MARY THERESA JOSEPH MD
NPI 1396708145
Obstetrics & Gynecology in Mt Pleasant, SC

Active since April 11, 2006PECOS EnrolledAccepts Medicare Assignment
851 LEONARD FULGHUM BLVD, SUITE 201, MT PLEASANT, SC 29464(843) 884-5133(843) 849-3343 Get Directions Write a Review

NPPES record last updated: August 15, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary Theresa Joseph Md NPPES

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

MARY THERESA JOSEPH MD (NPI 1396708145) is an individual obstetrics & gynecology provider in Mt Pleasant, South Carolina, licensed in South Carolina (16819) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Bon Secours-st Francis Xavier Hospital, and is a graduate of Medical University Of South Carolina College Of Medicine (1992).

NPPES Registry Identity

NPI1396708145
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameMARY THERESA JOSEPHCredential: MD
Location Address851 LEONARD FULGHUM BLVD, SUITE 201Mt Pleasant, SC 29464-3787
Mailing Address851 Leonard Fulghum Blvd, Suite 201Mt Pleasant, SC 29464-3787 · (843) 884-5133 · Fax (843) 849-3343
Fax(843) 849-3343
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 1992
Enumeration DateApril 11, 2006
Last NPPES UpdateAugust 15, 2014
NPI 1396708145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in SC · 16819
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

851 LEONARD FULGHUM BLVD, Mt Pleasant, SC 29464

Other Names 1

Other Name (5)Molly Joseph Md

Other Identifiers 3

Medicare UPING279576976SC
Medicare UPING27957SC
MedicaidT11605SC

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

Mary Theresa Joseph 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 ID4082605340
PECOS Enrollment IDI20100408000208
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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
43 services43 patients
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.
35 services30 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
19 services19 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Roper Hospital

Acute Care Hospitals · Charleston, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420087
Location316 Calhoun StCharleston, SC 29401 · Charleston County
Emergency services

East Cooper Medical Center

Acute Care Hospitals · Mount Pleasant, SC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number420089
Location2000 Hospital DrMount Pleasant, SC 29464 · 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 29464 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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
80%272 patients4/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
95%910 patients
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
94%2,679 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
65%158 patients3/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%180 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
21%1,347 patients1/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
56%963 patients3/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 810 patients
Patients tobacco: 20% · 25 patients
96%809 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
96%1,347 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
78%1,347 patients4/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
78%1,347 patients
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.

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.

Obstetrics & Gynecology
851 LEONARD FULGHUM BLVD, SUITE 201
MT PLEASANT, SC 29464
Orthopaedic Surgery
851 LEONARD FULGHUM BLVD, SUITE 101
MT PLEASANT, SC 29464
Orthopaedic Surgery (Orthopaedic Trauma)
851 LEONARD FULGHUM BLVD, SUITE 101
MOUNT PLEASANT, SC 29464
Obstetrics & Gynecology
851 LEONARD FULGHUM BLVD, SUITE 201
MT PLEASANT, SC 29464
Orthopaedic Surgery (Sports Medicine)
851 LEONARD FULGHUM BLVD, SUITE 101
MT PLEASANT, SC 29464
Obstetrics & Gynecology
851 LEONARD FULGHUM BLVD, SUITE 200
MT PLEASANT, SC 29464
Obstetrics & Gynecology
851 LEONARD FULGHUM BLVD, SUITE 201
MT PLEASANT, SC 29464
Obstetrics & Gynecology
851 LEONARD FULGHUM BLVD, SUITE 201
MT PLEASANT, SC 29464

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 Mary Joseph's NPI number?

The NPI number for Mary Joseph is 1396708145. It was assigned to this individual provider in the NPPES registry on April 11, 2006. The provider is also known as Molly Joseph MD.

Where is Mary Joseph located?

Mary Joseph practices at 851 Leonard Fulghum Blvd Suite 201, Mt Pleasant, SC 29464. The listed phone number is (843) 884-5133.

What is Mary Joseph's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Mary Joseph enrolled in Medicare?

Yes. Mary Joseph 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 Mary Joseph accept?

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

According to CMS data, Mary Joseph is affiliated with Bon Secours-St Francis Xavier Hospital, Roper Hospital, East Cooper Medical Center and Mount Pleasant Hospital.

When was this NPI record last updated?

The NPPES record for Mary Joseph was last updated on August 15, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.