THOMAS L STOUGHTON M.D.
NPI 1316905144
Internal Medicine - Cardiovascular Disease in Florence, SC

Active since May 02, 2006PECOS EnrolledAccepts Medicare Assignment
101 WILLIAM H. JOHNSON STREET, SUITE 600, FLORENCE, SC 29506(843) 667-1891(843) 665-2516 Get Directions Write a Review

NPPES record last updated: January 4, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Thomas L Stoughton M.d. NPPES

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

THOMAS L STOUGHTON M.D. (NPI 1316905144) is an individual cardiovascular disease provider in Florence, South Carolina, licensed in South Carolina (15851) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Mcleod Medical Center - Dillon, and is a graduate of Temple University School Of Medicine (1983).

NPPES Registry Identity

NPI1316905144
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameTHOMAS L STOUGHTONCredential: M.D.
Location Address101 WILLIAM H. JOHNSON STREET, SUITE 600Florence, SC 29506-2716
Mailing AddressPo Box 3239Florence, SC 29502-3239 · (843) 667-1891 · Fax (843) 665-2516
Fax(843) 665-2516
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 1983
Enumeration DateMay 2, 2006
Last NPPES UpdateJanuary 4, 2019
NPI 1316905144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in SC · 15851
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

101 WILLIAM H. JOHNSON STREET, Florence, SC 29506

Other Identifiers 2

Medicaid890697KNC
MedicaidTL8514SC

Accepted 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

Thomas L Stoughton M.d. 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 ID5496889164
PECOS Enrollment IDI20100817000628
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 27

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
2,825 services2,270 patients
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.
838 services250 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
402 services352 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
187 services171 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
185 services183 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
177 services173 patients

Hospital Affiliations CMS Care Compare 4

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

Mcleod Medical Center - Dillon

Acute Care Hospitals · Dillon, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420005
Location301 E Jackson Street PO Box 1327Dillon, SC 29536 · Dillon County
Emergency services Birthing friendly

Mcleod Regional Medical Center-Pee Dee

Acute Care Hospitals · Florence, SC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420051
Location555 E Cheves St Box 8700Florence, SC 29506 · Florence County
Emergency services Birthing friendly

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

Mcleod Health Cheraw

Acute Care Hospitals · Cheraw, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420107
Location711 Chesterfield HighwayCheraw, SC 29520 · Chesterfield County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29506 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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
3 suppliers11 claims11 services$16.96 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers26 claims26 services$19.09 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers26 claims26 services$104.21 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 20

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

Internal Medicine (Clinical Cardiac Electrophysiology)
101 WILLIAM H. JOHNSON STREET, SUITE 600
FLORENCE, SC 29506
Obstetrics & Gynecology
101 WILLIAM H. JOHNSON STREET, SUITE 500
FLORENCE, SC 29506
Internal Medicine (Cardiovascular Disease)
101 WILLIAM H. JOHNSON STREET, SUITE 600
FLORENCE, SC 29506
Obstetrics & Gynecology (Gynecology)
101 WILLIAM H. JOHNSON STREET, SUITE 200
FLORENCE, SC 29506
Obstetrics & Gynecology
101 WILLIAM H. JOHNSON STREET, SUITE 200
FLORENCE, SC 29506
Internal Medicine (Interventional Cardiology)
101 WILLIAM H. JOHNSON STREET, SUITE 600
FLORENCE, SC 29506
Obstetrics & Gynecology
101 WILLIAM H. JOHNSON STREET, SUITE 500
FLORENCE, SC 29506
Family Medicine
101 WILLIAM H. JOHNSON STREET, STE 350
FLORENCE, SC 29506

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 Thomas Stoughton's NPI number?

The NPI number for Thomas Stoughton is 1316905144. It was assigned to this individual provider in the NPPES registry on May 2, 2006.

Where is Thomas Stoughton located?

Thomas Stoughton practices at 101 William H. Johnson Street Suite 600, Florence, SC 29506. The listed phone number is (843) 667-1891.

What is Thomas Stoughton's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Thomas Stoughton enrolled in Medicare?

Yes. Thomas Stoughton 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 Thomas Stoughton accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and Molina Healthcare list Thomas Stoughton 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 Thomas Stoughton affiliated with any hospitals?

According to CMS data, Thomas Stoughton is affiliated with Mcleod Medical Center - Dillon, Mcleod Regional Medical Center-Pee Dee, Musc Health Florence Medical Center and Mcleod Health Cheraw.

When was this NPI record last updated?

The NPPES record for Thomas Stoughton was last updated on January 4, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.