SUMEER LAL MD
NPI 1588743330
Neurological Surgery in Greenwood, SC

Active since November 03, 2006PECOS EnrolledAccepts Medicare Assignment
96.08/100
CMS Quality Rating
115 ACADEMY AVE, GREENWOOD, SC 29646(864) 725-7272(864) 725-5799 Get Directions Write a Review

NPPES record last updated: December 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 9, 2021, Aug 24, 2016 (2 updates tracked since 2016).

About Sumeer Lal Md NPPES

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

SUMEER LAL MD (NPI 1588743330) is an individual neurological surgery provider in Greenwood, South Carolina, licensed in South Carolina (26804) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Anmed Health, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1588743330
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameSUMEER LALCredential: MD
Location Address115 ACADEMY AVEGreenwood, SC 29646-3869
Mailing Address115 Academy AveGreenwood, SC 29646-3869 · (864) 725-7272 · Fax (864) 725-5799
Fax(864) 725-5799
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateNovember 3, 2006
Last NPPES UpdateDecember 9, 20212 updates tracked since enumeration
NPPES CertifiedDecember 9, 2021
NPI 1588743330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in SC · 26804
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
115 ACADEMY AVE, Greenwood, SC 29646

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

Sumeer Lal 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 ID4486645058
PECOS Enrollment IDI20040521000541
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 11

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.
225 services175 patients
Fusion of additional segment of spine 22614
Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.
63 services23 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.
57 services44 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
47 services47 patients
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048
This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.
37 services17 patients
Computer-assisted spinal procedure 61783
A computer-assisted spinal procedure is a surgical technique that uses computer technology for improved precision. It involves creating a 3D image of your spine to guide the surgeon during the operation. This method enhances accuracy, reduces risk, and promotes quicker recovery.
33 services31 patients

Hospital Affiliations CMS Care Compare 3

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

Anmed Health

Acute Care Hospitals · Anderson, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420027
Location800 N Fant StAnderson, SC 29621 · Anderson County
Emergency services Birthing friendly

Self Regional Healthcare

Acute Care Hospitals · Greenwood, SC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420071
Location1325 Spring StreetGreenwood, SC 29646 · Greenwood County
Emergency services Birthing friendly

Abbeville Area Medical Center

Critical Access Hospitals · Abbeville, SC
OwnershipVoluntary non-profit - Other
CMS Certification Number421301
Location420 Thomson CircleAbbeville, SC 29620 · Abbeville County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29646 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
$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.

96.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality92.17
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L0631
DME-Orthotic Devices · category DF007N
1 supplier11 claims11 services$859.26 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 20

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

Speech-Language Pathologist
115 ACADEMY AVE
GREENWOOD, SC 29646
Physical Medicine & Rehabilitation
115 ACADEMY AVE
GREENWOOD, SC 29646
Speech-Language Pathologist
115 ACADEMY AVE
GREENWOOD, SC 29646
Occupational Therapist
115 ACADEMY AVE
GREENWOOD, SC 29646
Physician Assistant (Surgical)
115 ACADEMY AVE
GREENWOOD, SC 29646
Nurse Practitioner
115 ACADEMY AVE
GREENWOOD, SC 29646
Neurological Surgery
115 ACADEMY AVE
GREENWOOD, SC 29646
Neurological Surgery
115 ACADEMY AVE
GREENWOOD, SC 29646

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 Sumeer Lal's NPI number?

The NPI number for Sumeer Lal is 1588743330. It was assigned to this individual provider in the NPPES registry on November 3, 2006.

Where is Sumeer Lal located?

Sumeer Lal practices at 115 Academy Ave, Greenwood, SC 29646. The listed phone number is (864) 725-7272.

What is Sumeer Lal's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Sumeer Lal enrolled in Medicare?

Yes. Sumeer Lal 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 Sumeer Lal accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare list Sumeer Lal 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 Sumeer Lal affiliated with any hospitals?

According to CMS data, Sumeer Lal is affiliated with Anmed Health, Self Regional Healthcare and Abbeville Area Medical Center.

When was this NPI record last updated?

The NPPES record for Sumeer Lal was last updated on December 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.