ANDREA M PEZZELLA MD
NPI 1730157058
Obstetrics & Gynecology - Gynecology in West Columbia, SC

Q: What is Andrea Pezzella's NPI number?

The NPI number for Andrea Pezzella is 1730157058. It was assigned to this individual provider in the NPPES registry on March 11, 2006.

Q: What is Andrea Pezzella's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Q: When was this NPI record last updated?

The NPPES record for Andrea Pezzella was last updated on October 10, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 11, 2006PECOS EnrolledAccepts Medicare Assignment

84.08/100

CMS Quality Rating

115 MIDLANDS CT, WEST COLUMBIA, SC 29169(803) 457-7000(803) 457-7001 Get Directions Write a Review

NPPES record last updated: October 10, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Andrea M Pezzella Md NPPES

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

ANDREA M PEZZELLA MD (NPI 1730157058) is an individual gynecology provider in West Columbia, South Carolina, licensed in South Carolina (29701) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Lexington Medical Center, and is a graduate of Saint Louis University School Of Medicine (1996).

NPPES Registry Identity

NPI1730157058

Entity TypeIndividualFemale

Primary Taxonomy207VG0400X

Provider Legal NameANDREA M PEZZELLACredential: MD

Location Address115 MIDLANDS CTWest Columbia, SC 29169-3456

Mailing Address109 Midlands Ct, Suite AWest Columbia, SC 29169-3456 · (803) 457-7000 · Fax (803) 457-7001

Phone(803) 457-7000

Fax(803) 457-7001

Sole ProprietorNo

Medical School CMSSaint Louis University School Of MedicineGraduated 1996

Enumeration DateMarch 11, 2006

Last NPPES UpdateOctober 10, 2017

✔ NPI 1730157058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207VG0400X

License✔ Licensed in SC · 29701

Definition

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 204555 (MA), 29701 (SC)

115 MIDLANDS CT, West Columbia, SC 29169

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Other Identifiers 20

Other042472266Private Healthcare System

OtherJ22633Blue Shield Indemnity

OtherAA3715Harvard Pilgrim Health Ca

Medicaid0120961MA

Other0120961Medicaid Welfare

Other042472266Tricare Champus

Other0700410Evercare

Other1009200Cigna Health Plan

Medicare ID-Type UnspecifiedA31235MA

OtherJ22633Blue Care Elect

Other7099315Aetna Us Healthcare

Other37554Healthy Start

Other784225Mvp Health Care

OtherA31235Medicare B

OtherJ22633Blue Shield Hmo Blue

Other042472266One Health Plan

Other042472266Three Rivers

Other160049837Railroad Medicare

Other45822Fallon Community Health P

Medicare UPINH19207

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, UnitedHealthcare.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

Andrea M Pezzella 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 ID2466450937

PECOS Enrollment IDI20070926001153

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 34

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.

Injection, onabotulinumtoxina, 1 unit J0585

Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.

8,300 services54 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.

979 services670 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

715 services496 patients

Insertion of temporary bladder tube 51701

This procedure involves placing a small tube into your lower abdomen to help drain urine from your bladder. It's a temporary measure, often used when normal urination is not possible. The tube remains in place until you can urinate on your own again.

275 services241 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.

201 services180 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.

181 services181 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

143 services143 patients

Electronic analysis of implanted neurostimulator generator with complex spinal cord or peripheral nerve stimulator programming 95972

This procedure involves electronically analyzing an implanted neurostimulator. This device sends electrical pulses to your spinal cord or peripheral nerves to manage pain. The programming is complex, requiring expert analysis to ensure proper functioning.

124 services101 patients

Exam with injections of chemical for destruction of bladder using an endoscope 52287

This procedure involves the use of a thin, flexible tube with a light (endoscope) for internal examination. A chemical is then injected to help eliminate specific issues in the bladder. It's a standard and safe process.

