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MR. JOHN CENAROSA PAGUNTALAN NP
NPI 1669664728
Nurse Practitioner in Greenwood, SC

Active since August 13, 2007PECOS EnrolledAccepts Medicare Assignment
96.08/100
CMS Quality Rating
105 VINECREST CT # 510, GREENWOOD, SC 29646(864) 725-4016(864) 725-5839 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 6, 2025, Aug 16, 2024, Nov 28, 2018 (3 updates tracked since 2018).

About Mr. John Cenarosa Paguntalan Np NPPES

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

MR. JOHN CENAROSA PAGUNTALAN NP (NPI 1669664728) is an individual nurse practitioner in Greenwood, South Carolina, licensed in South Carolina (905) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Self Regional Healthcare, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1669664728
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. JOHN CENAROSA PAGUNTALANCredential: NP
Location Address105 VINECREST CT # 510Greenwood, SC 29646-8031
Mailing Address104 Wells AveGreenwood, SC 29646-3837 · (864) 725-4673 · Fax (864) 725-7424
Phone(864) 725-4016
Fax(864) 725-5839
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateAugust 13, 2007
Last NPPES UpdateJanuary 6, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2025
✔ NPI 1669664728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in SC · 905
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
105 VINECREST CT # 510, Greenwood, SC 29646
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, First Choice Next, Molina Healthcare.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

Mr. John Cenarosa Paguntalan Np 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 ID4183515737
PECOS Enrollment IDI20040323000607
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 7

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 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.
619 services451 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
282 services231 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
87 services79 patients
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.
49 services49 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
48 services48 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

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
$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
$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.

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

Other Providers at the Same Location NPPES 2

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

TASHIA PALMORE TERRY NURSE PRACTITIONER
Nurse Practitioner
105 VINECREST CT # 510
GREENWOOD, SC 29646
Greenwood County (864) 725-4016
SELF MEDICAL GROUP
Family Medicine
105 VINECREST CT # 510
GREENWOOD, SC 29646
Greenwood County (864) 725-4016

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 John Paguntalan's NPI number?

The NPI number for John Paguntalan is 1669664728. It was assigned to this individual provider in the NPPES registry on August 13, 2007.

Where is John Paguntalan located?

John Paguntalan practices at 105 Vinecrest Ct # 510, Greenwood, SC 29646. The listed phone number is (864) 725-4016.

What is John Paguntalan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is John Paguntalan enrolled in Medicare?

Yes. John Paguntalan 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 John Paguntalan accept?

Health plans from BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare list John Paguntalan 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 John Paguntalan affiliated with any hospitals?

According to CMS data, John Paguntalan is affiliated with Self Regional Healthcare and Abbeville Area Medical Center.

When was this NPI record last updated?

The NPPES record for John Paguntalan was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.