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DEROSSET MYERS JR. PHD
NPI 1659331460
Psychologist - Clinical in Columbia, SC

Active since March 24, 2006PECOS EnrolledAccepts Medicare Assignment
15 MEDICAL PARK RD, SUITE 103, COLUMBIA, SC 29203(803) 255-3400(803) 255-3420 Get Directions Write a Review

NPPES record last updated: April 30, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Derosset Myers Jr. Phd NPPES

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

DEROSSET MYERS JR. PHD (NPI 1659331460) is an individual clinical provider in Columbia, South Carolina, licensed in South Carolina (431) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1659331460
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDEROSSET MYERS JR.Credential: PHD
Location Address15 MEDICAL PARK RD, SUITE 103Columbia, SC 29203-8003
Mailing Address15 Medical Park Rd, Suite 103Columbia, SC 29203-8003 · (803) 255-3400 · Fax (803) 255-3420
Phone(803) 255-3400
Fax(803) 255-3420
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateMarch 24, 2006
Last NPPES UpdateApril 30, 2008
✔ NPI 1659331460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in SC · 431
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
15 MEDICAL PARK RD, Columbia, SC 29203
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Other Identifiers 5

MedicaidGP0720SC
MedicaidPS0046SC
Medicare UPINQ31968
Medicare ID-Type UnspecifiedQ319684411
Medicare PINQ319684411SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, UnitedHealthcare.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

Derosset Myers Jr. Phd 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 ID5395932131
PECOS Enrollment IDI20101207000096
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.

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
$163.84 typical visit price
range $53.57 – $163.84
Typical copayment $40.96 (range $13.39 – $40.96)
Most-billed visit code 99205
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 18

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

DR. RICHARD LESESNE FRIERSON M.D.
Psychiatry & Neurology (Forensic Psychiatry)
15 MEDICAL PARK RD, SUITE 301
COLUMBIA, SC 29203
Richland County (803) 255-3400
DR. JOSHUA TAYLOR THORNHILL IV MD
Psychiatry & Neurology (Psychiatry)
15 MEDICAL PARK RD, SUITE 103
COLUMBIA, SC 29203
Richland County (803) 434-4300
DR. NIOAKA NICOLE CAMPBELL M.D.
Psychiatry & Neurology (Psychiatry)
15 MEDICAL PARK RD, SUITE 103
COLUMBIA, SC 29203
Richland County (803) 434-4300
DR. DONNA SCHWARTZ MADDOX M.D.
Psychiatry & Neurology (Forensic Psychiatry)
15 MEDICAL PARK RD, SUITE 103
COLUMBIA, SC 29203
Richland County (803) 434-4300
DR. TORA L BRAWLEY PH.D.
Psychologist (Forensic)
15 MEDICAL PARK RD, SUITE 103
COLUMBIA, SC 29203
Richland County (803) 434-4300
PROF. JANE R LITTMANN PHD
Psychologist (Clinical)
15 MEDICAL PARK RD, SUITE 103
COLUMBIA, SC 29203
Richland County (803) 434-4300
MS. ALLISON FOSTER DEFELICE PH.D.
Psychologist (Clinical)
15 MEDICAL PARK RD, SUITE 103
COLUMBIA, SC 29203
Richland County (803) 434-4300
DR. RICHARD KENT HARDING SR. M.D.
Psychiatry & Neurology (Psychiatry)
15 MEDICAL PARK RD, SUITE 103
COLUMBIA, SC 29203
Richland County (803) 434-4300

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 Derosset Myers's NPI number?

The NPI number for Derosset Myers is 1659331460. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Derosset Myers located?

Derosset Myers practices at 15 Medical Park Rd Suite 103, Columbia, SC 29203. The listed phone number is (803) 255-3400.

What is Derosset Myers's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Derosset Myers enrolled in Medicare?

Yes. Derosset Myers 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 Derosset Myers accept?

Health plans from BlueCross BlueShield of South Carolina and UnitedHealthcare list Derosset Myers 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 Derosset Myers was last updated on April 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.