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DR. ERIKA LUBSEY MD
NPI 1306174255
Obstetrics & Gynecology in Orangeburg, SC

Active since December 03, 2009PECOS Enrolled
3310 MAGNOLIA ST, ORANGEBURG, SC 29115(803) 531-6900(803) 531-6907 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Erika Lubsey Md NPPES

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

DR. ERIKA LUBSEY MD (NPI 1306174255) is an individual obstetrics & gynecology provider in Orangeburg, South Carolina, licensed in Wisconsin (61393) and active in the NPI registry since December 2009. She is enrolled in Medicare PECOS, is affiliated with Aiken Regional Medical Center, and is a graduate of East Tennessee State University Quillen College Of Medicine (2009).

NPPES Registry Identity

NPI1306174255
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. ERIKA LUBSEYCredential: MD
Location Address3310 MAGNOLIA STOrangeburg, SC 29115-1466
Mailing Address3310 Magnolia StOrangeburg, SC 29115-1466 · (803) 531-6900 · Fax (803) 531-6907
Phone(803) 531-6900
Fax(803) 531-6907
Sole ProprietorYes
Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 2009
Enumeration DateDecember 3, 2009
Last NPPES UpdateSeptember 4, 2024
NPPES CertifiedSeptember 4, 2024
✔ NPI 1306174255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in WI · 61393
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
3310 MAGNOLIA ST, Orangeburg, SC 29115
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Erika Lubsey Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1153556600
PECOS Enrollment IDI20240919001565
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 Erika Lubsey reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rural Health Services, Inc.
49 mi
Federally Qualified Health Center (FQHC)
120 DARLINGTON DRIVE
Aiken, SC 29803
NPI 1053362111 (803) 380-7000
The Woman's Care Center
143 mi
Obstetrics & Gynecology
1001 FERNWOOD DR
Milledgeville, GA 31061
  • Reassigned Medicare billing, Georgia enrollment
  • 4 clinicians in this Medicare group
NPI 1669572541 (478) 453-8100
Aspirus Stevens Point Hospital & Clinics, Inc.
888 mi
General Practice
3500 HOOVER RD
Stevens Point, WI 54481
  • Reassigned Medicare billing, Wisconsin enrollment
  • 619 clinicians in this Medicare group
NPI 1184082745 (715) 342-7900

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

Hospital Affiliations CMS Care Compare

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

Aiken Regional Medical Center

Acute Care Hospitals · Aiken, SC
2/5 CMS rating
OwnershipProprietary
CMS Certification Number420082
Location302 University ParkwayAiken, SC 29801 · Aiken County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29115 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.

Reported Quality Measures

Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
89%44 patients4/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
63%43 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
33%43 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
33%43 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

JAVERY BRIAN SANTWIRE PHARMD
Pharmacist
3310 MAGNOLIA ST
ORANGEBURG, SC 29115
Orangeburg County (803) 531-6900
FAMILY HEALTH CENTER PHARMACY
Pharmacy (Clinic Pharmacy)
3310 MAGNOLIA ST
ORANGEBURG, SC 29115
Orangeburg County (803) 531-6900
FAMILY HEALTH CENTERS, INC.
Dentist (General Practice)
3310 MAGNOLIA ST
ORANGEBURG, SC 29115
Orangeburg County (803) 531-6900
MR. YAW BOATENG R.D., C.D.E.
Dietitian, Registered
3310 MAGNOLIA ST
ORANGEBURG, SC 29115
Orangeburg County (803) 531-6900
JESSICA HENRIETTA MILLS FNP-BC
Nurse Practitioner
3310 MAGNOLIA ST
ORANGEBURG, SC 29115
Orangeburg County (803) 531-6900
DR. SANDRA STEPHENS MD
Pediatrics
3310 MAGNOLIA ST
ORANGEBURG, SC 29115
Orangeburg County (803) 531-6900
MELANIE KITTRELL CNM
Midwife
3310 MAGNOLIA ST
ORANGEBURG, SC 29115
Orangeburg County (803) 531-6908
DR. LAMAR CATO DPM
Podiatrist
3310 MAGNOLIA ST
ORANGEBURG, SC 29115
Orangeburg County (803) 531-6900

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 Erika Lubsey's NPI number?

The NPI number for Erika Lubsey is 1306174255. It was assigned to this individual provider in the NPPES registry on December 3, 2009.

Where is Erika Lubsey located?

Erika Lubsey practices at 3310 Magnolia St, Orangeburg, SC 29115. The listed phone number is (803) 531-6900.

What is Erika Lubsey's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Erika Lubsey enrolled in Medicare?

Yes. Erika Lubsey is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Erika Lubsey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erika Lubsey reassigns Medicare benefits to 3 organizations: Rural Health Services, Inc. (Aiken, SC), The Woman's Care Center (Milledgeville, GA) and Aspirus Stevens Point Hospital & Clinics, Inc. (Stevens Point, WI). 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 Erika Lubsey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Erika Lubsey accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina and BlueCross BlueShield of South Carolina list Erika Lubsey 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 Erika Lubsey affiliated with any hospitals?

According to CMS data, Erika Lubsey is affiliated with Aiken Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Erika Lubsey was last updated on September 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.