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PAUL D KOUNTZ JR. MD
NPI 1295792489
Radiology - Diagnostic Radiology in Spartanburg, SC

Active since May 01, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
101 E WOOD ST, SPARTANBURG, SC 29303(864) 560-6522(888) 972-8644 Get Directions Write a Review

NPPES record last updated: March 27, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Paul D Kountz Jr. Md NPPES

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

PAUL D KOUNTZ JR. MD (NPI 1295792489) is an individual diagnostic radiology provider in Spartanburg, South Carolina, licensed in South Carolina (15788) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with St Francis-downtown, and is a graduate of Vanderbilt University School Of Medicine (1986).

NPPES Registry Identity

NPI1295792489
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NamePAUL D KOUNTZ JR.Credential: MD
Location Address101 E WOOD STSpartanburg, SC 29303-3040
Mailing AddressPo Box 678207Dallas, TX 75267-8207 · (800) 841-4236 · Fax (706) 653-1162
Phone(864) 560-6522
Fax(888) 972-8644
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 1986
Enumeration DateMay 1, 2006
Last NPPES UpdateMarch 27, 2019
✔ NPI 1295792489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in SC · 15788
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
101 E WOOD ST, Spartanburg, SC 29303
Open in Google Maps ↗

Other Identifiers 2

Medicaid157886SC
Medicaid5903029NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Paul D Kountz Jr. 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 ID5193765121
PECOS Enrollment IDI20050509000821, I20050620000302
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

15

Medicare enrollment records show Paul Kountz reassigns Medicare billing to 15 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bon Secours Diagnostic Imaging
23 mi
Radiology
2 INNOVATION DR STE 110
Greenville, SC 29607
  • Reassigned Medicare billing, South Carolina enrollment
  • Also billed through NPI 1417423088 (South Carolina), NPI 1942776521 (South Carolina)
  • 2 clinicians in this Medicare group
NPI 1700352374 (864) 400-3601
Radiology Associates Of South Carolina LLC
29 mi
Diagnostic Radiology
1 SAINT FRANCIS DR
Greenville, SC 29601
  • Reassigned Medicare billing, South Carolina enrollment
  • 80 clinicians in this Medicare group
NPI 1083491906 (877) 224-8003
M & B Imaging, PC
116 mi
Radiology
1640 JESSE JEWELL PKWY SE STE 2
Gainesville, GA 30501
  • Reassigned Medicare billing, Georgia and South Carolina enrollments
  • 191 clinicians in this Medicare group
NPI 1932624723 (404) 296-5887
Pro Radiology, LLC
141 mi
Radiology
3921 JOHNS CREEK CT, SUITE B
Johns Creek, GA 30024
  • Reassigned Medicare billing, Georgia and South Carolina enrollments
  • 202 clinicians in this Medicare group
NPI 1942733308 (770) 217-7414
Synergy Radiology, LLC
148 mi
Radiology
1501 MILSTEAD RD NE STE 140
Conyers, GA 30012
  • Reassigned Medicare billing, Georgia and South Carolina enrollments
  • 207 clinicians in this Medicare group
NPI 1558886341 (678) 374-7322
South Jersey Radiology Associates P A
511 mi
Diagnostic Radiology
100 CARNIE BLVD STE B5
Voorhees, NJ 08043
  • Reassigned Medicare billing, South Carolina enrollment
  • 7 clinicians in this Medicare group
NPI 1477551653 (888) 909-7572
North Star Mri LP
855 mi
Radiology
997 RAINTREE CIRCLE, SUITE 110
Allen, TX 75013
  • Reassigned Medicare billing, South Carolina enrollment
  • 8 clinicians in this Medicare group
NPI 1033174701 (972) 954-8001
North Star Diagnostic Imaging, LLC
861 mi
Radiology
3700 W 15TH ST, BUILDING D, SUITE 200
Plano, TX 75075
  • Reassigned Medicare billing, South Carolina enrollment
  • 9 clinicians in this Medicare group
NPI 1467787739 (972) 758-9000
North Star Mri Of Frisco LP
862 mi
Radiology
8501 WADE BLVD., SUITE 220
Frisco, TX 75034
  • Reassigned Medicare billing, South Carolina enrollment
  • 9 clinicians in this Medicare group
NPI 1649356759 (214) 618-3420
North Star Fp, LP
863 mi
Radiology
11970 N CENTRAL EXPY STE 100
Dallas, TX 75243
  • Reassigned Medicare billing, South Carolina enrollment
  • 9 clinicians in this Medicare group
NPI 1033630835 (972) 649-6460

