NEAL W BURKHALTER MD
NPI 1285897470
Otolaryngology in West Columbia, SC

Active since July 08, 2008PECOS EnrolledAccepts Medicare Assignment
78.91/100
CMS Quality Rating
146 E HOSPITAL DR STE 200, WEST COLUMBIA, SC 29169(803) 936-7530(803) 936-7535 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 6, 2026, Jul 8, 2021, Oct 15, 2020 and 2 more (5 updates tracked since 2017).

About Neal W Burkhalter Md NPPES

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

NEAL W BURKHALTER MD (NPI 1285897470) is an individual otolaryngology provider in West Columbia, South Carolina, licensed in South Carolina (35488) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Prisma Health Richland Hospital, and maintains a secondary practice location in Newport News.

NPPES Registry Identity

NPI1285897470
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameNEAL W BURKHALTERCredential: MD
Location Address146 E HOSPITAL DR STE 200West Columbia, SC 29169-4800
Mailing Address2295 Henry Tecklenburg DrCharleston, SC 29414-7801
Fax(803) 936-7535
Sole ProprietorNo
Medical School CMSMercer University School Of MedicineGraduated 2008
Enumeration DateJuly 8, 2008
Last NPPES UpdateMarch 6, 20265 updates tracked since enumeration
NPPES CertifiedMarch 6, 2026
NPI 1285897470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses Licensed in SC · 35488 Licensed in VA · 0101288135
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

146 E HOSPITAL DR STE 200, West Columbia, SC 29169

Secondary Practice Location 1

Location 1895 City Center Blvd Ste 152Newport News, VA 23606-3080 · Phone (757) 599-5505

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

Neal W Burkhalter 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 ID4789826470
PECOS Enrollment IDI20130808000582
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 20

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.

Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
1,022 services17 patients
Test for allergy using allergenic extract injected into skin 95024
An allergy skin test involves injecting a small amount of allergenic extract into your skin. This test helps determine if you're allergic to specific substances. If allergic, a small red bump appears at the test site. It's safe and quick.
446 services16 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.
443 services232 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
300 services24 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
169 services169 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
106 services73 patients

Hospital Affiliations CMS Care Compare 3

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

Prisma Health Richland Hospital

Acute Care Hospitals · Columbia, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420018
Location5 Medical ParkColumbia, SC 29203 · Richland County
Emergency services Birthing friendly

Musc Health Columbia Medical Center Downtown

Acute Care Hospitals · Columbia, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420026
Location2435 Forest DriveColumbia, SC 29204 · Richland County
Emergency services

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
$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
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
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.

78.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.45
Promoting Interoperability89
Improvement Activities40
Cost47.44

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.

Otolaryngology
146 E HOSPITAL DR STE 200
WEST COLUMBIA, SC 29169
Otolaryngology
146 E HOSPITAL DR STE 200
WEST COLUMBIA, SC 29169
Nurse Practitioner
146 E HOSPITAL DR STE 200
WEST COLUMBIA, SC 29169
Otolaryngology
146 E HOSPITAL DR STE 200
WEST COLUMBIA, SC 29169
Nurse Practitioner (Family)
146 E HOSPITAL DR STE 200
WEST COLUMBIA, SC 29169
Family Medicine
146 E HOSPITAL DR STE 200
WEST COLUMBIA, SC 29169
Otolaryngology
146 E HOSPITAL DR STE 200
WEST COLUMBIA, SC 29169
Audiologist
146 E HOSPITAL DR STE 200
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 Neal Burkhalter's NPI number?

The NPI number for Neal Burkhalter is 1285897470. It was assigned to this individual provider in the NPPES registry on July 8, 2008.

Where is Neal Burkhalter located?

Neal Burkhalter practices at 146 E Hospital Dr Ste 200, West Columbia, SC 29169. The listed phone number is (803) 936-7530.

What is Neal Burkhalter's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Neal Burkhalter enrolled in Medicare?

Yes. Neal Burkhalter 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 Neal Burkhalter accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare list Neal Burkhalter 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 Neal Burkhalter affiliated with any hospitals?

According to CMS data, Neal Burkhalter is affiliated with Prisma Health Richland Hospital, Musc Health Columbia Medical Center Downtown and Lexington Medical Center.

When was this NPI record last updated?

The NPPES record for Neal Burkhalter was last updated on March 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.