 1 other insurer list Joseph Destefano 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 Joseph Destefano affiliated with any hospitals?

According to CMS data, Joseph Destefano is affiliated with Spartanburg Medical Center and Cherokee Medical Center.

When was this NPI record last updated?

The NPPES record for Joseph Destefano was last updated on August 15, 2023. 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.