SCOTT STOCKHOLM DO
NPI 1407346182
Internal Medicine - Critical Care Medicine in West Columbia, SC

Q: What is Scott Stockholm's NPI number?

The NPI number for Scott Stockholm is 1407346182. It was assigned to this individual provider in the NPPES registry on May 17, 2018.

Q: What is Scott Stockholm's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Q: When was this NPI record last updated?

The NPPES record for Scott Stockholm was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.

Active since May 17, 2018PECOS EnrolledAccepts Medicare Assignment

2720 SUNSET BLVD, WEST COLUMBIA, SC 29169(803) 936-7372(803) 936-4102 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 25, 2025, Jul 3, 2024, May 17, 2018 (3 updates tracked since 2018).

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About Scott Stockholm Do NPPES

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

SCOTT STOCKHOLM DO (NPI 1407346182) is an individual critical care medicine provider in West Columbia, South Carolina, licensed in South Carolina (89950) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Lexington Medical Center, and maintains a secondary practice location in Fayetteville.

NPPES Registry Identity

NPI1407346182

Entity TypeIndividualMale

Primary Taxonomy207RC0200X

Provider Legal NameSCOTT STOCKHOLMCredential: DO

Location Address2720 SUNSET BLVDWest Columbia, SC 29169-4810

Mailing AddressPo Box 6069West Columbia, SC 29171-6069 · (803) 936-7372

Phone(803) 936-7372

Fax(803) 936-4102

Sole ProprietorYes

Medical School CMSEdward Via Col Of Osteo Medicine-carolinas CampusGraduated 2018

Enumeration DateMay 17, 2018

Last NPPES UpdateMarch 25, 20253 updates tracked since enumeration

NPPES CertifiedMarch 25, 2025

✔ NPI 1407346182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RC0200X

License✔ Licensed in SC · 89950

Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2720 SUNSET BLVD, West Columbia, SC 29169

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Secondary Practice Location 1

Location 11638 Owen DrFayetteville, NC 28304-3424 · Phone (910) 615-4321

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Scott Stockholm Do 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 ID5496004145

PECOS Enrollment IDI20240814000132

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 Scott Stockholm reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lexington Health Inc

Same address

Dietitian, Registered

2720 SUNSET BLVD
West Columbia, SC 29169

Reassigned Medicare billing, South Carolina enrollment
1,219 clinicians in this Medicare group

NPI 1003416066 (803) 791-2248

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

Areas of Expertise CMS Part B claims 3

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

65 services43 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

47 services29 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

28 services17 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 29169 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

$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.

Referred Medical Equipment & Supplies CMS DME claims

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

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier12 claims12 services$912.04 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 20

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

ANDREI YERIK HETMAN M.D.

Internal Medicine (Critical Care Medicine)