KATHERINE E PEIL FNP
NPI 1467061481
Family Medicine - Adult Medicine in Sumter, SC

Active since July 27, 2020PECOS EnrolledAccepts Medicare Assignment
84.87/100
CMS Quality Rating
641 W WESMARK BLVD, SUMTER, SC 29150(803) 905-6944 Get Directions Write a Review

NPPES record last updated: June 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 18, 2021, Jul 27, 2020 (2 updates tracked since 2020).

About Katherine E Peil Fnp NPPES

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

KATHERINE E PEIL FNP (NPI 1467061481) is an individual adult medicine provider in Sumter, South Carolina, licensed in Georgia (RN202458) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with Prisma Health Richland Hospital, and maintains a secondary practice location in Milledgeville.

NPPES Registry Identity

NPI1467061481
Entity TypeIndividualFemale
Primary Taxonomy207QA0505X
Provider Legal NameKATHERINE E PEILCredential: FNP
Location Address641 W WESMARK BLVDSumter, SC 29150-1900
Mailing Address641 W Wesmark BlvdSumter, SC 29150-1900 · (803) 905-6944
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 27, 2020
Last NPPES UpdateJune 18, 20212 updates tracked since enumeration
NPPES CertifiedJune 18, 2021
NPI 1467061481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License Licensed in GA · RN202458
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
641 W WESMARK BLVD, Sumter, SC 29150

Secondary Practice Location 1

Location 1800 W Thomas StMilledgeville, GA 31061-2674 · Phone (478) 453-9346 · Fax (478) 453-0205

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

Katherine E Peil Fnp 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 ID9032515275
PECOS Enrollment IDI20210914000108
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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
114 services114 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.
101 services101 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.
35 services35 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.
34 services33 patients

Hospital Affiliations CMS Care Compare 2

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

Prisma Health Richland Hospital

Acute Care Hospitals · Columbia, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420018
Location5 Medical ParkColumbia, SC 29203 · Richland County
Emergency services Birthing friendly

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
$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.

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.

84.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost49.58

Other Providers at the Same Location NPPES 8

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

Internal Medicine (Gastroenterology)
641 W WESMARK BLVD
SUMTER, SC 29150
Internal Medicine (Gastroenterology)
641 W WESMARK BLVD
SUMTER, SC 29150
Physician Assistant
641 W WESMARK BLVD
SUMTER, SC 29150
Nurse Practitioner
641 W WESMARK BLVD
SUMTER, SC 29150
Internal Medicine (Gastroenterology)
641 W WESMARK BLVD
SUMTER, SC 29150
Internal Medicine (Gastroenterology)
641 W WESMARK BLVD
SUMTER, SC 29150
Nurse Practitioner (Primary Care)
641 W WESMARK BLVD
SUMTER, SC 29150
Internal Medicine (Gastroenterology)
641 W WESMARK BLVD
SUMTER, SC 29150

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 Katherine Peil's NPI number?

The NPI number for Katherine Peil is 1467061481. It was assigned to this individual provider in the NPPES registry on July 27, 2020.

Where is Katherine Peil located?

Katherine Peil practices at 641 W Wesmark Blvd, Sumter, SC 29150. The listed phone number is (803) 905-6944.

What is Katherine Peil's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Katherine Peil enrolled in Medicare?

Yes. Katherine Peil 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 Katherine Peil accept?

Health plans from BlueCross BlueShield of South Carolina list Katherine Peil 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 Katherine Peil affiliated with any hospitals?

According to CMS data, Katherine Peil is affiliated with Prisma Health Richland Hospital and Prisma Health Tuomey Hospital.

When was this NPI record last updated?

The NPPES record for Katherine Peil was last updated on June 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.