MRS. GWENDOLYN C GALPHIN M.D.
NPI 1285691345
Internal Medicine in West Columbia, SC

Active since May 01, 2006PECOS Enrolled
131 SUNSET CT, WEST COLUMBIA, SC 29169(803) 796-2222(803) 796-7839 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 27, 2020, Sep 30, 2020, Jun 8, 2017 (3 updates tracked since 2017).

About Mrs. Gwendolyn C Galphin M.d. NPPES

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

MRS. GWENDOLYN C GALPHIN M.D. (NPI 1285691345) is an individual internal medicine provider in West Columbia, South Carolina, licensed in South Carolina (13541) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285691345
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMRS. GWENDOLYN C GALPHINCredential: M.D.
Location Address131 SUNSET CTWest Columbia, SC 29169-2429
Mailing AddressPo Box 6069West Columbia, SC 29171-6069
Fax(803) 796-7839
Sole ProprietorNo
Enumeration DateMay 1, 2006
Last NPPES UpdateOctober 27, 20203 updates tracked since enumeration
NPPES CertifiedOctober 27, 2020
✔ NPI 1285691345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in SC · 13541
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
131 SUNSET CT, West Columbia, SC 29169

Other Identifiers 4

Other58056SC · Medcost
OtherS309353SC · Health Source
Other110180892SC · Rail Road Medicare
Medicaid135419SC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Gwendolyn C Galphin M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Gwendolyn Galphin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
131 SUNSET CT
West Columbia, SC 29169
  • Reassigned Medicare billing, South Carolina enrollment
  • 1,219 clinicians in this Medicare group
Urgent Care
154 SALUDA POINTE CT
Lexington, SC 29072
  • Reassigned Medicare billing, South Carolina enrollment
  • 61 clinicians in this Medicare group

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

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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
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 13

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

Nurse Practitioner
131 SUNSET CT
WEST COLUMBIA, SC 29169
Nurse Practitioner (Primary Care)
131 SUNSET CT
WEST COLUMBIA, SC 29169
Internal Medicine
131 SUNSET CT
WEST COLUMBIA, SC 29169
Nurse Practitioner
131 SUNSET CT
WEST COLUMBIA, SC 29169
Internal Medicine
131 SUNSET CT
WEST COLUMBIA, SC 29169
Internal Medicine
131 SUNSET CT
WEST COLUMBIA, SC 29169
Internal Medicine
131 SUNSET CT
WEST COLUMBIA, SC 29169
Nurse Practitioner
131 SUNSET CT
WEST COLUMBIA, SC 29169

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 Gwendolyn Galphin's NPI number?

The NPI number for Gwendolyn Galphin is 1285691345. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Where is Gwendolyn Galphin located?

Gwendolyn Galphin practices at 131 Sunset Ct, West Columbia, SC 29169. The listed phone number is (803) 796-2222.

What is Gwendolyn Galphin's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Gwendolyn Galphin enrolled in Medicare?

Yes. Gwendolyn Galphin is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Gwendolyn Galphin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gwendolyn Galphin reassigns Medicare benefits to 2 organizations: Lexington Health Inc (West Columbia, SC) and Lexington County Health Services District, Inc. (Lexington, 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 Gwendolyn Galphin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gwendolyn Galphin 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 6 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.