PRISMA HEALTH OP SURGERY SPARTANBURG
NPI 1629432869
General Acute Care Hospital in Spartanburg, SC
About Prisma Health Op Surgery Spartanburg NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRISMA HEALTH OP SURGERY SPARTANBURG (NPI 1629432869) is a healthcare organization registered as a general acute care hospital in Spartanburg, South Carolina and active in the NPI registry since April 2016. The organization holds an CLIA Accreditation certificate valid through January 30, 2028 and lists Polly H. Miller, Svp Finance, Enterprise Contracting, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Prisma Health Op Surgery Spartanburg is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
412Medicare enrollment records show 412 clinicians reassign Medicare billing to Prisma Health Op Surgery Spartanburg, which bills Medicare for the services they deliver. Of these, 12 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 13
Nearest to this location (20)
See all 412Spartanburg, SC 29303
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Accreditation 42D1024710
Prisma Health - Upstate Dba Prisma Health Surgery Center - Spartanburg Poc Lab · Spartanburg, SCFrequently 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 Prisma Health-Upstate's NPI number?
The NPI number for Prisma Health-Upstate is 1629432869. It was assigned to this organization in the NPPES registry on April 13, 2016. The provider is doing business as Prisma Health Op Surgery Spartanburg.
Where is Prisma Health-Upstate located?
Prisma Health-Upstate is located at 1413 John B White Sr Blvd Ste D, Spartanburg, SC 29306. The listed phone number is (864) 587-5768.
What is Prisma Health-Upstate's specialty?
The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.
Is Prisma Health-Upstate enrolled in Medicare?
Yes. Prisma Health-Upstate is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Prisma Health-Upstate?
According to the CMS Revalidation Reassignment List (October 2026 release), 412 clinicians in 13 Medicare specialties reassign their Medicare billing to Prisma Health-Upstate. A 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 the clinician's services. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (267), Emergency Medicine (99) and Nurse Practitioner (20). Of these, 12 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Prisma Health-Upstate hold a CLIA laboratory certificate?
Yes. A Certificate of Accreditation (number 42D1024710) is associated with this NPI, valid through January 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Prisma Health-Upstate accept?
Health plans from InStil Health list Prisma Health-Upstate 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 Prisma Health-Upstate was last updated on January 30, 2023. 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.
# Prisma Health Op Surgery Spartanburg · NPI 1629432869
General Acute Care Hospital organization in Spartanburg, South Carolina. Organization record, active in the CMS NPPES registry since April 13, 2016.
## Identity
- **NPI:** 1629432869 (Entity type: Organization)
- **Enumerated:** April 13, 2016
- **Primary specialty:** General Acute Care Hospital · taxonomy 282N00000X
- **Legal business name:** Prisma Health-Upstate
- **Organization subpart:** No
- **Authorized official:** Polly Miller, SVP FINANCE, ENTERPRISE CONTRACTING
## Practice location
- **Address:** 1413 JOHN B WHITE SR BLVD STE D, Spartanburg, SC 29306-3995
- **Phone:** (864) 587-5768 · **Fax:** (864) 587-5776
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 412 clinicians in 13 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Certified Registered Nurse Anesthetist (CRNA) (267), Emergency Medicine (99), Nurse Practitioner (20); 12 practice within 10 miles; [full list](https://npiprofile.com/npi/1629432869/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 30, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1629432869) · Data from the CMS NPPES public registry.