CHARLES P. TOUSSAINT M.D.
NPI 1730368499
Neurological Surgery in West Columbia, SC

Active since October 30, 2007PECOS EnrolledAccepts Medicare Assignment
83.03/100
CMS Quality Rating
222 E MEDICAL LN STE 100&200, WEST COLUMBIA, SC 29169(803) 935-8410(803) 936-7816 Get Directions Write a Review

NPPES record last updated: November 11, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 11, 2020, Oct 2, 2020, Jan 3, 2019 and 1 more (4 updates tracked since 2017).

About Charles P. Toussaint M.d. NPPES

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

CHARLES P. TOUSSAINT M.D. (NPI 1730368499) is an individual neurological surgery provider in West Columbia, South Carolina, licensed in South Carolina (32405) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS, is affiliated with Lexington Medical Center, and is a graduate of Medical University Of South Carolina College Of Medicine (2003).

NPPES Registry Identity

NPI1730368499
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameCHARLES P. TOUSSAINTCredential: M.D.
Location Address222 E MEDICAL LN STE 100&200West Columbia, SC 29169-4847
Mailing AddressPo Box 6069West Columbia, SC 29171-6069
Fax(803) 936-7816
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2003
Enumeration DateOctober 30, 2007
Last NPPES UpdateNovember 11, 20204 updates tracked since enumeration
NPPES CertifiedNovember 11, 2020
NPI 1730368499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Licenses Licensed in SC · 32405 Licensed in IL · 036119356
Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

222 E MEDICAL LN STE 100&200, West Columbia, SC 29169

Other Identifiers 2

Medicaid324054SC
OtherAA51138946SC · Medicare Ptan

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

Charles P. Toussaint M.d. 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 ID2769515303
PECOS Enrollment IDI20100803000161
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 24

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.

Fusion of additional segment of spine 22614
Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.
137 services36 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.
106 services102 patients
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048
This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.
76 services22 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
71 services47 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.
54 services54 patients
Placement of stabilizing device to back, 3-6 spine bone segments 22842
This procedure involves placing a device on your back to stabilize 3-6 spine bone segments. It aids in maintaining spine alignment and reducing pain. The device is secured to the bones, providing support and promoting healing.
49 services48 patients

Hospital Affiliations CMS Care Compare

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

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.

83.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.45
Promoting Interoperability89
Improvement Activities40
Cost72.17

Referred Medical Equipment & Supplies CMS DME claims 3

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

Osteogenesis stimulator, electrical, non-invasive, spinal applications E0748
DME-Other DME · category DE000N
1 supplier41 claims41 services$3,763.81 avg. paid by Medicare
Cervical, collar, semi-rigid thermoplastic foam, two-piece, prefabricated, off-the-shelf L0172
DME-Orthotic Devices · category DF000N
2 suppliers11 claims11 services$119.36 avg. paid by Medicare
Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf L0642
DME-Orthotic Devices · category DF007N
2 suppliers23 claims23 services$349.97 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 17

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

Neurological Surgery
222 E MEDICAL LN STE 100&200
WEST COLUMBIA, SC 29169
Physical Therapist
222 E MEDICAL LN STE 100&200
WEST COLUMBIA, SC 29169
Neurological Surgery
222 E MEDICAL LN STE 100&200
WEST COLUMBIA, SC 29169
Physician Assistant (Surgical)
222 E MEDICAL LN STE 100&200
WEST COLUMBIA, SC 29169
Physical Medicine & Rehabilitation
222 E MEDICAL LN STE 100&200
WEST COLUMBIA, SC 29169
Nurse Practitioner
222 E MEDICAL LN STE 100&200
WEST COLUMBIA, SC 29169
Physical Therapist
222 E MEDICAL LN STE 100&200
WEST COLUMBIA, SC 29169
Physical Therapist
222 E MEDICAL LN STE 100&200
WEST COLUMBIA, SC 29169

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 Charles Toussaint's NPI number?

The NPI number for Charles Toussaint is 1730368499. It was assigned to this individual provider in the NPPES registry on October 30, 2007.

Where is Charles Toussaint located?

Charles Toussaint practices at 222 E Medical Ln Ste 100&200, West Columbia, SC 29169. The listed phone number is (803) 935-8410.

What is Charles Toussaint's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Charles Toussaint enrolled in Medicare?

Yes. Charles Toussaint 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 Charles Toussaint accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, Molina Healthcare and UnitedHealthcare list Charles Toussaint 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 Charles Toussaint affiliated with any hospitals?

According to CMS data, Charles Toussaint is affiliated with Lexington Medical Center.

When was this NPI record last updated?

The NPPES record for Charles Toussaint was last updated on November 11, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.