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JAMES BENEDICT JR. M.D.
NPI 1639283088
Hospitalist in West Columbia, SC

Active since August 19, 2006PECOS EnrolledAccepts Medicare Assignment
83.03/100
CMS Quality Rating
2720 SUNSET BLVD, WEST COLUMBIA, SC 29169(803) 791-2480(803) 936-4102 Get Directions Write a Review

NPPES record last updated: October 13, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 13, 2020, Sep 28, 2020, Jun 20, 2017 (3 updates tracked since 2017).

About James Benedict Jr. M.d. NPPES

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

JAMES BENEDICT JR. M.D. (NPI 1639283088) is an individual hospitalist provider in West Columbia, South Carolina, licensed in South Carolina (29605) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Lexington Medical Center, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1639283088
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameJAMES BENEDICT JR.Credential: M.D.
Location Address2720 SUNSET BLVDWest Columbia, SC 29169-4810
Mailing AddressPo Box 6069West Columbia, SC 29171-6069
Phone(803) 791-2480
Fax(803) 936-4102
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateAugust 19, 2006
Last NPPES UpdateOctober 13, 20203 updates tracked since enumeration
NPPES CertifiedOctober 13, 2020
✔ NPI 1639283088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in SC · 29605
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

2720 SUNSET BLVD, West Columbia, SC 29169
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Other Identifiers 1

Medicaid296058SC

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

James Benedict 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 ID5496855900
PECOS Enrollment IDI20070713000002
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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
696 services298 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
288 services205 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
149 services146 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
57 services57 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
28 services15 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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers16 claims16 services$14.91 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers36 claims36 services$70.37 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.

DR. KITT RION MCMASTER M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
2720 SUNSET BLVD
WEST COLUMBIA, SC 29169
Lexington County (803) 791-2410
MR. ANTHONY THOMAS BRYANT CRNA
Nurse Anesthetist, Certified Registered
2720 SUNSET BLVD
WEST COLUMBIA, SC 29169
Lexington County (803) 791-2000
ANGELA LOUISE FISHBACK
Nurse Anesthetist, Certified Registered
2720 SUNSET BLVD
WEST COLUMBIA, SC 29169
Lexington County (803) 791-2000
LEXINGTON RADIOLOGY ASSOCIATES, P.A.
Radiology (Diagnostic Radiology)
2720 SUNSET BLVD, RADIOLOGY DEPARTMENT
WEST COLUMBIA, SC 29169
Lexington County (803) 791-2365
DR. WILLIAM PERRY EDENFIELD JR. M.D.
Radiology (Diagnostic Radiology)
2720 SUNSET BLVD, RADIOLOGY DEPARTMENT
WEST COLUMBIA, SC 29169
Lexington County (803) 791-2000
MARY A BOSWORTH CRNA
Nurse Anesthetist, Certified Registered
2720 SUNSET BLVD
WEST COLUMBIA, SC 29169
Lexington County (803) 791-2000
HEATHER J SLATON CRNA
Registered Nurse
2720 SUNSET BLVD
WEST COLUMBIA, SC 29169
Lexington County (803) 791-2000
JEWEL D SOUTHERLAND CRNA
Registered Nurse
2720 SUNSET BLVD
WEST COLUMBIA, SC 29169
Lexington County (803) 791-2000

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 Benedict's NPI number?

The NPI number for James Benedict is 1639283088. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Where is James Benedict located?

James Benedict practices at 2720 Sunset Blvd, West Columbia, SC 29169. The listed phone number is (803) 791-2480.

What is James Benedict's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is James Benedict enrolled in Medicare?

Yes. James Benedict 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.

Is James Benedict affiliated with any hospitals?

According to CMS data, James Benedict is affiliated with Lexington Medical Center.

When was this NPI record last updated?

The NPPES record for James Benedict was last updated on October 13, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.