DR. TEMISAN L ETIKERENTSE MD
NPI 1710986757
Internal Medicine in Moncks Corner, SC

Active since July 20, 2005PECOS EnrolledAccepts Medicare Assignment
110 EXECUTIVE PKWY, MONCKS CORNER, SC 29461(843) 899-9099(843) 899-9091 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Temisan L Etikerentse Md NPPES

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

DR. TEMISAN L ETIKERENTSE MD (NPI 1710986757) is an individual internal medicine provider in Moncks Corner, South Carolina, licensed in South Carolina (20234) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Unc Health Nash, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1710986757
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. TEMISAN L ETIKERENTSECredential: MD
Location Address110 EXECUTIVE PKWYMoncks Corner, SC 29461-3930
Mailing Address783 Navigators RunMt. Pleasant, SC 29464-2829 · (843) 886-6729
Fax(843) 899-9091
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateJuly 20, 2005
Last NPPES UpdateMarch 7, 2023
NPI 1710986757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in SC · 20234
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
110 EXECUTIVE PKWY, Moncks Corner, SC 29461

Other Identifiers 12

OtherJB021564SC · Jua
Other571134452Federal In
MedicaidGP3914SC
Other20 20234SC · State Registration
Other20234SC · Medical License
Medicaid202346SC
Other562413454SC · Secondary Tax Id
Other562413454Federal In
Other75767SC · Sc Pcf
Other9800859NC · Medical License
MedicaidGP3438SC
OtherJB021584Jua

Accepted 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

Dr. Temisan L Etikerentse 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 ID244126662
PECOS Enrollment IDI20040427000113, I20250902004119
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 23

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
473 services240 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.
245 services119 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.
224 services119 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
204 services106 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
199 services104 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
198 services102 patients

Hospital Affiliations CMS Care Compare 5

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

Unc Health Nash

Acute Care Hospitals · Rocky Mount, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340147
Location2460 Curtis Ellis DriveRocky Mount, NC 27804 · Nash County
Emergency services Birthing friendly

Colleton Medical Center

Acute Care Hospitals · Walterboro, SC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number420030
Location501 Robertson BoulevardWalterboro, SC 29488 · Colleton County
Emergency services Birthing friendly

Trident Medical Center

Acute Care Hospitals · Charleston, SC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number420079
Location9330 Medical Plaza DrCharleston, SC 29406 · Charleston County
Emergency services Birthing friendly

Aiken Regional Medical Center

Acute Care Hospitals · Aiken, SC
2/5 CMS rating
OwnershipProprietary
CMS Certification Number420082
Location302 University ParkwayAiken, SC 29801 · Aiken County
Emergency services Birthing friendly

Roper Hospital

Acute Care Hospitals · Charleston, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420087
Location316 Calhoun StCharleston, SC 29401 · Charleston County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29461 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%429 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers45 claims101 services$6.41 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers12 claims20 services$1.20 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier13 claims13 services$17.80 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers16 claims16 services$81.03 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers19 claims22 services$198.87 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

Physician Assistant
110 EXECUTIVE PKWY
MONCKS CORNER, SC 29461
Internal Medicine
110 EXECUTIVE PKWY
MONCKS CORNER, SC 29461
Registered Nurse
110 EXECUTIVE PKWY
MONCKS CORNER, SC 29461
Pediatrics
110 EXECUTIVE PKWY
MONCKS CORNER, SC 29461
Nurse Practitioner (Family)
110 EXECUTIVE PKWY
MONCKS CORNER, SC 29461
Pharmacy (Clinic Pharmacy)
110 EXECUTIVE PKWY
MONCKS CORNER, SC 29461

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 Temisan Etikerentse's NPI number?

The NPI number for Temisan Etikerentse is 1710986757. It was assigned to this individual provider in the NPPES registry on July 20, 2005.

Where is Temisan Etikerentse located?

Temisan Etikerentse practices at 110 Executive Pkwy, Moncks Corner, SC 29461. The listed phone number is (843) 899-9099.

What is Temisan Etikerentse's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Temisan Etikerentse enrolled in Medicare?

Yes. Temisan Etikerentse 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 Temisan Etikerentse accept?

Health plans from BlueCross BlueShield of South Carolina, Molina Healthcare and UnitedHealthcare list Temisan Etikerentse 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 Temisan Etikerentse affiliated with any hospitals?

According to CMS data, Temisan Etikerentse is affiliated with Unc Health Nash, Colleton Medical Center, Trident Medical Center, Aiken Regional Medical Center and Roper Hospital.

When was this NPI record last updated?

The NPPES record for Temisan Etikerentse was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.