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DR. EMILY GRACE CART M.D.
NPI 1386902435
Plastic Surgery in Sumter, SC

Active since April 26, 2012PECOS EnrolledAccepts Medicare Assignment
99.32/100
CMS Quality Rating
115 N SUMTER ST STE 115, SUMTER, SC 29150(803) 774-7546(803) 774-9455 Get Directions Write a Review

NPPES record last updated: November 29, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 29, 2022, Jul 2, 2021, Nov 14, 2018 and 1 more (4 updates tracked since 2018).

About Dr. Emily Grace Cart M.d. NPPES

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

DR. EMILY GRACE CART M.D. (NPI 1386902435) is an individual plastic surgery provider in Sumter, South Carolina, licensed in South Carolina (61282) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, is affiliated with Prisma Health Tuomey Hospital, and is a graduate of Tulane University School Of Medicine (2012).

NPPES Registry Identity

NPI1386902435
Entity TypeIndividualFemale
Primary Taxonomy208200000X
Provider Legal NameDR. EMILY GRACE CARTCredential: M.D.
Location Address115 N SUMTER ST STE 115Sumter, SC 29150-4968
Mailing AddressPo Box 743904Atlanta, GA 30374-3904 · (803) 296-7320 · Fax (803) 296-7330
Phone(803) 774-7546
Fax(803) 774-9455
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 2012
Enumeration DateApril 26, 2012
Last NPPES UpdateNovember 29, 20224 updates tracked since enumeration
NPPES CertifiedNovember 29, 2022
✔ NPI 1386902435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in SC · 61282
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Also ListedSurgery · Plastic and Reconstructive SurgeryTaxonomy 2086S0122X · License 61282 (SC)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
115 N SUMTER ST STE 115, Sumter, SC 29150
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Other Identifiers 1

Medicaid612821SC

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.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

Dr. Emily Grace Cart 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 ID7719296219
PECOS Enrollment IDI20181113002814
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 5

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.
24 services19 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
21 services21 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.
19 services13 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
13 services12 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Prisma Health Tuomey Hospital

Acute Care Hospitals · Sumter, SC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420070
Location129 N Washington StSumter, SC 29150 · Sumter County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29150 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
$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 3

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

DR. MUAMER MIRZA MUJADZIC M.D.
Plastic Surgery (Surgery of the Hand)
115 N SUMTER ST STE 115
SUMTER, SC 29150
Sumter County (803) 774-7546
PRISMA HEALTH MEDICAL GROUP-MIDLANDS
Surgery (Plastic and Reconstructive Surgery)
115 N SUMTER ST STE 115
SUMTER, SC 29150
Sumter County (803) 774-7546
CYNTHIA ROURK ZEIGLER CFNP
Nurse Practitioner
115 N SUMTER ST STE 115
SUMTER, SC 29150
Sumter County (803) 774-7546

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 Emily Cart's NPI number?

The NPI number for Emily Cart is 1386902435. It was assigned to this individual provider in the NPPES registry on April 26, 2012.

Where is Emily Cart located?

Emily Cart practices at 115 N Sumter St Ste 115, Sumter, SC 29150. The listed phone number is (803) 774-7546.

What is Emily Cart's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Emily Cart enrolled in Medicare?

Yes. Emily Cart 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 Emily Cart accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and BlueCross BlueShield of South Carolina list Emily Cart 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 Emily Cart affiliated with any hospitals?

According to CMS data, Emily Cart is affiliated with Prisma Health Tuomey Hospital.

When was this NPI record last updated?

The NPPES record for Emily Cart was last updated on November 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.