GLENN MICHAEL ROSCHETZKY PA
NPI 1649909078
Physician Assistant in Columbia, SC

Active since June 09, 2022PECOS Enrolled
99.32/100
CMS Quality Rating
3 RICHLAND MEDICAL PARK DR STE 310, COLUMBIA, SC 29203(803) 434-8323(803) 434-8326 Get Directions Write a Review

NPPES record last updated: July 22, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 22, 2022, Jun 10, 2022 (2 updates tracked since 2022).

About Glenn Michael Roschetzky Pa NPPES

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

GLENN MICHAEL ROSCHETZKY PA (NPI 1649909078) is an individual physician assistant in Columbia, South Carolina, licensed in South Carolina (4445) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649909078
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameGLENN MICHAEL ROSCHETZKYCredential: PA
Location Address3 RICHLAND MEDICAL PARK DR STE 310Columbia, SC 29203-6862
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-8603
Fax(803) 434-8326
Sole ProprietorNo
Enumeration DateJune 9, 2022
Last NPPES UpdateJuly 22, 20222 updates tracked since enumeration
NPPES CertifiedJuly 22, 2022
NPI 1649909078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in SC · 4445
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 4445 (SC)
3 RICHLAND MEDICAL PARK DR STE 310, Columbia, SC 29203

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Glenn Michael Roschetzky Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 3

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
83 services83 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
63 services62 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29203 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
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.

99.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality90.59
Promoting Interoperability100
Improvement Activities40

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.

Neurological Surgery
3 RICHLAND MEDICAL PARK DR STE 310
COLUMBIA, SC 29203
Physician Assistant
3 RICHLAND MEDICAL PARK DR STE 310
COLUMBIA, SC 29203
Nurse Practitioner (Family)
3 RICHLAND MEDICAL PARK DR STE 310
COLUMBIA, SC 29203
Nurse Practitioner (Family)
3 RICHLAND MEDICAL PARK DR STE 310
COLUMBIA, SC 29203
Physician Assistant
3 RICHLAND MEDICAL PARK DR STE 310
COLUMBIA, SC 29203
Physician Assistant (Surgical)
3 RICHLAND MEDICAL PARK DR STE 310
COLUMBIA, SC 29203
Neurological Surgery
3 RICHLAND MEDICAL PARK DR STE 310
COLUMBIA, SC 29203
Physician Assistant (Surgical)
3 RICHLAND MEDICAL PARK DR STE 310
COLUMBIA, SC 29203

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 Glenn Roschetzky's NPI number?

The NPI number for Glenn Roschetzky is 1649909078. It was assigned to this individual provider in the NPPES registry on June 9, 2022.

Where is Glenn Roschetzky located?

Glenn Roschetzky practices at 3 Richland Medical Park Dr Ste 310, Columbia, SC 29203. The listed phone number is (803) 434-8323.

What is Glenn Roschetzky's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Glenn Roschetzky enrolled in Medicare?

Yes. Glenn Roschetzky is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Glenn Roschetzky was last updated on July 22, 2022. 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.