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MATTHEW PHAM
NPI 1700263779
Dentist - Oral and Maxillofacial Surgery in West Columbia, SC

Active since April 29, 2015Opted out of Medicare · through Mar 20, 2027
3573 SUNSET BLVD, WEST COLUMBIA, SC 29169(803) 973-4530 Get Directions Write a Review

NPPES record last updated: November 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Matthew Pham NPPES

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

MATTHEW PHAM (NPI 1700263779) is an individual oral and maxillofacial surgery provider in West Columbia, South Carolina, licensed in South Carolina (10002) and active in the NPI registry since April 2015. He has opted out of Medicare through March 20, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1700263779
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameMATTHEW PHAM
Location Address3573 SUNSET BLVDWest Columbia, SC 29169-3043
Mailing Address101 Manning Dr, 149 Brauer Hall,Chapel Hill, NC 27514
Phone(803) 973-4530
Sole ProprietorYes
Enumeration DateApril 29, 2015
Last NPPES UpdateNovember 22, 2024
NPPES CertifiedNovember 22, 2024
✔ NPI 1700263779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in SC · 10002
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
3573 SUNSET BLVD, West Columbia, SC 29169
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Matthew Pham has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 20, 2021 through March 20, 2027.

Opt-Out Effective DateMarch 20, 2021
Opt-Out In Effect ThroughMarch 20, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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
$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.

Other Providers at the Same Location NPPES 3

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

JENNIFER ROSE VAN HOOK DMD
Student in an Organized Health Care Education/Training Program
3573 SUNSET BLVD
WEST COLUMBIA, SC 29169
Lexington County (803) 973-4530
THOMAS JERRY ROBBINS DMD
Dentist (Orofacial Pain)
3573 SUNSET BLVD
WEST COLUMBIA, SC 29169
Lexington County (803) 973-4530
KILEY COLLETT
Nurse Practitioner (Family)
3573 SUNSET BLVD
WEST COLUMBIA, SC 29169
Lexington County (803) 973-4530

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 Matthew Pham's NPI number?

The NPI number for Matthew Pham is 1700263779. It was assigned to this individual provider in the NPPES registry on April 29, 2015.

Where is Matthew Pham located?

Matthew Pham practices at 3573 Sunset Blvd, West Columbia, SC 29169. The listed phone number is (803) 973-4530.

What is Matthew Pham's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Matthew Pham enrolled in Medicare?

No. Matthew Pham has opted out of Medicare through March 20, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Matthew Pham accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC and Blue Cross and Blue Shield of Oklahoma and 8 other insurers list Matthew Pham 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 Matthew Pham was last updated on November 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.