JAMES CARSWELL
NPI 1720038805
Internal Medicine - Critical Care Medicine in Charleston, SC

Q: What is James Carswell's NPI number?

The NPI number for James Carswell is 1720038805. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Q: What is James Carswell's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Q: When was this NPI record last updated?

The NPPES record for James Carswell was last updated on November 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 11, 2006PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

316 CALHOUN ST, CHARLESTON, SC 29401(843) 724-2450(843) 724-2455 Get Directions Write a Review

NPPES record last updated: November 9, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 9, 2020, Feb 12, 2019, Jan 16, 2019 and 5 more (8 updates tracked since 2015).

On this page

About James Carswell NPPES

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

JAMES CARSWELL (NPI 1720038805) is an individual critical care medicine provider in Charleston, South Carolina, licensed in South Carolina (26668) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Bon Secours-st Francis Xavier Hospital, and maintains a secondary practice location in Charlotte.

NPPES Registry Identity

NPI1720038805

Entity TypeIndividualMale

Primary Taxonomy207RC0200X

Provider Legal NameJAMES CARSWELL

Location Address316 CALHOUN STCharleston, SC 29401-1113

Mailing AddressPo Box 751649Charlotte, NC 28275-1649 · (843) 789-1620 · Fax (843) 724-2454

Phone(843) 724-2450

Fax(843) 724-2455

Sole ProprietorNo

Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1998

Enumeration DateMay 11, 2006

Last NPPES UpdateNovember 9, 20208 updates tracked since enumeration

NPPES CertifiedNovember 9, 2020

✔ NPI 1720038805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RC0200X

Licenses✔ Licensed in SC · 26668✔ Licensed in NC · 2015-01281

Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

316 CALHOUN ST, Charleston, SC 29401

Open in Google Maps ↗

Secondary Practice Location 1

Location 11350 S Kings DrCharlotte, NC 28207-2134 · Phone (704) 446-4490

Other Identifiers 1

Medicaid266688SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.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

James Carswell 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 ID1557353893

PECOS Enrollment IDI20040330000809

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

Medicare enrollment records show James Carswell reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Roper Hospital, Inc.

Same address

Cardiovascular Disease

316 CALHOUN ST
Charleston, SC 29401

Reassigned Medicare billing, South Carolina enrollment
140 clinicians in this Medicare group

NPI 1710915251 (843) 789-1620

Charleston Pulmonary Associates PA

0.1 mi

Pulmonary Disease

125 DOUGHTY ST, SUITE 200
Charleston, SC 29403

Reassigned Medicare billing, South Carolina enrollment
11 clinicians in this Medicare group

NPI 1053360198 (843) 577-6791

Bon Secours St. Francis Xavier Hosptial, Inc.

5.7 mi

Neurology

2095 HENRY TECKLENBURG DR
Charleston, SC 29414

Reassigned Medicare billing, South Carolina enrollment
Medicare enrollment name: Bon Secours St Francis Xavier Hospital Inc
375 clinicians in this Medicare group

NPI 1578929634 (843) 724-2450

Charleston-Amg Specialty Hospital, Inc.

6.1 mi

Long Term Care Hospital

1200 HOSPITAL DR
Mt Pleasant, SC 29464

Reassigned Medicare billing, South Carolina enrollment
15 clinicians in this Medicare group

NPI 1174345318 (337) 269-9566

Roper St. Francis Mount Pleasant Hospital

12 mi

Cardiovascular Disease

3500 HIGHWAY 17 BYP N
Mt Pleasant, SC 29466

Reassigned Medicare billing, South Carolina enrollment
114 clinicians in this Medicare group

NPI 1629499298 (843) 789-1620

Roper St Francis Hospital-Berkeley Inc.

21 mi

Critical Care Medicine

100 CALLEN BLVD
Summerville, SC 29486

Reassigned Medicare billing, South Carolina enrollment
53 clinicians in this Medicare group

NPI 1295534956 (854) 529-3100

Vibra Physicians LLC

1,481 mi

Hospitalist

4401 UNION ST
Johnstown, CO 80534

Reassigned Medicare billing, South Carolina enrollment
70 clinicians in this Medicare group

NPI 1659705424 (970) 278-9340

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 21

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.

1,038 services656 patients

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.

507 services179 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.

490 services294 patients

Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation G0399

A Home Sleep Test (HST) with a Type III Portable Monitor is an unattended test that records your breathing, heart rate, and oxygen levels during sleep. This test uses a minimum of 4 channels to monitor these parameters, helping to diagnose sleep disorders.

165 services161 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

136 services78 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

128 services18 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

120 services112 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

94 services92 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

89 services84 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

86 services81 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.

84 services84 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

45 services42 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

36 services36 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

32 services32 patients

Test to examine how well the lungs exchange gases 94729

31 services31 patients

Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811

A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.

26 services26 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

23 services23 patients

Test to determine lung volumes using sensors 94726

20 services20 patients

Sleep study in sleep lab (6 years or older) 95810

A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.

15 services15 patients

Test to measure expiratory airflow and volume 94010

12 services12 patients

Test for exercise-induced lung stress 94618

An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.

