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DR. ROBERT JOHN ORNELAS MD
NPI 1497860159
Psychiatry & Neurology - Psychiatry in West Columbia, SC

Active since August 20, 2006PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
160 MEDICAL CIR, FIRST FLOOR, WEST COLUMBIA, SC 29169(803) 796-6811(803) 796-6851 Get Directions Write a Review

NPPES record last updated: July 28, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Robert John Ornelas Md NPPES

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

DR. ROBERT JOHN ORNELAS MD (NPI 1497860159) is an individual psychiatry provider in West Columbia, South Carolina, licensed in South Carolina (23376) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Lexington Medical Center, and is a graduate of University Of South Carolina School Of Medicine (2001).

NPPES Registry Identity

NPI1497860159
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. ROBERT JOHN ORNELASCredential: MD
Location Address160 MEDICAL CIR, FIRST FLOORWest Columbia, SC 29169-3612
Mailing Address214 Leventis LnLexington, SC 29072-3962 · (803) 808-4441
Phone(803) 796-6811
Fax(803) 796-6851
Sole ProprietorYes
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2001
Enumeration DateAugust 20, 2006
Last NPPES UpdateJuly 28, 2008
✔ NPI 1497860159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in SC · 23376
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
160 MEDICAL CIR, West Columbia, SC 29169
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Other Identifiers 4

Medicare PINAA11203353SC
Medicaid233768SC
Medicare PINAA11203355
Medicare UPINI43195SC

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. Robert John Ornelas 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 ID1759307853
PECOS Enrollment IDI20051018000907
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 4

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.
2,106 services546 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
1,139 services411 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
89 services89 patients
Family psychotherapy without patient, 50 minutes 90846
Family psychotherapy without the patient is a 50-minute session where a therapist talks with family members to understand and resolve issues impacting the family dynamic. The patient is not present, allowing the family to freely discuss concerns and develop strategies for improvement.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29169 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
$163.84 typical visit price
range $53.57 – $163.84
Typical copayment $40.96 (range $13.39 – $40.96)
Most-billed visit code 99205
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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAROLINA PSYCHIATRIC SERVICES, INC
Psychiatry & Neurology (Psychiatry)
160 MEDICAL CIR, FIRST FLOOR
WEST COLUMBIA, SC 29169
Lexington County (803) 796-6811
MS. DEBRA A. KELLY L.M.S.W
Social Worker (Clinical)
160 MEDICAL CIR
WEST COLUMBIA, SC 29169
Lexington County (803) 796-6811
JANET MANNEL LISW-CP
Social Worker (Clinical)
160 MEDICAL CIR, FIRST FLOOR
WEST COLUMBIA, SC 29169
Lexington County (803) 796-6851

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 Robert Ornelas's NPI number?

The NPI number for Robert Ornelas is 1497860159. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Where is Robert Ornelas located?

Robert Ornelas practices at 160 Medical Cir First Floor, West Columbia, SC 29169. The listed phone number is (803) 796-6811.

What is Robert Ornelas's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Robert Ornelas enrolled in Medicare?

Yes. Robert Ornelas 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.

Is Robert Ornelas affiliated with any hospitals?

According to CMS data, Robert Ornelas is affiliated with Lexington Medical Center.

When was this NPI record last updated?

The NPPES record for Robert Ornelas was last updated on July 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.