DR. ANDREW JAMES PICCA D.O.
NPI 1518493972
Pediatrics in Charleston, SC

Q: What is Andrew Picca's NPI number?

The NPI number for Andrew Picca is 1518493972. It was assigned to this individual provider in the NPPES registry on May 4, 2017.

Q: What is Andrew Picca's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Picca was last updated on May 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 May 04, 2017PECOS EnrolledAccepts Medicare Assignment

73.84/100

CMS Quality Rating

169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL, MSC333, CHARLESTON, SC 29425(843) 792-8972 Get Directions Write a Review

NPPES record last updated: May 4, 2017. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Dr. Andrew James Picca D.o. NPPES

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

DR. ANDREW JAMES PICCA D.O. (NPI 1518493972) is an individual pediatrics provider in Charleston, South Carolina, licensed in South Carolina (40699) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with Musc Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1518493972

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. ANDREW JAMES PICCACredential: D.O.

Location Address169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL, MSC333Charleston, SC 29425-8905

Mailing Address169 Ashley Ave, Room 202 Main Hospital, Msc333Charleston, SC 29425-8905 · (843) 792-8972

Phone(843) 792-8972

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMay 4, 2017

✔ NPI 1518493972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in SC · 40699

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

169 ASHLEY AVE, Charleston, SC 29425

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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, 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. Andrew James Picca D.o. 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 ID4385910322

PECOS Enrollment IDI20230814003241

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.

Hospital Affiliations CMS Care Compare

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

Musc Medical Center

Acute Care Hospitals · Charleston, SC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number420004

Location169 Ashley AveCharleston, SC 29425 · Charleston County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29425 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.

73.84/100

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

Scored as part of a group practice

Quality

60.28

Promoting Interoperability

Improvement Activities

Cost

53.36

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.

MR. BRUCE ALAN REEVES PT

Physical Therapist (Orthopedic)

169 ASHLEY AVE, ROOM, 3SW WING
CHARLESTON, SC 29425

Charleston County (843) 792-3481

KRISTINA CALAMIA

Health and Wellness Coach

169 ASHLEY AVE
CHARLESTON, SC 29425

Charleston County (843) 792-3881

EMILY MCGILL MD

Anesthesiology

169 ASHLEY AVE
CHARLESTON, SC 29425

Charleston County (843) 792-2185

PAIGE WOODHAM M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL MSC333
CHARLESTON, SC 29425

Charleston County (843) 792-1086

KATIE FLOWER M.D.

Surgery

169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL
CHARLESTON, SC 29425

Charleston County (216) 385-5459

JENNIE HYEJIN KWON MD

Surgery

169 ASHLEY AVE
CHARLESTON, SC 29425

Charleston County (843) 792-3072

DR. BRIAN ELLIS JACOBS MD

Surgery

169 ASHLEY AVE
CHARLESTON, SC 29425

Charleston County (843) 792-1414

HANNAH ELIZABETH PRESSLER

Internal Medicine

169 ASHLEY AVE
CHARLESTON, SC 29425

Charleston County (843) 754-7275

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 Andrew Picca's NPI number?

The NPI number for Andrew Picca is 1518493972. It was assigned to this individual provider in the NPPES registry on May 4, 2017.

Where is Andrew Picca located?

Andrew Picca practices at 169 Ashley Ave Room 202 Main Hospital, Msc333, Charleston, SC 29425. The listed phone number is (843) 792-8972.

What is Andrew Picca's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Andrew Picca enrolled in Medicare?

Yes. Andrew Picca 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 Andrew Picca accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, Molina Healthcare and UnitedHealthcare list Andrew Picca 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 Andrew Picca affiliated with any hospitals?

According to CMS data, Andrew Picca is affiliated with Musc Medical Center.

When was this NPI record last updated?

The NPPES record for Andrew Picca was last updated on May 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.