DR. WILLIAM SHAWN GHENT MD
NPI 1528022423
Internal Medicine - Pulmonary Disease in West Columbia, SC

Active since April 17, 2006PECOS EnrolledAccepts Medicare Assignment
83.03/100
CMS Quality Rating
2728 SUNSET BLVD, WEST COLUMBIA, SC 29169(803) 256-0464(803) 935-8667 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 27, 2020, Sep 30, 2020, May 1, 2018 (3 updates tracked since 2018).

About Dr. William Shawn Ghent Md NPPES

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

DR. WILLIAM SHAWN GHENT MD (NPI 1528022423) is an individual pulmonary disease provider in West Columbia, South Carolina, licensed in South Carolina (14529) and active in the NPI registry since April 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 (1989).

NPPES Registry Identity

NPI1528022423
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. WILLIAM SHAWN GHENTCredential: MD
Location Address2728 SUNSET BLVDWest Columbia, SC 29169-4840
Mailing AddressPo Box 6069West Columbia, SC 29171-6069 · (803) 936-8900
Fax(803) 935-8667
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 1989
Enumeration DateApril 17, 2006
Last NPPES UpdateOctober 27, 20203 updates tracked since enumeration
NPPES CertifiedOctober 27, 2020
NPI 1528022423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in SC · 14529
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
2728 SUNSET BLVD, West Columbia, SC 29169

Other Names 1

Other Name (5)Shawn Ghent Md

Other Identifiers 1

Medicaid145293SC

Accepted 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. William Shawn Ghent 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 ID4385531391
PECOS Enrollment IDI20040303001049
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 16

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 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.
1,276 services897 patients
Test to measure rate of airflow 94375
This test, known as spirometry, measures how much air you can breathe in and out, and how quickly you can do so. It helps assess your lung function and can be used to diagnose or monitor conditions like asthma or COPD.
587 services514 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
368 services353 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.
254 services247 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
244 services235 patients
Test for exercise-induced lung stress 94618
An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.
236 services222 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
$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.

83.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.45
Promoting Interoperability89
Improvement Activities40
Cost72.17

Referred Medical Equipment & Supplies CMS DME claims 36

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
24 suppliers818 claims818 services$33.08 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
8 suppliers24 claims64 services$1.39 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005
DME-Other DME · category DE000N
7 suppliers34 claims34 services$13.56 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
24 suppliers511 claims511 services$74.89 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
24 suppliers508 claims1,353 services$28.38 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
20 suppliers243 claims1,346 services$15.26 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 16

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

Nurse Practitioner (Acute Care)
2728 SUNSET BLVD, SUITE 402
WEST COLUMBIA, SC 29169
Obstetrics & Gynecology
2728 SUNSET BLVD, SUITE 106
WEST COLUMBIA, SC 29169
Surgery (Plastic and Reconstructive Surgery)
2728 SUNSET BLVD, STE 105
WEST COLUMBIA, SC 29169
Durable Medical Equipment & Medical Supplies
2728 SUNSET BLVD
WEST COLUMBIA, SC 29169
Surgery (Plastic and Reconstructive Surgery)
2728 SUNSET BLVD, STE 105
WEST COLUMBIA, SC 29169
Nurse Practitioner (Family)
2728 SUNSET BLVD, SUITE 202
WEST COLUMBIA, SC 29169
Nurse Practitioner (Adult Health)
2728 SUNSET BLVD, SUITE 300
WEST COLUMBIA, SC 29169
Obstetrics & Gynecology
2728 SUNSET BLVD, SUITE 310
WEST COLUMBIA, SC 29169

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 William Ghent's NPI number?

The NPI number for William Ghent is 1528022423. It was assigned to this individual provider in the NPPES registry on April 17, 2006. The provider is also known as Shawn Ghent MD.

Where is William Ghent located?

William Ghent practices at 2728 Sunset Blvd, West Columbia, SC 29169. The listed phone number is (803) 256-0464.

What is William Ghent's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is William Ghent enrolled in Medicare?

Yes. William Ghent 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 William Ghent accept?

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

According to CMS data, William Ghent is affiliated with Lexington Medical Center.

When was this NPI record last updated?

The NPPES record for William Ghent was last updated on October 27, 2020. 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.