12 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Bon Secours-St Francis Xavier Hospital

Acute Care Hospitals · Charleston, SC

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420065

Location2095 Henry Tecklenburg DriveCharleston, SC 29414 · Charleston 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

East Cooper Medical Center

Acute Care Hospitals · Mount Pleasant, SC

5/5 CMS rating

OwnershipProprietary

CMS Certification Number420089

Location2000 Hospital DrMount Pleasant, SC 29464 · Charleston County

Emergency services Birthing friendly

Mount Pleasant Hospital

Acute Care Hospitals · Mount Pleasant, SC

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420104

Location3510 Highway 17 North Suite 140Mount Pleasant, SC 29466 · Charleston County

Emergency services

Roper St Francis Hospital-Berkeley Inc

Acute Care Hospitals · Summerville, SC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420110

Location300 Callen BlvdSummerville, SC 29486 · Dorchester County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29401 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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 23

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

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

15 suppliers113 claims113 services$33.92 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

11 suppliers70 claims70 services$70.02 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

10 suppliers65 claims165 services$26.20 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

14 suppliers75 claims390 services$16.26 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

10 suppliers60 claims322 services$13.07 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

17 suppliers145 claims145 services$47.65 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

18 suppliers127 claims127 services$16.32 avg. paid by Medicare

Chinstrap used with positive airway pressure device A7036

DME-Other DME · category DE001N

6 suppliers13 claims13 services$9.34 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

9 suppliers92 claims92 services$9.23 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

17 suppliers187 claims1,053 services$1.73 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

12 suppliers69 claims69 services$11.74 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

2 suppliers28 claims28 services$13.84 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

2 suppliers14 claims14 services$770.01 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0471

DME-Other DME · category DE001N

2 suppliers12 claims12 services$155.03 avg. paid by Medicare

Oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, custom fabricated, includes fitting and adjustment E0486

DME-Other DME · category DE000N

1 supplier11 claims11 services$953.15 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

6 suppliers19 claims19 services$110.30 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

3 suppliers147 claims150 services$10.97 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

3 suppliers41 claims41 services$4.35 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

8 suppliers314 claims317 services$27.46 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

6 suppliers110 claims110 services$62.66 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

3 suppliers41 claims41 services$33.88 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

3 suppliers11 claims1,080 services$0.10 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

8 suppliers17 claims17 services$24.49 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 20

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

CHRISTIAN ANTON SUNG PA-C

Physician Assistant

316 CALHOUN ST
CHARLESTON, SC 29401

Charleston County (843) 720-8490

AMY LYNN CANINO PA-C

Physician Assistant

316 CALHOUN ST
CHARLESTON, SC 29401

Charleston County (843) 402-1638

KAREN L SPODAREK D.O.

Radiology (Diagnostic Radiology)

316 CALHOUN ST
CHARLESTON, SC 29401

Charleston County (843) 724-2154

JOHNNY PHILLIPS CAMPBELL MD

Radiology (Diagnostic Radiology)

316 CALHOUN ST
CHARLESTON, SC 29401

Charleston County (843) 724-2988

RONA S CUSHMAN NNP

Nurse Practitioner (Neonatal, Critical Care)

316 CALHOUN ST
CHARLESTON, SC 29401

Charleston County (843) 402-1638

ROPER SAINT FRANCIS PHYSICIANS NETWORK

Internal Medicine

316 CALHOUN ST
CHARLESTON, SC 29401

Charleston County (843) 724-2450

MRS. ALISON MARIE BONDELL APRN

Nurse Practitioner (Acute Care)

316 CALHOUN ST
CHARLESTON, SC 29401

Charleston County (843) 724-2450

MRS. DEBORAH LYNN WALKER AGACNP-BC

Nurse Practitioner (Acute Care)

316 CALHOUN ST
CHARLESTON, SC 29401

Charleston County (843) 724-2450

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 James Carswell's NPI number?

The NPI number for James Carswell is 1720038805. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Where is James Carswell located?

James Carswell practices at 316 Calhoun St, Charleston, SC 29401. The listed phone number is (843) 724-2450.

What is James Carswell's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is James Carswell enrolled in Medicare?

Yes. James Carswell 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 James Carswell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Carswell reassigns Medicare benefits to 7 organizations: Roper Hospital, Inc. (Charleston, SC), Charleston Pulmonary Associates PA (Charleston, SC), Bon Secours St. Francis Xavier Hosptial, Inc. (Charleston, SC), Charleston-Amg Specialty Hospital, Inc. (Mt Pleasant, SC), Roper St. Francis Mount Pleasant Hospital (Mt Pleasant, SC) and 2 more organizations, listed in the Medicare section above. 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 James Carswell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Carswell accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next and 2 other insurers list James Carswell 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 James Carswell affiliated with any hospitals?

According to CMS data, James Carswell is affiliated with Bon Secours-St Francis Xavier Hospital, Roper Hospital, East Cooper Medical Center, Mount Pleasant Hospital and Roper St Francis Hospital-Berkeley Inc.

When was this NPI record last updated?

The NPPES record for James Carswell was last updated on November 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.