77 services54 patients

Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies 51729

This procedure helps to measure the pressure inside your bladder while passing fluid. It checks how well your bladder and the tube that carries fluid from your bladder are working. It's important for diagnosing issues with fluid flow and storage.

67 services67 patients

Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings 51784

This procedure involves the use of non-invasive devices to record the electrical activity of muscles at specific body openings. It's helpful in understanding muscle function and can assist in diagnosing certain conditions.

67 services67 patients

Insertion of device into abdomen with pressure and urine flow rate study 51797

This procedure involves placing a small device into your abdomen to monitor pressure and urine flow rates. It helps in understanding how well your body is processing and eliminating liquid waste. It's a safe procedure, typically performed under local anesthesia.

67 services67 patients

Insertion of sacral nerve neurostimulator electrode array 64561

The insertion of a sacral nerve neurostimulator electrode array is a procedure where a small device is placed under your skin. This device sends mild electrical pulses to your sacral nerves, which can help manage certain body functions and alleviate symptoms.

51 services51 patients

Insertion or replacement of peripheral, sacral, or gastric neurostimulator generator or receiver 64590

The insertion of a peripheral or gastric neurostimulator generator is a procedure that helps manage chronic pain or gastric conditions. A small device is surgically placed under the skin, which sends mild electrical signals to the nerves involved.

50 services50 patients

Injectable bulking agent, synthetic implant, urinary tract, 1 ml syringe, includes shipping and necessary supplies L8606

An injectable bulking agent is a synthetic implant used to improve the function of your urinary tract. It's administered via a 1 ml syringe. The cost includes shipping and all necessary supplies. It's a common, non-invasive procedure to enhance urinary control.

50 services24 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.

49 services45 patients

Plastic repair of vagina and tissue separating vagina, rectum, and bladder 57260

This procedure involves the surgical restoration of the body's lower passage and the tissue that separates it from the waste and urine disposal systems. It's done to improve comfort and function due to conditions like injury or aging.

32 services32 patients

Insertion of sacral nerve neurostimulator electrode array 64561

30 services30 patients

Fitting and insertion of vaginal support device 57160

A vaginal support device is a medical tool used to provide support to pelvic organs. During the procedure, a healthcare professional will gently place the device into the appropriate area. This is typically done in a clinical setting and can help with various health conditions.

28 services27 patients

Pessary, reusable, non rubber, any type A4562

A pessary is a device placed in the body to support areas that have dropped due to age or childbirth. It's made of non-rubber material. It's inserted and removed by a healthcare professional. Regular check-ups are needed to ensure comfort and proper function.

28 services27 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.

27 services27 patients

Injection of implant material beneath lining of bladder and/or urethra using an endoscope 51715

This is a procedure where a substance is inserted under the bladder or urethra lining using a special instrument called an endoscope. This helps to support these areas and improve their function. It's done in a safe, controlled medical environment.

25 services24 patients

Creation of sling around urethra in female to control leakage 57288

This procedure involves creating a supportive loop around a tube in your lower body that carries liquid waste. This helps manage any unwanted leakage, providing you with better control and comfort.

25 services25 patients

Electronic assessment of bladder emptying 51741

Electronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.

20 services20 patients

Electronic analysis of implanted neurostimulator generator with simple spinal cord or peripheral nerve stimulator programming 95971

This procedure involves the use of electronic devices to analyze and adjust an implanted neurostimulator. The neurostimulator helps manage pain by sending mild electrical signals to your spinal cord or peripheral nerves. This analysis ensures it's functioning properly.

17 services17 patients

Surgical repair of vaginal defect using an endoscope 57425

This procedure involves the use of a special instrument, an endoscope, to help fix an issue within your body. It's a minimally invasive method, meaning less discomfort and quicker recovery compared to traditional surgery.

16 services16 patients

Revision of peripheral neurostimulator electrodes 64585

Revision of peripheral neurostimulator electrodes is a procedure that adjusts or replaces the tiny devices placed near your nerves. These electrodes help control pain signals to your brain, improving your comfort. The revision ensures they're working optimally.

