Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MIESTY WOODBURN M.D.
NPI 1295122000
Psychiatry & Neurology - Neurology in Spartanburg, SC

Active since April 20, 2015PECOS EnrolledAccepts Medicare Assignment
92.44/100
CMS Quality Rating
101 E WOOD ST, SPARTANBURG, SC 29303(864) 560-4500(864) 560-4540 Get Directions Write a Review

NPPES record last updated: October 16, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 16, 2026, Sep 28, 2026, Aug 21, 2023 and 1 more (4 updates tracked since 2021).

About Miesty Woodburn M.d. NPPES

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

MIESTY WOODBURN M.D. (NPI 1295122000) is an individual neurology provider in Spartanburg, South Carolina, licensed in South Carolina (89737) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Prisma Health Baptist Easley Hospital, and maintains a secondary practice location in Greenville.

NPPES Registry Identity

NPI1295122000
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameMIESTY WOODBURNCredential: M.D.
Location Address101 E WOOD STSpartanburg, SC 29303-3040
Mailing AddressPo Box 743070Atlanta, GA 30374-3070 · (864) 560-4304
Fax(864) 560-4540
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 20, 2015
Last NPPES UpdateOctober 16, 20264 updates tracked since enumeration
NPPES CertifiedOctober 16, 2026
✔ NPI 1295122000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in SC · 89737
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
101 E WOOD ST, Spartanburg, SC 29303

Secondary Practice Location 1

Location 1200 Patewood Dr Ste B350Greenville, SC 29615-6337 · Phone (864) 454-4500 · Fax (864) 454-4505

Accepted 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

Miesty Woodburn M.d. 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 ID7618281577
PECOS Enrollment IDI20231102003327
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 Miesty Woodburn reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gynecology
3093 S HIGHWAY 14 STE 101
Greer, SC 29650
  • Reassigned Medicare billing, South Carolina enrollment
  • 3,281 clinicians in this Medicare group
Emergency Medicine
3400 DOUGLAS BLVD STE 225
Roseville, CA 95661
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Telemedicine Group PC
  • 205 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.

Areas of Expertise CMS Part B claims 3

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.

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.
89 services74 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
56 services49 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
15 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Prisma Health Baptist Easley Hospital

Acute Care Hospitals · Easley, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420015
Location200 Fleetwood DriveEasley, SC 29640 · Pickens County
Emergency services

Prisma Health Greer Memorial Hospital

Acute Care Hospitals · Spartanburg, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420033
Location1413 John B White Sr Blvd Suite DSpartanburg, SC 29306 · Spartanburg County
Emergency services Birthing friendly

Prisma Health Hillcrest Hospital

Acute Care Hospitals · Simpsonville, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420037
Location741 South East Main StreetSimpsonville, SC 29681 · Greenville County
Emergency services

Prisma Health Greenville Memorial Hospital

Acute Care Hospitals · Greenville, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420078
Location701 Grove RoadGreenville, SC 29605 · Greenville County
Birthing friendly

Prisma Health Patewood Hospital

Acute Care Hospitals · Greenville, SC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420102
Location175 Patewood DriveGreenville, SC 29615 · Greenville County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29303 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.

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.

92.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.89
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine (Hematology & Oncology)
101 E WOOD ST
SPARTANBURG, SC 29303
Nurse Anesthetist, Certified Registered
101 E WOOD ST
SPARTANBURG, SC 29303
Student in an Organized Health Care Education/Training Program
101 E WOOD ST
SPARTANBURG, SC 29303
Surgery
101 E WOOD ST
SPARTANBURG, SC 29303
Radiology (Radiation Oncology)
101 E WOOD ST
SPARTANBURG, SC 29303
Internal Medicine (Hematology & Oncology)
101 E WOOD ST
SPARTANBURG, SC 29303
Internal Medicine
101 E WOOD ST, SUITE 401
SPARTANBURG, SC 29303
Radiology (Diagnostic Radiology)
101 E WOOD ST
SPARTANBURG, SC 29303

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 Miesty Woodburn's NPI number?

The NPI number for Miesty Woodburn is 1295122000. It was assigned to this individual provider in the NPPES registry on April 20, 2015.

Where is Miesty Woodburn located?

Miesty Woodburn practices at 101 E Wood St, Spartanburg, SC 29303. The listed phone number is (864) 560-4500.

What is Miesty Woodburn's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Miesty Woodburn enrolled in Medicare?

Yes. Miesty Woodburn 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 Miesty Woodburn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Miesty Woodburn reassigns Medicare benefits to 2 organizations: Prisma Health University Medical Group (Greer, SC) and Telehealth Specialty Medical Group (Roseville, CA). 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 Miesty Woodburn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Miesty Woodburn accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina and AmeriHealth Caritas Next list Miesty Woodburn 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 Miesty Woodburn affiliated with any hospitals?

According to CMS data, Miesty Woodburn is affiliated with Prisma Health Baptist Easley Hospital, Prisma Health Greer Memorial Hospital, Prisma Health Hillcrest Hospital, Prisma Health Greenville Memorial Hospital and Prisma Health Patewood Hospital.

When was this NPI record last updated?

The NPPES record for Miesty Woodburn was last updated on October 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.