THOMAS M PRITCHARD MD
NPI 1477545119
Internal Medicine - Cardiovascular Disease in Greenwood, SC

Active since August 18, 2005PECOS EnrolledAccepts Medicare Assignment
96.08/100
CMS Quality Rating
421 EPTING AVE, GREENWOOD, SC 29646(864) 227-6818(864) 227-0850 Get Directions Write a Review

NPPES record last updated: December 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 14, 2021, Apr 1, 2016 (2 updates tracked since 2016).

About Thomas M Pritchard Md NPPES

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

THOMAS M PRITCHARD MD (NPI 1477545119) is an individual cardiovascular disease provider in Greenwood, South Carolina, licensed in South Carolina (SC11877) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Self Regional Healthcare, and is a graduate of University Of Alabama School Of Medicine (1983).

NPPES Registry Identity

NPI1477545119
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameTHOMAS M PRITCHARDCredential: MD
Location Address421 EPTING AVEGreenwood, SC 29646-4041
Mailing Address421 Epting AveGreenwood, SC 29646-4041 · (864) 227-6818 · Fax (864) 227-0850
Fax(864) 227-0850
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1983
Enumeration DateAugust 18, 2005
Last NPPES UpdateDecember 14, 20212 updates tracked since enumeration
NPPES CertifiedDecember 14, 2021
NPI 1477545119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in SC · SC11877
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.
421 EPTING AVE, Greenwood, SC 29646

Other Identifiers 1

Medicaid118777SC

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

Thomas M Pritchard 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 ID1759562580
PECOS Enrollment IDI20110225000726
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 16

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.
729 services489 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.
542 services365 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294
This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.
475 services142 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296
This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.
473 services142 patients
Blood test, clotting time 85610
A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
243 services76 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.
161 services161 patients

Hospital Affiliations CMS Care Compare

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

Self Regional Healthcare

Acute Care Hospitals · Greenwood, SC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420071
Location1325 Spring StreetGreenwood, SC 29646 · Greenwood County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29646 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.

96.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality92.17
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine (Cardiovascular Disease)
421 EPTING AVE
GREENWOOD, SC 29646
Internal Medicine (Cardiovascular Disease)
421 EPTING AVE
GREENWOOD, SC 29646
Nurse Practitioner
421 EPTING AVE
GREENWOOD, SC 29646
Nurse Practitioner (Family)
421 EPTING AVE
GREENWOOD, SC 29646
Nurse Practitioner
421 EPTING AVE
GREENWOOD, SC 29646
Internal Medicine (Cardiovascular Disease)
421 EPTING AVE
GREENWOOD, SC 29646
Internal Medicine (Cardiovascular Disease)
421 EPTING AVE
GREENWOOD, SC 29646
Internal Medicine (Cardiovascular Disease)
421 EPTING AVE
GREENWOOD, SC 29646

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 Thomas Pritchard's NPI number?

The NPI number for Thomas Pritchard is 1477545119. It was assigned to this individual provider in the NPPES registry on August 18, 2005.

Where is Thomas Pritchard located?

Thomas Pritchard practices at 421 Epting Ave, Greenwood, SC 29646. The listed phone number is (864) 227-6818.

What is Thomas Pritchard's specialty?

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

Is Thomas Pritchard enrolled in Medicare?

Yes. Thomas Pritchard 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 Thomas Pritchard accept?

Health plans from First Choice Next list Thomas Pritchard 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 Thomas Pritchard affiliated with any hospitals?

According to CMS data, Thomas Pritchard is affiliated with Self Regional Healthcare.

When was this NPI record last updated?

The NPPES record for Thomas Pritchard was last updated on December 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.