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DR. DUC TRAN OD
NPI 1356622013
Optometrist in Columbia, SC

Active since September 07, 2011PECOS Enrolled
99.32/100
CMS Quality Rating
100 PALMETTO HEALTH PKWY STE 350, COLUMBIA, SC 29212(803) 907-2020(803) 907-7720 Get Directions Write a Review

NPPES record last updated: July 22, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Duc Tran Od NPPES

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

DR. DUC TRAN OD (NPI 1356622013) is an individual optometrist in Columbia, South Carolina, licensed in South Carolina (2272) and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356622013
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. DUC TRANCredential: OD
Location Address100 PALMETTO HEALTH PKWY STE 350Columbia, SC 29212-1756
Mailing AddressPo Box 743904Atlanta, GA 30374-3904 · (803) 296-7320 · Fax (803) 296-7330
Phone(803) 907-2020
Fax(803) 907-7720
Sole ProprietorNo
Enumeration DateSeptember 7, 2011
Last NPPES UpdateJuly 22, 2021
NPPES CertifiedJuly 22, 2021
✔ NPI 1356622013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in SC · 2272✔ Licensed in OR · AT-4430✔ Licensed in TX · 8684TG
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
100 PALMETTO HEALTH PKWY STE 350, Columbia, SC 29212
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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. Duc Tran Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Duc Tran reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Prisma Health Medical Group-Midlands
2.3 mi
Interventional Cardiology
300 PALMETTO HEALTH PKWY STE 400
Columbia, SC 29212
  • Reassigned Medicare billing, South Carolina enrollment
  • 1,466 clinicians in this Medicare group
NPI 1003307166 (803) 765-0871

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29212 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.

99.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality90.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

DR. SHAWN MICHAEL IVERSON D.O.
Ophthalmology (Cornea and External Diseases Specialist)
100 PALMETTO HEALTH PKWY STE 350
COLUMBIA, SC 29212
Lexington County (803) 434-2020
DR. RAKESH MANEKLAL PATEL M.D.
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
100 PALMETTO HEALTH PKWY STE 350
COLUMBIA, SC 29212
Lexington County (803) 907-2020
PRISMA HEALTH MEDICAL GROUP-MIDLANDS
Durable Medical Equipment & Medical Supplies
100 PALMETTO HEALTH PKWY STE 350
COLUMBIA, SC 29212
Lexington County (803) 907-2020
ALEJANDRO ESPAILLAT MD
Ophthalmology
100 PALMETTO HEALTH PKWY STE 350
COLUMBIA, SC 29212
Lexington County (803) 907-2020
DR. KATHLEEN GODBEY ALBRECHT M.D.
Ophthalmology
100 PALMETTO HEALTH PKWY STE 350
COLUMBIA, SC 29212
Lexington County (803) 907-2020

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 Duc Tran's NPI number?

The NPI number for Duc Tran is 1356622013. It was assigned to this individual provider in the NPPES registry on September 7, 2011.

Where is Duc Tran located?

Duc Tran practices at 100 Palmetto Health Pkwy Ste 350, Columbia, SC 29212. The listed phone number is (803) 907-2020.

What is Duc Tran's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Duc Tran enrolled in Medicare?

Yes. Duc Tran is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Duc Tran's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Duc Tran reassigns Medicare benefits to Prisma Health Medical Group-Midlands (Columbia, SC). The 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 Duc Tran's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Duc Tran accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 9 other insurers list Duc Tran 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.

When was this NPI record last updated?

The NPPES record for Duc Tran was last updated on July 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.