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DR. JAMES HORVATH JR. M.D.
NPI 1568678530
Pathology - Anatomic Pathology & Clinical Pathology in North Charleston, SC

Active since May 15, 2007PECOS EnrolledAccepts Medicare Assignment
283 DORCHESTER MANOR BLVD, NORTH CHARLESTON, SC 29420(330) 716-1150 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. James Horvath Jr. M.d. NPPES

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

DR. JAMES HORVATH JR. M.D. (NPI 1568678530) is an individual anatomic pathology & clinical pathology provider in North Charleston, South Carolina, licensed in South Carolina (33865) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of Northeastern Ohio University College Of Medicine (2006).

NPPES Registry Identity

NPI1568678530
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. JAMES HORVATH JR.Credential: M.D.
Location Address283 DORCHESTER MANOR BLVDNorth Charleston, SC 29420-8108
Mailing Address283 Dorchester Manor BlvdNorth Charleston, SC 29420-8108 · (330) 716-1150
Phone(330) 716-1150
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 2006
Enumeration DateMay 15, 2007
Last NPPES UpdateJanuary 7, 2025
NPPES CertifiedJanuary 7, 2025
✔ NPI 1568678530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in SC · 33865
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
283 DORCHESTER MANOR BLVD, North Charleston, SC 29420
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare, First Choice Next.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

Dr. James Horvath Jr. 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 ID8123287067
PECOS Enrollment IDI20120312000788, I20120606000029
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

3

Medicare enrollment records show James Horvath reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Consultants In Gastroenterology PA
95 mi
Gastroenterology
131 SUMMERPLACE DR
West Columbia, SC 29169
  • Reassigned Medicare billing, South Carolina enrollment
  • 53 clinicians in this Medicare group
NPI 1326004839 (803) 794-4585
Atlantic Medical Group PC
202 mi
Gastroenterology
4 JOSH COURT
Jacksonville, NC 28546
  • Reassigned Medicare billing, North Carolina enrollment
  • 21 clinicians in this Medicare group
NPI 1962728394 (910) 577-3636
Digestive Disease Center, PA
211 mi
Gastroenterology
2705 MEDICAL OFFICE PL
Goldsboro, NC 27534
  • Reassigned Medicare billing, North Carolina enrollment
  • 5 clinicians in this Medicare group
NPI 1013246727 (919) 731-2526

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

Areas of Expertise CMS Part B claims 5

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
814 services269 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
343 services114 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
179 services87 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
43 services14 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
27 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29420 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.

Other Providers at the Same Location NPPES 6

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

AP LABORATORIES
Clinical Medical Laboratory
283 DORCHESTER MANOR BLVD
NORTH CHARLESTON, SC 29420
Dorchester County (864) 580-3864
QUATTLEBAUM CHIROPRACTIC
Chiropractor (Sports Physician)
283 DORCHESTER MANOR BLVD
NORTH CHARLESTON, SC 29420
Dorchester County (843) 552-8000
CHRIS SMITH CHIROPRACTIC
Chiropractor (Sports Physician)
283 DORCHESTER MANOR BLVD
NORTH CHARLESTON, SC 29420
Dorchester County (843) 552-8000
AP LABORATORY
Pathology (Anatomic Pathology & Clinical Pathology)
283 DORCHESTER MANOR BLVD
NORTH CHARLESTON, SC 29420
Dorchester County (912) 225-9712
DR. FARREL IRVIN GROSSMAN D.C.
Chiropractor (Sports Physician)
283 DORCHESTER MANOR BLVD
N CHARLESTON, SC 29420
Dorchester County (843) 552-8000
PHYSICIANS HEALTH SOLUTIONS
General Practice
283 DORCHESTER MANOR BLVD
NORTH CHARLESTON, SC 29420
Dorchester County (843) 552-8000

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 James Horvath's NPI number?

The NPI number for James Horvath is 1568678530. It was assigned to this individual provider in the NPPES registry on May 15, 2007.

Where is James Horvath located?

James Horvath practices at 283 Dorchester Manor Blvd, North Charleston, SC 29420. The listed phone number is (330) 716-1150.

What is James Horvath's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is James Horvath enrolled in Medicare?

Yes. James Horvath 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 James Horvath's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Horvath reassigns Medicare benefits to 3 organizations: Consultants In Gastroenterology PA (West Columbia, SC), Atlantic Medical Group PC (Jacksonville, NC) and Digestive Disease Center, PA (Goldsboro, NC). 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 James Horvath's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Horvath accept?

Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare and First Choice Next list James Horvath 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.

When was this NPI record last updated?

The NPPES record for James Horvath was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.