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ROBERT M. PALLAY MD
NPI 1275552143
Family Medicine in West Columbia, SC

Active since July 19, 2006PECOS EnrolledAccepts Medicare Assignment
145 SUNSET CT STE 100, WEST COLUMBIA, SC 29169(803) 739-3550(803) 739-3546 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Robert M. Pallay Md NPPES

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

ROBERT M. PALLAY MD (NPI 1275552143) is an individual family medicine provider in West Columbia, South Carolina, licensed in South Carolina (92097) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Monroe Regional Hospital, and maintains a secondary practice location in Savannah.

NPPES Registry Identity

NPI1275552143
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameROBERT M. PALLAYCredential: MD
Location Address145 SUNSET CT STE 100West Columbia, SC 29169-2429
Mailing AddressPo Box 6069West Columbia, SC 29171-6069 · (803) 739-3550 · Fax (803) 739-3546
Phone(803) 739-3550
Fax(803) 739-3546
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1975
Enumeration DateJuly 19, 2006
Last NPPES UpdateAugust 28, 2024
NPPES CertifiedAugust 28, 2024
✔ NPI 1275552143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in SC · 92097✔ Licensed in GA · 060137✔ Licensed in NJ · MA32105
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.
145 SUNSET CT STE 100, West Columbia, SC 29169
Open in Google Maps ↗

Secondary Practice Location 1

Location 11107 E 66th StSavannah, GA 31404-5701 · Phone (912) 350-8404 · Fax (912) 350-8067

Other Identifiers 6

Medicaid024696427AGA
Other52206288-001GA · Bcbs Ga
MedicaidG60137SC
OtherP00441766GA · Rr Medicare
Other01077001GA · Amerigroup
Other582162071-014Humana/tricare South

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health 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

Robert M. Pallay 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 ID8123083664
PECOS Enrollment IDI20251203001071
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

4

Medicare enrollment records show Robert Pallay reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lexington Health, Inc
Same address
Family Medicine
145 SUNSET CT STE 100&201
West Columbia, SC 29169
  • Reassigned Medicare billing, South Carolina enrollment
  • 1,219 clinicians in this Medicare group
NPI 1609597095 (803) 739-3550
Mppg, Inc.
136 mi
Family Medicine
4731 WATERS AVE
Savannah, GA 31404
  • Reassigned Medicare billing, Georgia enrollment
  • 104 clinicians in this Medicare group
NPI 1033131172 (912) 350-4905
Dodge County Hospital Authority
173 mi
Family Medicine
829 PLAZA AVE
Eastman, GA 31023
  • Reassigned Medicare billing, Georgia enrollment
  • 21 clinicians in this Medicare group
NPI 1477211779 (478) 374-7801
Boa Vida Hospital Of Aberdeen, Ms, LLC
427 mi
Critical Access
400 S CHESTNUT ST
Aberdeen, MS 39730
  • Reassigned Medicare billing, Mississippi enrollment
  • Also billed through NPI 1710405741 (Mississippi)
  • 109 clinicians in this Medicare group
NPI 1285164046 (888) 339-7339

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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
130 services61 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
88 services36 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
62 services62 patients
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.
45 services44 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
32 services32 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Monroe Regional Hospital

Critical Access Hospitals · Aberdeen, MS
OwnershipVoluntary non-profit - Private
CMS Certification Number251302
Location400 South Chestnut StreetAberdeen, MS 39730 · Monroe County
Emergency services

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.

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.

DUVAL SAMWARU DO
Student in an Organized Health Care Education/Training Program
145 SUNSET CT STE 100
WEST COLUMBIA, SC 29169
Lexington County (803) 000-0000
HOLLY OWENS MD
Student in an Organized Health Care Education/Training Program
145 SUNSET CT STE 100
WEST COLUMBIA, SC 29169
Lexington County (803) 739-3550
BRANDON AUSTIN MCCONNELL
Student in an Organized Health Care Education/Training Program
145 SUNSET CT STE 100
WEST COLUMBIA, SC 29169
Lexington County (803) 739-3550
JOSEPH GABRIEL PATRAUTANU MD
Family Medicine
145 SUNSET CT STE 100
WEST COLUMBIA, SC 29169
Lexington County (803) 739-3550
TRIET LE
Student in an Organized Health Care Education/Training Program
145 SUNSET CT STE 100
WEST COLUMBIA, SC 29169
Lexington County (803) 739-3550
DR. JOSEPH MICHAEL COONEY DO
Family Medicine
145 SUNSET CT STE 100
WEST COLUMBIA, SC 29169
Lexington County (803) 739-3550
TREVOR DOANE
Student in an Organized Health Care Education/Training Program
145 SUNSET CT STE 100
WEST COLUMBIA, SC 29169
Lexington County (803) 739-3550
ALEXANDER KHOA-NGUYEN GIEP
Student in an Organized Health Care Education/Training Program
145 SUNSET CT STE 100
WEST COLUMBIA, SC 29169
Lexington County (803) 000-0000

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 Robert Pallay's NPI number?

The NPI number for Robert Pallay is 1275552143. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Robert Pallay located?

Robert Pallay practices at 145 Sunset Ct Ste 100, West Columbia, SC 29169. The listed phone number is (803) 739-3550.

What is Robert Pallay's specialty?

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

Is Robert Pallay enrolled in Medicare?

Yes. Robert Pallay 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 Robert Pallay's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Pallay reassigns Medicare benefits to 4 organizations: Lexington Health, Inc (West Columbia, SC), Mppg, Inc. (Savannah, GA), Dodge County Hospital Authority (Eastman, GA) and Boa Vida Hospital Of Aberdeen, Ms, LLC (Aberdeen, MS). 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 Robert Pallay's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Pallay accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Robert Pallay 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 Robert Pallay affiliated with any hospitals?

According to CMS data, Robert Pallay is affiliated with Monroe Regional Hospital.

When was this NPI record last updated?

The NPPES record for Robert Pallay was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.