DR. ROSS MCGUIRE MICHELS MD
NPI 1679740211
Internal Medicine - Hematology & Oncology in Seneca, SC

Active since May 13, 2008PECOS EnrolledAccepts Medicare Assignment
131 LILA DOYLE DR, SENECA, SC 29672(864) 888-3717(864) 672-7852 Get Directions Write a Review

NPPES record last updated: February 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 6, 2026, Dec 15, 2025, Jun 4, 2021 and 2 more (5 updates tracked since 2015).

About Dr. Ross Mcguire Michels Md NPPES

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

DR. ROSS MCGUIRE MICHELS MD (NPI 1679740211) is an individual hematology & oncology provider in Seneca, South Carolina, licensed in South Carolina (38831) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Licking Memorial Hospital, and is a graduate of Medical University Of South Carolina College Of Medicine (2008).

NPPES Registry Identity

NPI1679740211
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. ROSS MCGUIRE MICHELSCredential: MD
Location Address131 LILA DOYLE DRSeneca, SC 29672-9495
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-8603
Fax(864) 672-7852
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2008
Enumeration DateMay 13, 2008
Last NPPES UpdateFebruary 6, 20265 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2026
✔ NPI 1679740211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses✔ Licensed in SC · 38831✔ Licensed in GA · 072010
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
131 LILA DOYLE DR, Seneca, SC 29672

Other Identifiers 1

Medicaid388315SC

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ross Mcguire Michels Md 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 ID7012134497
PECOS Enrollment IDI20151215000531, I20250506001226, I20260115003577
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Ross Michels reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
298 MEMORIAL DR
Seneca, SC 29672
  • Reassigned Medicare billing, South Carolina enrollment
  • 735 clinicians in this Medicare group
Urology
135 PROFESSIONAL PARK DR
Seneca, SC 29678
  • Reassigned Medicare billing, South Carolina enrollment
  • Medicare enrollment name: Prisma Health University Medical Group
  • 3,281 clinicians in this Medicare group
Interventional Cardiology
300 PALMETTO HEALTH PKWY STE 400
Columbia, SC 29212
  • Reassigned Medicare billing, South Carolina enrollment
  • 1,466 clinicians in this Medicare group
Anatomic Pathology & Clinical Pathology
1320 W MAIN ST
Newark, OH 43055
  • Reassigned Medicare billing, Ohio enrollment
  • Medicare enrollment name: Licking Memorial Health Professionals
  • 280 clinicians in this Medicare group
Multi-Specialty
2340 LIBERTY PKWY STE 200
Red Bluff, CA 96080
  • Reassigned Medicare billing, California enrollment
  • 131 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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 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.
583 services295 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
231 services115 patients
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.
135 services116 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
38 services38 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
37 services37 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.
14 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Licking Memorial Hospital

Acute Care Hospitals · Newark, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360218
Location1320 West Main StreetNewark, OH 43055 · Licking County
Emergency services Birthing friendly

Prisma Health Oconee Memorial Hospital

Acute Care Hospitals · Seneca, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420009
Location298 Memorial DrSeneca, SC 29672 · Oconee County
Emergency services Birthing friendly

Prisma Health Greenville Memorial Hospital

Acute Care Hospitals · Greenville, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420078
Location701 Grove RoadGreenville, SC 29605 · Greenville County
Birthing friendly

Prisma Health Patewood Hospital

Acute Care Hospitals · Greenville, SC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420102
Location175 Patewood DriveGreenville, SC 29615 · Greenville County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29672 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 8

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

Specialist
131 LILA DOYLE DR
SENECA, SC 29672
Pharmacy (Community/Retail Pharmacy)
131 LILA DOYLE DR
SENECA, SC 29672
General Acute Care Hospital
131 LILA DOYLE DR
SENECA, SC 29672
Internal Medicine (Hematology & Oncology)
131 LILA DOYLE DR
SENECA, SC 29672
Internal Medicine (Medical Oncology)
131 LILA DOYLE DR
SENECA, SC 29672
Nurse Practitioner (Family)
131 LILA DOYLE DR
SENECA, SC 29672
General Acute Care Hospital
131 LILA DOYLE DR
SENECA, SC 29672
Nurse Practitioner (Gerontology)
131 LILA DOYLE DR
SENECA, SC 29672

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 Ross Michels's NPI number?

The NPI number for Ross Michels is 1679740211. It was assigned to this individual provider in the NPPES registry on May 13, 2008.

Where is Ross Michels located?

Ross Michels practices at 131 Lila Doyle Dr, Seneca, SC 29672. The listed phone number is (864) 888-3717.

What is Ross Michels's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Ross Michels enrolled in Medicare?

Yes. Ross Michels 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.

Which organizations bill Medicare for Ross Michels's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ross Michels reassigns Medicare benefits to 5 organizations: Greenville Health System (Seneca, SC), Ghs Partners In Health, Inc. (Seneca, SC), Prisma Health Medical Group-Midlands (Columbia, SC), Licking Memorial Professional Corporation (Newark, OH) and Dignity Health (Red Bluff, CA). Each 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 Ross Michels's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ross Michels accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Anthem Blue Cross and Blue Shield and BlueCross BlueShield of South Carolina and 3 other insurers list Ross Michels 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 Ross Michels affiliated with any hospitals?

According to CMS data, Ross Michels is affiliated with Licking Memorial Hospital, Prisma Health Oconee Memorial Hospital, Prisma Health Greenville Memorial Hospital and Prisma Health Patewood Hospital.

When was this NPI record last updated?

The NPPES record for Ross Michels was last updated on February 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.