CYNTHIA MARIE PRIDGEN M.D.
NPI 1487627436
Obstetrics & Gynecology in Columbia, SC

Active since February 09, 2006PECOS EnrolledAccepts Medicare Assignment
99.32/100
CMS Quality Rating
1301 TAYLOR ST, SUITE 6J, COLUMBIA, SC 29201(803) 296-2942(803) 779-9581 Get Directions Write a Review

NPPES record last updated: March 20, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cynthia Marie Pridgen M.d. NPPES

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

CYNTHIA MARIE PRIDGEN M.D. (NPI 1487627436) is an individual obstetrics & gynecology provider in Columbia, South Carolina, licensed in South Carolina (22803) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Prisma Health Richland Hospital, and is a graduate of University Of Cincinnati College Of Medicine (1996).

NPPES Registry Identity

NPI1487627436
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameCYNTHIA MARIE PRIDGENCredential: M.D.
Location Address1301 TAYLOR ST, SUITE 6JColumbia, SC 29201-2942
Mailing AddressPo Box 743904Atlanta, GA 30374-3904 · (803) 296-7320 · Fax (803) 296-7330
Fax(803) 779-9581
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1996
Enumeration DateFebruary 9, 2006
Last NPPES UpdateMarch 20, 2018
NPI 1487627436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in SC · 22803
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1301 TAYLOR ST, Columbia, SC 29201

Other Identifiers 1

Medicaid228033SC

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

Cynthia Marie Pridgen 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 ID3274591946
PECOS Enrollment IDI20041228000510
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

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 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.
14 services12 patients

Hospital Affiliations CMS Care Compare 3

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 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 29201 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.

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

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.

Obstetrics & Gynecology
1301 TAYLOR ST, SUITE 6J
COLUMBIA, SC 29201
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1301 TAYLOR ST
COLUMBIA, SC 29201
Psychiatry & Neurology (Psychiatry)
1301 TAYLOR ST
COLUMBIA, SC 29201
Durable Medical Equipment & Medical Supplies
1301 TAYLOR ST, SUITE 3O
COLUMBIA, SC 29201
Clinic/Center
1301 TAYLOR ST, SUITE 3L
COLUMBIA, SC 29201
Nurse Practitioner (Family)
1301 TAYLOR ST
COLUMBIA, SC 29201
Obstetrics & Gynecology (Gynecology)
1301 TAYLOR ST, SUITE 6J
COLUMBIA, SC 29201
Internal Medicine
1301 TAYLOR ST, SUITE 8-A
COLUMBIA, SC 29201

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 Cynthia Pridgen's NPI number?

The NPI number for Cynthia Pridgen is 1487627436. It was assigned to this individual provider in the NPPES registry on February 9, 2006.

Where is Cynthia Pridgen located?

Cynthia Pridgen practices at 1301 Taylor St Suite 6J, Columbia, SC 29201. The listed phone number is (803) 296-2942.

What is Cynthia Pridgen's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Cynthia Pridgen enrolled in Medicare?

Yes. Cynthia Pridgen 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 Cynthia Pridgen accept?

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

According to CMS data, Cynthia Pridgen is affiliated with Prisma Health Richland Hospital, Prisma Health Baptist and Prisma Health Baptist Parkridge.

When was this NPI record last updated?

The NPPES record for Cynthia Pridgen was last updated on March 20, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.