SUSHMA PAVULURI DO
NPI 1306401211
Internal Medicine - Hematology & Oncology in Florence, SC

Active since May 06, 2019PECOS EnrolledAccepts Medicare Assignment
73.24/100
CMS Quality Rating
805 PAMPLICO HWY, MEDICAL PAVILLION A, SUITE 315, FLORENCE, SC 29505(843) 674-6460 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 8, 2025, Jun 3, 2025, Sep 5, 2023 and 1 more (4 updates tracked since 2019).

About Sushma Pavuluri Do NPPES

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

SUSHMA PAVULURI DO (NPI 1306401211) is an individual hematology & oncology provider in Florence, South Carolina, licensed in South Carolina (90561) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, is affiliated with Musc Medical Center, and is a graduate of Lincoln Mem Univ, Debusk Col Of Osteopathic Med (2019).

NPPES Registry Identity

NPI1306401211
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameSUSHMA PAVULURICredential: DO
Location Address805 PAMPLICO HWY, MEDICAL PAVILLION A, SUITE 315Florence, SC 29505
Mailing Address805 Pamplico Hwy, Medical Pavillion A, Suite 315Florence, SC 29505 · (843) 674-6460
Sole ProprietorNo
Medical School CMSLincoln Mem Univ, Debusk Col Of Osteopathic MedGraduated 2019
Enumeration DateMay 6, 2019
Last NPPES UpdateSeptember 8, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2025
NPI 1306401211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in SC · 90561
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
805 PAMPLICO HWY, MEDICAL PAVILLION A, SUITE 315, Florence, SC 29505

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

Sushma Pavuluri Do 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 ID3577890953
PECOS Enrollment IDI20231208001128
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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
48 services41 patients

Hospital Affiliations CMS Care Compare 3

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

Musc Medical Center

Acute Care Hospitals · Charleston, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420004
Location169 Ashley AveCharleston, SC 29425 · Charleston County
Emergency services Birthing friendly

Musc Health Marion Medical Center

Acute Care Hospitals · Mullins, SC
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number420055
Location2829 E Hwy 76Mullins, SC 29574 · Marion County
Emergency services

Musc Health Florence Medical Center

Acute Care Hospitals · Florence, SC
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number420091
Location805 Pamplico Hwy Box 100550Florence, SC 29505 · Florence County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29505 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
$163.84 typical visit price
range $53.57 – $163.84
Typical copayment $40.96 (range $13.39 – $40.96)
Most-billed visit code 99205
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.

73.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.04
Cost59.51

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 Sushma Pavuluri's NPI number?

The NPI number for Sushma Pavuluri is 1306401211. It was assigned to this individual provider in the NPPES registry on May 6, 2019.

Where is Sushma Pavuluri located?

Sushma Pavuluri practices at 805 Pamplico Hwy, Medical Pavillion A, Suite 315, Florence, SC 29505. The listed phone number is (843) 674-6460.

What is Sushma Pavuluri's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Sushma Pavuluri enrolled in Medicare?

Yes. Sushma Pavuluri 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.

Is Sushma Pavuluri affiliated with any hospitals?

According to CMS data, Sushma Pavuluri is affiliated with Musc Medical Center, Musc Health Marion Medical Center and Musc Health Florence Medical Center.

When was this NPI record last updated?

The NPPES record for Sushma Pavuluri was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.