15 services15 patients

Repair of pelvic ligaments through vagina 57282

This procedure involves mending the supportive tissues in your lower body region, accessed via the birth canal. It helps enhance stability and alleviate discomfort. The process is performed under anesthesia, ensuring a pain-free experience.

14 services14 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

14 services13 patients

Biopsy of bladder using an endoscope 52204

A biopsy of the bladder using an endoscope is a procedure where a small sample of bladder tissue is collected for testing. An endoscope, a flexible tube with a light and camera, is used to see inside the bladder. This helps to identify any abnormal areas. The procedure helps in the diagnosis of various conditions.

13 services13 patients

Dilation of bladder using an endoscope under general or spinal anesthesia 52260

This is a procedure where a special instrument called an endoscope is used to widen your bladder. It's done under anesthesia, so you won't feel anything. It helps with various bladder conditions by improving flow and reducing discomfort.

13 services13 patients

Repair of herniated rectum into vaginal wall 57250

This procedure involves correcting a physical condition where part of the rectum bulges into the vaginal area. It's done by repositioning the rectum and strengthening the tissue between the two areas to prevent recurrence.

13 services13 patients

Repair of bladder hernia into vaginal wall 57240

This procedure involves fixing a bulge in the bladder that has extended into the wall of the lower body passage. This bulge may cause discomfort or problems with normal body functions. The process realigns the bladder to its correct position, providing relief.

12 services12 patients

Revision of peripheral neurostimulator electrodes 64585

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Lexington Medical Center

Acute Care Hospitals · West Columbia, SC

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number420073

Location2720 Sunset BlvdWest Columbia, SC 29169 · Lexington County

Emergency services Birthing friendly

Prisma Health Baptist Parkridge

Acute Care Hospitals · Columbia, SC

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420106

Location400 Palmetto Health ParkwayColumbia, SC 29212 · Lexington County

Emergency services Birthing friendly

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

$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

$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.

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.

84.08/100

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

Scored as part of a group practice

Quality

68.16

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims

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

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

5 suppliers58 claims12,820 services$1.71 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 4

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

LAUREN COLLINS BRAKEBILL FNP

Nurse Practitioner (Family)

115 MIDLANDS CT
WEST COLUMBIA, SC 29169

Lexington County (803) 457-7000

JESSICA JACKSON RUEB M.D.

Urology (Urogynecology and Reconstructive Pelvic Surgery)

115 MIDLANDS CT
WEST COLUMBIA, SC 29169

Lexington County (803) 457-7000

MRS. WENDY R WALKER APRN

Advanced Practice Midwife

115 MIDLANDS CT
WEST COLUMBIA, SC 29169

Lexington County (803) 457-7000

SOUTHERN UROGYNECOLOGY LLC

Obstetrics & Gynecology

115 MIDLANDS CT
WEST COLUMBIA, SC 29169

Lexington County (803) 732-0738

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 Andrea Pezzella's NPI number?

The NPI number for Andrea Pezzella is 1730157058. It was assigned to this individual provider in the NPPES registry on March 11, 2006.

Where is Andrea Pezzella located?

Andrea Pezzella practices at 115 Midlands Ct, West Columbia, SC 29169. The listed phone number is (803) 457-7000.

What is Andrea Pezzella's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Andrea Pezzella enrolled in Medicare?

Yes. Andrea Pezzella 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 Andrea Pezzella accept?

Health plans from BlueCross BlueShield of South Carolina and UnitedHealthcare list Andrea Pezzella 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 Andrea Pezzella affiliated with any hospitals?

According to CMS data, Andrea Pezzella is affiliated with Lexington Medical Center and Prisma Health Baptist Parkridge.

When was this NPI record last updated?

The NPPES record for Andrea Pezzella was last updated on October 10, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.