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MARC JOSEPH FAWAL M.D.
NPI 1497119911
Obstetrics & Gynecology in Walterboro, SC

Active since April 11, 2016PECOS EnrolledAccepts Medicare Assignment
96.08/100
CMS Quality Rating
302 MEDICAL PARK DR STE 211, WALTERBORO, SC 29488(843) 549-9568(843) 549-1530 Get Directions Write a Review

NPPES record last updated: January 25, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Marc Joseph Fawal M.d. NPPES

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

MARC JOSEPH FAWAL M.D. (NPI 1497119911) is an individual obstetrics & gynecology provider in Walterboro, South Carolina, licensed in South Carolina (85140) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Spartanburg Medical Center, and maintains a secondary practice location in Buffalo.

NPPES Registry Identity

NPI1497119911
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameMARC JOSEPH FAWALCredential: M.D.
Location Address302 MEDICAL PARK DR STE 211Walterboro, SC 29488-5749
Mailing Address302 Medical Park Dr Ste 211Walterboro, SC 29488-5749 · (843) 549-9568 · Fax (843) 549-1530
Phone(843) 549-9568
Fax(843) 549-1530
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 11, 2016
Last NPPES UpdateJanuary 25, 2021
NPPES CertifiedJanuary 25, 2021
✔ NPI 1497119911 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 · 85140
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.
302 MEDICAL PARK DR STE 211, Walterboro, SC 29488
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Secondary Practice Location 1

Location 1219 Bryant StBuffalo, NY 14222-2006 · Phone (716) 878-7750

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, First Choice Next, InStil Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marc Joseph Fawal 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 ID2365789716
PECOS Enrollment IDI20210219001223
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Marc Fawal reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Spartanburg Medical Center
130 mi
Hematology & Oncology
22725 HIGHWAY 76 E, OUTPATIENT CENTER, THIRD FLOOR
Clinton, SC 29325
  • Reassigned Medicare billing, South Carolina enrollment
  • Also billed through NPI 1164807376 (South Carolina), NPI 1396981403 (South Carolina)
  • 814 clinicians in this Medicare group
NPI 1649424151 (864) 938-0620
Union Medical Center
138 mi
Obstetrics & Gynecology
1201 FURMAN L FENDLEY HWY STE C
Union, SC 29379
  • Reassigned Medicare billing, South Carolina enrollment
  • 66 clinicians in this Medicare group
NPI 1275035255 (864) 427-8380

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29488 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

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 Marc Fawal's NPI number?

The NPI number for Marc Fawal is 1497119911. It was assigned to this individual provider in the NPPES registry on April 11, 2016.

Where is Marc Fawal located?

Marc Fawal practices at 302 Medical Park Dr Ste 211, Walterboro, SC 29488. The listed phone number is (843) 549-9568.

What is Marc Fawal's specialty?

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

Is Marc Fawal enrolled in Medicare?

Yes. Marc Fawal 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.

Which organizations bill Medicare for Marc Fawal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marc Fawal reassigns Medicare benefits to 2 organizations: Spartanburg Medical Center (Clinton, SC) and Union Medical Center (Union, SC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marc Fawal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marc Fawal accept?

Health plans from BlueCross BlueShield of South Carolina, First Choice Next, InStil Health, Molina Healthcare and UnitedHealthcare list Marc Fawal 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 Marc Fawal affiliated with any hospitals?

According to CMS data, Marc Fawal is affiliated with Spartanburg Medical Center.

When was this NPI record last updated?

The NPPES record for Marc Fawal was last updated on January 25, 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.