ADAM TODD RATCHFORD MD
NPI 1497105993
Internal Medicine in Greenville, SC

Q: What is Adam Ratchford's NPI number?

The NPI number for Adam Ratchford is 1497105993. It was assigned to this individual provider in the NPPES registry on June 15, 2016.

Q: What is Adam Ratchford's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Adam Ratchford was last updated on July 5, 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.

Active since June 15, 2016PECOS EnrolledAccepts Medicare Assignment

96.08/100

CMS Quality Rating

701 GROVE RD, GREENVILLE, SC 29605(864) 455-5648(864) 455-7862 Get Directions Write a Review

NPPES record last updated: July 5, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 5, 2019, Jun 15, 2016 (2 updates tracked since 2016).

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About Adam Todd Ratchford Md NPPES

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

ADAM TODD RATCHFORD MD (NPI 1497105993) is an individual internal medicine provider in Greenville, South Carolina, licensed in South Carolina (39507) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Spartanburg Medical Center, and is a graduate of Medical College Of Georgia School Of Medicine (2016).

NPPES Registry Identity

NPI1497105993

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameADAM TODD RATCHFORDCredential: MD

Location Address701 GROVE RDGreenville, SC 29605-4210

Mailing Address1 Independence Pt Ste 212Greenville, SC 29615-4536 · (864) 797-6328

Phone(864) 455-5648

Fax(864) 455-7862

Sole ProprietorNo

Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2016

Enumeration DateJune 15, 2016

Last NPPES UpdateJuly 5, 20192 updates tracked since enumeration

✔ NPI 1497105993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in SC · 39507

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

701 GROVE RD, Greenville, SC 29605

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Molina Healthcare and more.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

Adam Todd Ratchford 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 ID749575173

PECOS Enrollment IDI20190809000691

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 2

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

243 services240 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

22 services21 patients

Hospital Affiliations CMS Care Compare 4

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

Spartanburg Medical Center

Acute Care Hospitals · Spartanburg, SC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number420007

Location101 E Wood StSpartanburg, SC 29303 · Spartanburg County

Emergency services Birthing friendly

Cherokee Medical Center

Acute Care Hospitals · Gaffney, SC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number420043

Location1530 N Limestone StGaffney, SC 29340 · Cherokee County

Emergency services

Pelham Medical Center

Acute Care Hospitals · Greer, SC

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number420103

Location250 Westmoreland RoadGreer, SC 29651 · Greenville County

Emergency services

Union Medical Center

Acute Care Hospitals · Union, SC

OwnershipVoluntary non-profit - Other

CMS Certification Number420108

Location322 West South StreetUnion, SC 29379 · Union County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29605 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.

96.08/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

92.17

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 4

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

4 suppliers19 claims19 services$16.19 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers32 claims32 services$76.96 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier11 claims11 services$17.26 avg. paid by Medicare

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

1 supplier11 claims11 services$7.32 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.

ABDULLAH DARVESH

Internal Medicine

701 GROVE RD
GREENVILLE, SC 29605

Greenville County (864) 455-7882

DANIEL RUIZ

Internal Medicine

701 GROVE RD
GREENVILLE, SC 29605

Greenville County (864) 455-7882

ALAN ROBERT THOMPSON MD

Hospitalist

701 GROVE RD, 5TH FLOOR
GREENVILLE, SC 29605

Greenville County (864) 455-4411

GEORGE R SWEET CRNA

Nurse Anesthetist, Certified Registered

701 GROVE RD, ANESTHESIA DEPT
GREENVILLE, SC 29605

Greenville County (864) 455-7111

CRAIG DOUGLAS YOUNG PHD

Clinical Neuropsychologist

701 GROVE RD
GREENVILLE, SC 29605

Greenville County (864) 455-7000

JENNIFER WEBB GEORGE CRNA

Nurse Anesthetist, Certified Registered

701 GROVE RD
GREENVILLE, SC 29605

Greenville County (864) 455-7111

MEENU MARIE VARGHESE D.O.

Internal Medicine

701 GROVE RD, 5TH FLOOR SUPPORT TOWER
GREENVILLE, SC 29605

Greenville County (864) 455-7882

AMANDA TIPTON LARSON CRNA

Nurse Anesthetist, Certified Registered

701 GROVE RD
GREENVILLE, SC 29605

Greenville County (864) 522-2286

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 Adam Ratchford's NPI number?

The NPI number for Adam Ratchford is 1497105993. It was assigned to this individual provider in the NPPES registry on June 15, 2016.

Where is Adam Ratchford located?

Adam Ratchford practices at 701 Grove Rd, Greenville, SC 29605. The listed phone number is (864) 455-5648.

What is Adam Ratchford's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Adam Ratchford enrolled in Medicare?

Yes. Adam Ratchford 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 Adam Ratchford accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Molina Healthcare and UnitedHealthcare list Adam Ratchford 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 Adam Ratchford affiliated with any hospitals?

According to CMS data, Adam Ratchford is affiliated with Spartanburg Medical Center, Cherokee Medical Center, Pelham Medical Center and Union Medical Center.

When was this NPI record last updated?

The NPPES record for Adam Ratchford was last updated on July 5, 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.