DR. TODD GANDY MD
NPI 1467898767
Internal Medicine - Pulmonary Disease in Columbia, SC

Active since May 14, 2013PECOS EnrolledAccepts Medicare Assignment
99.32/100
CMS Quality Rating
1 RICHLAND MEDICAL PARK DR STE 300, COLUMBIA, SC 29203(803) 545-5500 Get Directions Write a Review

NPPES record last updated: June 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 10, 2020, Feb 6, 2019, Jun 12, 2017 and 1 more (4 updates tracked since 2017).

About Dr. Todd Gandy Md NPPES

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

DR. TODD GANDY MD (NPI 1467898767) is an individual pulmonary disease provider in Columbia, South Carolina, licensed in South Carolina (40962) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Prisma Health Richland Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1467898767
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. TODD GANDYCredential: MD
Location Address1 RICHLAND MEDICAL PARK DR STE 300Columbia, SC 29203-6831
Mailing AddressPo Box 743904Atlanta, GA 30374-3904 · (803) 296-7303
Sole ProprietorYes
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2013
Enumeration DateMay 14, 2013
Last NPPES UpdateJune 10, 20204 updates tracked since enumeration
NPPES CertifiedJune 10, 2020
NPI 1467898767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in SC · 40962
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 40962 (SC), 2016-01029 (NC)
1 RICHLAND MEDICAL PARK DR STE 300, Columbia, SC 29203

Secondary Practice Locations 3

Location 11350 S Kings DrCharlotte, NC 28207-2134 · Phone (704) 446-1242 · Fax (704) 446-1241
Location 2109 Bee StCharleston, SC 29401-5703 · Phone (843) 577-5011
Location 396 Jonathan Lucas Street Csb Ste 816Charleston, SC 29425-2134 · Phone (843) 791-7199

Other Identifiers 2

Medicaid1467898767NC
MedicaidNC2762SC

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

Dr. Todd Gandy 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 ID244523553
PECOS Enrollment IDI20200512000248
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 19

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.

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.
439 services240 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
145 services133 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
121 services118 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.
114 services114 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.
108 services74 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
103 services103 patients

Hospital Affiliations CMS Care Compare 5

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

Newberry County Memorial Hospital

Acute Care Hospitals · Newberry, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number420053
Location2669 Kinard St PO Box 497Newberry, SC 29108 · Newberry County
Emergency services Birthing friendly

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

Prisma Health Baptist

Acute Care Hospitals · Columbia, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420086
Location1330 Taylor At Marion StColumbia, SC 29220 · Richland County
Emergency services Birthing friendly

Prisma Health Baptist Parkridge

Acute Care Hospitals · Columbia, SC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420106
Location400 Palmetto Health ParkwayColumbia, SC 29212 · Lexington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29203 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.

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.

99.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality90.59
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 12

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

Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers16 claims16 services$93.92 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
6 suppliers16 claims16 services$18.13 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
2 suppliers11 claims11 services$15.40 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers16 claims83 services$1.87 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers49 claims51 services$17.54 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
2 suppliers36 claims36 services$778.12 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.

Nurse Practitioner (Family)
1 RICHLAND MEDICAL PARK DR STE 300
COLUMBIA, SC 29203
Nurse Practitioner (Acute Care)
1 RICHLAND MEDICAL PARK DR STE 300
COLUMBIA, SC 29203
Nurse Practitioner (Acute Care)
1 RICHLAND MEDICAL PARK DR STE 300
COLUMBIA, SC 29203
Nurse Practitioner (Acute Care)
1 RICHLAND MEDICAL PARK DR STE 300
COLUMBIA, SC 29203
Nurse Practitioner (Acute Care)
1 RICHLAND MEDICAL PARK DR STE 300
COLUMBIA, SC 29203
Internal Medicine (Pulmonary Disease)
1 RICHLAND MEDICAL PARK DR STE 300
COLUMBIA, SC 29203
Nurse Practitioner (Acute Care)
1 RICHLAND MEDICAL PARK DR STE 300
COLUMBIA, SC 29203
Internal Medicine (Critical Care Medicine)
1 RICHLAND MEDICAL PARK DR STE 300
COLUMBIA, SC 29203

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 Todd Gandy's NPI number?

The NPI number for Todd Gandy is 1467898767. It was assigned to this individual provider in the NPPES registry on May 14, 2013.

Where is Todd Gandy located?

Todd Gandy practices at 1 Richland Medical Park Dr Ste 300, Columbia, SC 29203. The listed phone number is (803) 545-5500.

What is Todd Gandy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Todd Gandy enrolled in Medicare?

Yes. Todd Gandy 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 Todd Gandy accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and BlueCross BlueShield of South Carolina list Todd Gandy 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 Todd Gandy affiliated with any hospitals?

According to CMS data, Todd Gandy is affiliated with Prisma Health Richland Hospital, Newberry County Memorial Hospital, Lexington Medical Center, Prisma Health Baptist and Prisma Health Baptist Parkridge.

When was this NPI record last updated?

The NPPES record for Todd Gandy was last updated on June 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.