STUART SMALHEISER M.D.
NPI 1427126663
Internal Medicine - Cardiovascular Disease in Beaufort, SC

Active since December 04, 2006PECOS EnrolledAccepts Medicare Assignment
86.71/100
CMS Quality Rating
BEAUFORT MEMORIAL HEART SPECIALISTS, 300 MIDTOWN DR, BEAUFORT, SC 29906(843) 777-0404(844) 295-9872 Get Directions Write a Review

NPPES record last updated: June 14, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stuart Smalheiser M.d. NPPES

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

STUART SMALHEISER M.D. (NPI 1427126663) is an individual cardiovascular disease provider in Beaufort, South Carolina, licensed in South Carolina (32555) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Candler Hospital, and is a graduate of University Of Miami, Lm Miller School Of Medicine (2002).

NPPES Registry Identity

NPI1427126663
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameSTUART SMALHEISERCredential: M.D.
Location AddressBEAUFORT MEMORIAL HEART SPECIALISTS, 300 MIDTOWN DRBeaufort, SC 29906-5200
Mailing Address955 Ribaut Rd, Bmac CredentialingBeaufort, SC 29902-5441 · (843) 522-5674 · Fax (843) 522-5678
Fax(844) 295-9872
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2002
Enumeration DateDecember 4, 2006
Last NPPES UpdateJune 14, 2019
NPI 1427126663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses Licensed in SC · 32555 Licensed in FL · ME96268
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
BEAUFORT MEMORIAL HEART SPECIALISTS, Beaufort, SC 29906

Other Identifiers 1

Medicaid325552SC

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

Stuart Smalheiser 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 ID2062448285
PECOS Enrollment IDI20100804000395
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 35

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
3,173 services2,023 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.
1,910 services1,168 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
1,100 services1,051 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
1,039 services881 patients
Nuclear medicine studies of heart muscle at rest and with stress and spect 78452
Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.
270 services270 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
264 services264 patients

Hospital Affiliations CMS Care Compare 5

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

Candler Hospital

Acute Care Hospitals · Savannah, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110024
Location5353 Reynolds StreetSavannah, GA 31412 · Chatham County
Emergency services Birthing friendly

Musc Medical Center

Acute Care Hospitals · Charleston, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420004
Location169 Ashley AveCharleston, SC 29425 · Charleston County
Emergency services Birthing friendly

Beaufort County Memorial Hospital

Acute Care Hospitals · Beaufort, SC
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number420067
Location955 Ribaut RdBeaufort, SC 29902 · Beaufort County
Emergency services Birthing friendly

Hampton Regional Medical Center

Acute Care Hospitals · Varnville, SC
OwnershipVoluntary non-profit - Private
CMS Certification Number420072
Location595 West Carolina AvenueVarnville, SC 29944 · Hampton County
Emergency services

Coastal Carolina Hospital

Acute Care Hospitals · Hardeeville, SC
2/5 CMS rating
OwnershipProprietary
CMS Certification Number420101
Location1000 Medical Center DriveHardeeville, SC 29927 · Jasper County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29906 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.

86.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality76.84
Promoting Interoperability90
Improvement Activities40
Cost87.2

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
43%155 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
63%2,032 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
66%2,088 patients3/55-star benchmark: 91%
Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
79%173 patients4/55-star benchmark: 99%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
34%549 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
91%5,857 patients4/55-star benchmark: 100%
e-Prescribing
99%897 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
38%3,543 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
50%2,955 patients3/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 75% · 3,231 patients
Patients screened: 79% · 3,231 patients
60%263 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
71%1,269 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
87%2,250 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 2% · 2,381 patients
Patients totalRate: 11% · 2,470 patients
11%2,470 patients3/55-star benchmark: 100%
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 3

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

Internal Medicine (Cardiovascular Disease)
BEAUFORT MEMORIAL HEART SPECIALISTS, 300 MIDTOWN DRIVE
BEAUFORT, SC 29906
Internal Medicine (Cardiovascular Disease)
BEAUFORT MEMORIAL HEART SPECIALISTS, 300 MIDTOWN DR
BEAUFORT, SC 29906
Internal Medicine (Cardiovascular Disease)
BEAUFORT MEMORIAL HEART SPECIALISTS, 300 MIDTOWN DR
BEAUFORT, SC 29906

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 Stuart Smalheiser's NPI number?

The NPI number for Stuart Smalheiser is 1427126663. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Where is Stuart Smalheiser located?

Stuart Smalheiser practices at Beaufort Memorial Heart Specialists 300 Midtown Dr, Beaufort, SC 29906. The listed phone number is (843) 777-0404.

What is Stuart Smalheiser's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Stuart Smalheiser enrolled in Medicare?

Yes. Stuart Smalheiser 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 Stuart Smalheiser accept?

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

According to CMS data, Stuart Smalheiser is affiliated with Candler Hospital, Musc Medical Center, Beaufort County Memorial Hospital, Hampton Regional Medical Center and Coastal Carolina Hospital.

When was this NPI record last updated?

The NPPES record for Stuart Smalheiser was last updated on June 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.