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MONICA S SIRES NP-C
NPI 1386298024
Nurse Practitioner - Family in Swansea, SC

Active since July 31, 2019PECOS EnrolledAccepts Medicare Assignment
83.03/100
CMS Quality Rating
935 W 2ND ST, SWANSEA, SC 29160(803) 568-2000(803) 568-4190 Get Directions Write a Review

NPPES record last updated: November 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 11, 2020, Oct 1, 2020, Aug 29, 2019 and 1 more (4 updates tracked since 2019).

About Monica S Sires Np-c NPPES

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

MONICA S SIRES NP-C (NPI 1386298024) is an individual family provider in Swansea, South Carolina, licensed in South Carolina (22984) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with Lexington Medical Center, and is a graduate of University Of South Carolina School Of Medicine (2019).

NPPES Registry Identity

NPI1386298024
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMONICA S SIRESCredential: NP-C
Location Address935 W 2ND STSwansea, SC 29160-8665
Mailing AddressPo Box 6069West Columbia, SC 29171-6069
Phone(803) 568-2000
Fax(803) 568-4190
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2019
Enumeration DateJuly 31, 2019
Last NPPES UpdateNovember 11, 20204 updates tracked since enumeration
NPPES CertifiedNovember 11, 2020
✔ NPI 1386298024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in SC · 22984
935 W 2ND ST, Swansea, SC 29160
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina 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

Monica S Sires Np-c 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 ID3678803970
PECOS Enrollment IDI20190930002938
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 4

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.

Complete blood cell count (red cells, white blood cell, platelets), automated test 85027
A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.
56 services46 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
53 services42 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
45 services34 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.
20 services16 patients

Hospital Affiliations CMS Care Compare

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

Lexington Medical Center

Acute Care Hospitals · West Columbia, SC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420073
Location2720 Sunset BlvdWest Columbia, SC 29169 · Lexington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29160 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.

83.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.45
Promoting Interoperability89
Improvement Activities40
Cost72.17

Other Providers at the Same Location NPPES 13

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

DAVID M. JENKINSON DO
Family Medicine (Sports Medicine)
935 W 2ND ST
SWANSEA, SC 29160
Lexington County (803) 568-2000
LEXINGTON HEALTH INC
Family Medicine
935 W 2ND ST
SWANSEA, SC 29160
Lexington County (803) 568-2000
LEXINGTON HEALTH INC
Clinic/Center (Rural Health)
935 W 2ND ST
SWANSEA, SC 29160
Lexington County (803) 568-2000
PAMELA DEMITRA LEVI FNP
Nurse Practitioner (Family)
935 W 2ND ST
SWANSEA, SC 29160
Lexington County (803) 568-2000
CAROL A UPTON NP
Nurse Practitioner
935 W 2ND ST
SWANSEA, SC 29160
Lexington County (803) 568-2000
SYDNEY JAYNE DANTZLER NP-C
Nurse Practitioner (Family)
935 W 2ND ST
SWANSEA, SC 29160
Lexington County (803) 568-2000
DR. SARAH C. PHILLIPS M.D.
Family Medicine
935 W 2ND ST
SWANSEA, SC 29160
Lexington County (803) 939-4577
DR. HENRY J MARION MD
Family Medicine
935 W 2ND ST
SWANSEA, SC 29160
Lexington County (803) 568-2000

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 Monica Sires's NPI number?

The NPI number for Monica Sires is 1386298024. It was assigned to this individual provider in the NPPES registry on July 31, 2019.

Where is Monica Sires located?

Monica Sires practices at 935 W 2nd St, Swansea, SC 29160. The listed phone number is (803) 568-2000.

What is Monica Sires's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Monica Sires enrolled in Medicare?

Yes. Monica Sires 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 Monica Sires accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, Molina Healthcare and UnitedHealthcare list Monica Sires 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 Monica Sires affiliated with any hospitals?

According to CMS data, Monica Sires is affiliated with Lexington Medical Center.

When was this NPI record last updated?

The NPPES record for Monica Sires was last updated on November 11, 2020. 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.