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JOHN E EMMEL MD
NPI 1326048828
Family Medicine - Geriatric Medicine in Charleston, SC

Active since July 26, 2005PECOS EnrolledAccepts Medicare Assignment
27 GAMECOCK AVE, STE 201, CHARLESTON, SC 29407(843) 769-8215(843) 769-8216 Get Directions Write a Review

NPPES record last updated: November 6, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John E Emmel Md NPPES

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

JOHN E EMMEL MD (NPI 1326048828) is an individual geriatric medicine provider in Charleston, South Carolina, licensed in South Carolina (8833) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Bon Secours-st Francis Xavier Hospital, and is a graduate of Warren Alpert Medical School Of Brown University (1977).

NPPES Registry Identity

NPI1326048828
Entity TypeIndividualMale
Primary Taxonomy207QG0300X
Provider Legal NameJOHN E EMMELCredential: 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 CMSWarren Alpert Medical School Of Brown UniversityGraduated 1977
Enumeration DateJuly 26, 2005
Last NPPES UpdateNovember 6, 2014
✔ NPI 1326048828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License✔ Licensed in SC · 8833
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
27 GAMECOCK AVE, Charleston, SC 29407
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Other Identifiers 3

Medicaid8833SC
Medicare UPIND17603SC
Medicare PIND176037041SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, First Choice Next, InStil Health and more.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

John E Emmel 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 ID4587611132
PECOS Enrollment IDI20100706000209
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.

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
267 services214 patients
Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304
An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.
108 services108 patients
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.
73 services72 patients

Hospital Affiliations CMS Care Compare 2

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

Mount Pleasant Hospital

Acute Care Hospitals · Mount Pleasant, SC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420104
Location3510 Highway 17 North Suite 140Mount Pleasant, SC 29466 · Charleston County
Emergency services

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
$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
$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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
100%267 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
35%234 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
31%59 patients3/55-star benchmark: 61%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 260 patients
Patients totalRate: 1% · 260 patients
0%260 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 9

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

Insertion tray without drainage bag and without catheter (accessories only) A4310
DME-Medical/Surgical Supplies · category DA000N
1 supplier15 claims15 services$6.33 avg. paid by Medicare
Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4338
DME-Orthotic Devices · category DF000N
1 supplier16 claims16 services$11.84 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier13 claims26 services$9.36 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers18 claims18 services$36.00 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
3 suppliers31 claims31 services$13.38 avg. paid by Medicare
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each E0955
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$14.63 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
RALPH BERNARD PIENING III MD
Internal 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 John Emmel's NPI number?

The NPI number for John Emmel is 1326048828. It was assigned to this individual provider in the NPPES registry on July 26, 2005.

Where is John Emmel located?

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

What is John Emmel's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is John Emmel enrolled in Medicare?

Yes. John Emmel 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 John Emmel accept?

Health plans from BlueCross BlueShield of South Carolina, First Choice Next, InStil Health and UnitedHealthcare list John Emmel 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 John Emmel affiliated with any hospitals?

According to CMS data, John Emmel is affiliated with Bon Secours-St Francis Xavier Hospital and Mount Pleasant Hospital.

When was this NPI record last updated?

The NPPES record for John Emmel was last updated on November 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.