DR. GERALD A FISHMAN MD
NPI 1508873019
Family Medicine in Columbia, SC

Q: What is Gerald Fishman's NPI number?

The NPI number for Gerald Fishman is 1508873019. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Q: What is Gerald Fishman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Gerald Fishman was last updated on August 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 August 01, 2006PECOS EnrolledAccepts Medicare Assignment

83.03/100

CMS Quality Rating

1526 LAKE MURRAY BLVD, COLUMBIA, SC 29212(803) 749-1155(803) 791-2203 Get Directions Write a Review

NPPES record last updated: August 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 12, 2022, Oct 27, 2020, Sep 29, 2020 and 1 more (4 updates tracked since 2017).

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About Dr. Gerald A Fishman Md NPPES

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

DR. GERALD A FISHMAN MD (NPI 1508873019) is an individual family medicine provider in Columbia, South Carolina, licensed in South Carolina (8885) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Prisma Health Richland Hospital, and maintains a secondary practice location in Columbia.

NPPES Registry Identity

NPI1508873019

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. GERALD A FISHMANCredential: MD

Location Address1526 LAKE MURRAY BLVDColumbia, SC 29212-8622

Mailing AddressPo Box 6069West Columbia, SC 29171-6069

Phone(803) 749-1155

Fax(803) 791-2203

Sole ProprietorNo

Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1977

Enumeration DateAugust 1, 2006

Last NPPES UpdateAugust 12, 20224 updates tracked since enumeration

NPPES CertifiedAugust 12, 2022

✔ NPI 1508873019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in SC · 8885

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedGeneral PracticeTaxonomy 208D00000X · License 8885 (SC)

1526 LAKE MURRAY BLVD, Columbia, SC 29212

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Secondary Practice Location 1

Location 17033 Saint Andrews Rd, Ste205Columbia, SC 29212-1179 · Phone (803) 749-1155 · Fax (803) 749-1786

Other Identifiers 1

Medicaid088853SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina 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

Dr. Gerald A Fishman 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 ID1759424377

PECOS Enrollment IDI20100204000634

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 10

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.

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

683 services372 patients

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.

574 services377 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.

106 services102 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

102 services90 patients

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.

101 services83 patients

Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous G0328

A fecal occult blood test is a screening tool for colorectal cancer. It checks for tiny amounts of blood in your stool that can't be seen with the naked eye. The immunoassay method can test 1-3 samples at once. This helps detect cancer early, when treatment is most effective.

57 services57 patients

Hospital Affiliations CMS Care Compare 4

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

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

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 29212 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

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.

83.03/100

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

Scored as part of a group practice

Quality

80.45

Promoting Interoperability

Improvement Activities

Cost

72.17

Referred Medical Equipment & Supplies CMS DME claims 6

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

16 suppliers37 claims97 services$5.81 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

8 suppliers14 claims18 services$0.63 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261

DME-Hospital Beds · category DB000N

1 supplier12 claims12 services$34.52 avg. paid by Medicare

Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, free standing, complete with grab bar E0912

DME-Hospital Beds · category DB000N

1 supplier12 claims12 services$51.34 avg. paid by Medicare

Transport chair, adult size, patient weight capacity up to and including 300 pounds E1038

DME-Other DME · category DE000N

1 supplier11 claims11 services$9.99 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

8 suppliers145 claims146 services$186.39 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 12

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

PAMELA I BROWN M.D.

Family Medicine