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 10

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.

Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
89 services89 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
71 services69 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
63 services63 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
51 services51 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
27 services27 patients
Nuclear medicine study from skull base to mid-thigh with ct scan 78815
A nuclear medicine study from skull base to mid-thigh with a CT scan involves using a small amount of radioactive material and CT imaging to examine body tissues and organs. This helps detect any abnormalities by providing detailed images of the body's internal structure.
25 services25 patients

Hospital Affiliations CMS Care Compare

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

St Francis-Downtown

Acute Care Hospitals · Greenville, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420023
LocationOne St Francis DrGreenville, SC 29601 · Greenville County
Emergency services 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
$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
$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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

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.

DR. TONDRE BUCK M.D.
Internal Medicine (Hematology & Oncology)
101 E WOOD ST
SPARTANBURG, SC 29303
Spartanburg County (864) 560-7050
ADAM KEITH RAYNES
Nurse Anesthetist, Certified Registered
101 E WOOD ST
SPARTANBURG, SC 29303
Spartanburg County (864) 560-6000
RAJAN BHATT
Student in an Organized Health Care Education/Training Program
101 E WOOD ST
SPARTANBURG, SC 29303
Spartanburg County (864) 560-6285
NICHOLE TACKETT DO
Surgery
101 E WOOD ST
SPARTANBURG, SC 29303
Spartanburg County (864) 560-6285
PATRICIA C. GRIFFIN MD
Radiology (Radiation Oncology)
101 E WOOD ST
SPARTANBURG, SC 29303
Spartanburg County (864) 560-6917
DR. VIKAS DEMBLA M.D.
Internal Medicine (Hematology & Oncology)
101 E WOOD ST
SPARTANBURG, SC 29303
Spartanburg County (864) 560-7050
DR. ANDREW OMOIT EKATAN M.D.
Internal Medicine
101 E WOOD ST, SUITE 401
SPARTANBURG, SC 29303
Spartanburg County (864) 560-6654
STETSON REED BICKLEY M.D.
Radiology (Diagnostic Radiology)
101 E WOOD ST
SPARTANBURG, SC 29303
Spartanburg County (864) 560-6522

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 Paul Kountz's NPI number?

The NPI number for Paul Kountz is 1295792489. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Where is Paul Kountz located?

Paul Kountz practices at 101 E Wood St, Spartanburg, SC 29303. The listed phone number is (864) 560-6522.

What is Paul Kountz's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Paul Kountz enrolled in Medicare?

Yes. Paul Kountz 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 Paul Kountz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Kountz reassigns Medicare benefits to 15 organizations: Bon Secours Diagnostic Imaging (Greenville, SC), Radiology Associates Of South Carolina LLC (Greenville, SC), M & B Imaging, PC (Gainesville, GA), Pro Radiology, LLC (Johns Creek, GA), Synergy Radiology, LLC (Conyers, GA) and 10 more organizations, listed in the Medicare section above. 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 Paul Kountz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Kountz accept?

Health plans from Blue Cross and Blue Shield of Texas list Paul Kountz 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 Paul Kountz affiliated with any hospitals?

According to CMS data, Paul Kountz is affiliated with St Francis-Downtown.

When was this NPI record last updated?

The NPPES record for Paul Kountz was last updated on March 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.