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RALPH BERNARD PIENING III MD
NPI 1306991666
Internal Medicine in Charleston, SC

Active since January 24, 2007PECOS EnrolledAccepts Medicare Assignment
92.85/100
CMS Quality Rating
27 GAMECOCK AVE, STE 201, CHARLESTON, SC 29407(843) 769-8215(843) 769-8216 Get Directions Write a Review

NPPES record last updated: March 13, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ralph Bernard Piening Iii Md NPPES

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

RALPH BERNARD PIENING III MD (NPI 1306991666) is an individual internal medicine provider in Charleston, South Carolina, licensed in South Carolina (12291) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Bon Secours-st Francis Xavier Hospital, and is a graduate of Saint Louis University School Of Medicine (1984).

NPPES Registry Identity

NPI1306991666
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRALPH BERNARD PIENING IIICredential: MD
Location Address27 GAMECOCK AVE, STE 201Charleston, SC 29407-3398
Mailing Address27 Gamecock Ave, Ste 201Charleston, SC 29407-3398 · (843) 769-8215 · Fax (843) 769-8216
Phone(843) 769-8215
Fax(843) 769-8216
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 1984
Enumeration DateJanuary 24, 2007
Last NPPES UpdateMarch 13, 2017
✔ NPI 1306991666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in SC · 12291
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
27 GAMECOCK AVE, Charleston, SC 29407
Open in Google Maps ↗

Other Identifiers 3

MedicaidGP2529SC
Medicare PIN1641SC
Medicare UPINAA02211641SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina.Insurance ›

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

Ralph Bernard Piening Iii 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 ID749174605
PECOS Enrollment IDI20040211000637
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 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.

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
550 services452 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
132 services67 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
29 services13 patients

Hospital Affiliations CMS Care Compare

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

Bon Secours-St Francis Xavier Hospital

Acute Care Hospitals · Charleston, SC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420065
Location2095 Henry Tecklenburg DriveCharleston, SC 29414 · Charleston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29407 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.

92.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality75.71
Improvement Activities40

Reported Quality Measures

Dementia: Cognitive Assessment
84%91 patients
Documentation of Current Medications in the Medical Record
99%1,590 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
25%903 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
33%299 patients3/55-star benchmark: 61%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 828 patients
Patients totalRate: 0% · 828 patients
0%828 patients5/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers11 claims11 services$24.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VERA BROWN LPC, MED
Counselor (Professional)
27 GAMECOCK AVE, SUITE #202
CHARLESTON, SC 29407
Charleston County (843) 270-9929
JOHN E. EMMEL, MD, PC
Family Medicine (Geriatric Medicine)
27 GAMECOCK AVE, STE 201
CHARLESTON, SC 29407
Charleston County (843) 769-8215
CORINNE MAULDIN L P C
Counselor (Professional)
27 GAMECOCK AVE
CHARLESTON, SC 29407
Charleston County (843) 324-5158
HELEN E WHEELER MED, LPC
Counselor
27 GAMECOCK AVE, SUITE 202
CHARLESTON, SC 29407
Charleston County (843) 224-1782
MR. ANTHONY HALE MSN, APRN, AGNP-C
Nurse Practitioner (Adult Health)
27 GAMECOCK AVE, SUITE 201
CHARLESTON, SC 29407
Charleston County (843) 769-8215
JOHN E EMMEL MD
Family Medicine (Geriatric Medicine)
27 GAMECOCK AVE, STE 201
CHARLESTON, SC 29407
Charleston County (843) 769-8215
THE CENTER FOR FAMILIES LLC
Counselor
27 GAMECOCK AVE, SUITE #202
CHARLESTON, SC 29407
Charleston County (843) 763-5837
MRS. SUSANNE SALVO JETER MED LPC
Counselor (Professional)
27 GAMECOCK AVE, SUITE 202
CHARLESTON, SC 29407
Charleston County (843) 852-5259

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 Ralph Piening's NPI number?

The NPI number for Ralph Piening is 1306991666. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Where is Ralph Piening located?

Ralph Piening practices at 27 Gamecock Ave Ste 201, Charleston, SC 29407. The listed phone number is (843) 769-8215.

What is Ralph Piening's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ralph Piening enrolled in Medicare?

Yes. Ralph Piening 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.

What insurance does Ralph Piening accept?

Health plans from BlueCross BlueShield of South Carolina list Ralph Piening 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 Ralph Piening affiliated with any hospitals?

According to CMS data, Ralph Piening is affiliated with Bon Secours-St Francis Xavier Hospital.

When was this NPI record last updated?

The NPPES record for Ralph Piening was last updated on March 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.