JOHN VINCENT PASTORE MD
NPI 1295786978
Pediatrics in Charleston, SC

Active since May 15, 2006PECOS EnrolledAccepts Medicare Assignment
171 ASHLEY AVE, CHARLESTON, SC 29425(843) 792-1414 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 3, 2025, Jul 8, 2025, Jan 18, 2021 (3 updates tracked since 2021).

About John Vincent Pastore Md NPPES

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

JOHN VINCENT PASTORE MD (NPI 1295786978) is an individual pediatrics provider in Charleston, South Carolina, licensed in South Carolina (87253) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Charleston, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1295786978
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJOHN VINCENT PASTORECredential: MD
Location Address171 ASHLEY AVECharleston, SC 29425-1009
Mailing AddressPo Box 751461Charlotte, NC 28275-1461 · (843) 792-6200
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateMay 15, 2006
Last NPPES UpdateNovember 3, 20253 updates tracked since enumeration
NPPES CertifiedNovember 3, 2025
✔ NPI 1295786978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in SC · 87253✔ Licensed in NY · 223318
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedHospitalistTaxonomy 208M00000X · License 87253 (SC)
171 ASHLEY AVE, Charleston, SC 29425

Secondary Practice Location 1

Location 12095 Henry Tecklenburg DrCharleston, SC 29414-5733 · Phone (843) 402-1634 · Fax (843) 402-1550

Other Identifiers 7

Other051021000000Fidelis
Other1212816Iha
Other00026960701Univera
Other000528058003Bc/bs
Medicaid02414482NY
Other000528058001Bc/bs
Other050301000096Fidelis

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

John Vincent Pastore 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 ID4284689548
PECOS Enrollment IDI20220428002805
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

3

Medicare enrollment records show John Pastore reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obstetrics & Gynecology
171 ASHLEY AVE
Charleston, SC 29425
  • Reassigned Medicare billing, South Carolina enrollment
  • 2,594 clinicians in this Medicare group
Neurology
2095 HENRY TECKLENBURG DR
Charleston, SC 29414
  • Reassigned Medicare billing, South Carolina enrollment
  • Medicare enrollment name: Bon Secours St Francis Xavier Hospital Inc
  • 375 clinicians in this Medicare group
Pediatrics
1001 MAIN ST FL 4
Buffalo, NY 14203
  • Reassigned Medicare billing, New York enrollment
  • 217 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 29425 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.

Allergy & Immunology
171 ASHLEY AVE
CHARLESTON, SC 29425
Nurse Anesthetist, Certified Registered
171 ASHLEY AVE
CHARLESTON, SC 29425
Pathology (Anatomic Pathology)
171 ASHLEY AVE
CHARLESTON, SC 29425
Ophthalmology
171 ASHLEY AVE
CHARLESTON, SC 29425
Social Worker
171 ASHLEY AVE
CHARLESTON, SC 29425
Radiology (Pediatric Radiology)
171 ASHLEY AVE
CHARLESTON, SC 29425
Nurse Practitioner
171 ASHLEY AVE
CHARLESTON, SC 29425
Ophthalmology
171 ASHLEY AVE
CHARLESTON, SC 29425

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 John Pastore's NPI number?

The NPI number for John Pastore is 1295786978. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Where is John Pastore located?

John Pastore practices at 171 Ashley Ave, Charleston, SC 29425. The listed phone number is (843) 792-1414.

What is John Pastore's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is John Pastore enrolled in Medicare?

Yes. John Pastore 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 John Pastore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Pastore reassigns Medicare benefits to 3 organizations: University Medical Associates Of The Medical University Of South Carol (Charleston, SC), Bon Secours St. Francis Xavier Hosptial, Inc. (Charleston, SC) and University At Buffalo Pediatric Associates Inc (Buffalo, NY). 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 John Pastore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Pastore accept?

Health plans from BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare list John Pastore 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.

When was this NPI record last updated?

The NPPES record for John Pastore was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.