MICHAEL JOHN LANGLEY MD
NPI 1376570515
Urology in Bluffton, SC

Active since June 26, 2006PECOS EnrolledAccepts Medicare Assignment
30/100
CMS Quality Rating
29 PLANTATION PARK DRIVE, SUITE 202, BLUFFTON, SC 29910(843) 706-2255(843) 706-2257 Get Directions Write a Review

NPPES record last updated: December 19, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael John Langley Md NPPES

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

MICHAEL JOHN LANGLEY MD (NPI 1376570515) is an individual urology provider in Bluffton, South Carolina, licensed in Virginia (0101038939) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with St Joseph's Hospital - Savannah, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1376570515
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameMICHAEL JOHN LANGLEYCredential: MD
Location Address29 PLANTATION PARK DRIVE, SUITE 202Bluffton, SC 29910
Mailing AddressPo Box 2989Bluffton, SC 29910 · (843) 706-2255 · Fax (843) 706-2257
Fax(843) 706-2257
Sole ProprietorYes
Medical School CMSBaylor College Of MedicineGraduated 1984
Enumeration DateJune 26, 2006
Last NPPES UpdateDecember 19, 2019
NPI 1376570515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in VA · 0101038939
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
29 PLANTATION PARK DRIVE, Bluffton, SC 29910

Secondary Practice Locations 2

Location 12 Marshland RdHilton Head Island, SC 29926-2305 · Phone (843) 342-7607 · Fax (843) 342-7640
Location 240 Okatie Ctr Blvd Ste 350Okatie, SC 29909-7511 · Phone (843) 706-2255 · Fax (843) 706-2257

Other Identifiers 2

Medicaid7531699VA
OtherCF8401VA · Railroad Medicare

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

Michael John Langley 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 ID5395705040
PECOS Enrollment IDI20091110000186
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 30

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.

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.
873 services536 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
469 services318 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
390 services310 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
233 services204 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
189 services142 patients
Manual urinalysis test with examination using microscope, non-automated 81000
A manual urinalysis test involves studying a urine sample under a microscope. This non-automated method helps identify any abnormal substances present. It's a useful tool for detecting potential health concerns early. The process is simple and non-invasive.
171 services161 patients

Hospital Affiliations CMS Care Compare 4

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

St Joseph's Hospital - Savannah

Acute Care Hospitals · Savannah, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110043
Location11705 Mercy BoulevardSavannah, GA 31419 · Chatham County
Emergency services

Beaufort County Memorial Hospital

Acute Care Hospitals · Beaufort, SC
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number420067
Location955 Ribaut RdBeaufort, SC 29902 · Beaufort County
Emergency services Birthing friendly

Hilton Head Regional Medical Center

Acute Care Hospitals · Hilton Head Island, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number420080
Location25 Hospital Center BlvdHilton Head Island, SC 29925 · Beaufort County
Emergency services Birthing friendly

Coastal Carolina Hospital

Acute Care Hospitals · Hardeeville, SC
2/5 CMS rating
OwnershipProprietary
CMS Certification Number420101
Location1000 Medical Center DriveHardeeville, SC 29927 · Jasper County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29910 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.

30/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Promoting Interoperability0
Improvement Activities0
Cost100

Referred Medical Equipment & Supplies CMS DME claims 6

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

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
5 suppliers42 claims5,670 services$0.10 avg. paid by Medicare
Male external catheter, with or without adhesive, disposable, each A4349
DME-Medical/Surgical Supplies · category DA000N
1 supplier12 claims420 services$1.70 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
4 suppliers14 claims3,990 services$1.48 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
9 suppliers126 claims17,960 services$5.91 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
9 suppliers40 claims91 services$8.95 avg. paid by Medicare
Lubricant, per ounce A4402
DME-Orthotic Devices · category DF010N
6 suppliers26 claims160 services$1.46 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

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

Obstetrics & Gynecology
29 PLANTATION PARK DRIVE, SUITE 204
BLUFFTON, SC 29910

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 Michael Langley's NPI number?

The NPI number for Michael Langley is 1376570515. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Where is Michael Langley located?

Michael Langley practices at 29 Plantation Park Drive Suite 202, Bluffton, SC 29910. The listed phone number is (843) 706-2255.

What is Michael Langley's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Michael Langley enrolled in Medicare?

Yes. Michael Langley 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 Michael Langley accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare and 1 other insurer list Michael Langley 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 Michael Langley affiliated with any hospitals?

According to CMS data, Michael Langley is affiliated with St Joseph's Hospital - Savannah, Beaufort County Memorial Hospital, Hilton Head Regional Medical Center and Coastal Carolina Hospital.

When was this NPI record last updated?

The NPPES record for Michael Langley was last updated on December 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.