PHILIP DEMETRIOS KONDYLIS MD
NPI 1407842016
Colon & Rectal Surgery in Columbia, SC
About Philip Demetrios Kondylis Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHILIP DEMETRIOS KONDYLIS MD (NPI 1407842016) is an individual colon & rectal surgery provider in Columbia, South Carolina, licensed in South Carolina (97056) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Saint Vincent Hospital, and is a graduate of University Of Massachusetts Medical School (1992).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Philip Demetrios Kondylis 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.
Medicare Billing Reassignments
2Medicare enrollment records show Philip Kondylis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bamberg, SC 29003
- Reassigned Medicare billing, South Carolina enrollment
- 2,389 clinicians in this Medicare group
Erie, PA 16502
- Reassigned Medicare billing, Pennsylvania enrollment
- 483 clinicians in this Medicare group
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 12
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Saint Vincent Hospital
Acute Care Hospitals · Erie, PAMusc Health Columbia Medical Center Downtown
Acute Care Hospitals · Columbia, SCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Philip Kondylis's NPI number?
The NPI number for Philip Kondylis is 1407842016. It was assigned to this individual provider in the NPPES registry on September 20, 2005.
Where is Philip Kondylis located?
Philip Kondylis practices at 2750 Laurel St Ste 103, Columbia, SC 29204. The listed phone number is (803) 865-4594.
What is Philip Kondylis's specialty?
The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.
Is Philip Kondylis enrolled in Medicare?
Yes. Philip Kondylis 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.
Which organizations bill Medicare for Philip Kondylis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Philip Kondylis reassigns Medicare benefits to 2 organizations: Musc Community Physicians (Bamberg, SC) and St Vincent Medical Education And Research Institute Inc (Erie, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Philip Kondylis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Philip Kondylis accept?
Health plans from BlueCross BlueShield of South Carolina, First Choice Next, Molina Healthcare and UnitedHealthcare list Philip Kondylis 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 Philip Kondylis affiliated with any hospitals?
According to CMS data, Philip Kondylis is affiliated with Saint Vincent Hospital and Musc Health Columbia Medical Center Downtown.
When was this NPI record last updated?
The NPPES record for Philip Kondylis was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Philip Demetrios Kondylis, MD · NPI 1407842016
Colon & Rectal Surgery physician in Columbia, South Carolina. Individual provider, active in the CMS NPPES registry since September 20, 2005.
## Identity
- **NPI:** 1407842016 (Entity type: Individual)
- **Enumerated:** September 20, 2005
- **Primary specialty:** Colon & Rectal Surgery · taxonomy 208C00000X
- **State license:** 97056 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 2750 LAUREL ST STE 103, Columbia, SC 29204-2023
- **Phone:** (803) 865-4594 · **Fax:** (803) 865-4594
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Musc Community Physicians (NPI 1841878006, Bamberg, SC); St Vincent Medical Education And Research Institute Inc (NPI 1902881477, Erie, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Massachusetts Medical School, class of 1992
## Record status
- **NPPES last updated:** July 20, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1407842016) · Data from the CMS NPPES public registry.