DR. ROBERT PUCHALSKI M.D.
NPI 1740215904
Otolaryngology - Sleep Medicine in Lugoff, SC

Active since July 12, 2006PECOS EnrolledAccepts Medicare Assignment
99.32/100
CMS Quality Rating
15 EXCHANGE DR, LUGOFF, SC 29078(803) 408-3277(803) 408-3299 Get Directions Write a Review

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

Record update history: May 26, 2020, Aug 14, 2017 (2 updates tracked since 2017).

About Dr. Robert Puchalski M.d. NPPES

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

DR. ROBERT PUCHALSKI M.D. (NPI 1740215904) is an individual sleep medicine provider in Lugoff, South Carolina, licensed in South Carolina (23048) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Prisma Health Richland Hospital, and is a graduate of University Of Washington School Of Medicine (1997).

NPPES Registry Identity

NPI1740215904
Entity TypeIndividualMale
Primary Taxonomy207YS0012X
Provider Legal NameDR. ROBERT PUCHALSKICredential: M.D.
Location Address15 EXCHANGE DRLugoff, SC 29078-9198
Mailing AddressPo Box 520Lugoff, SC 29078-0520 · (803) 408-3277 · Fax (803) 408-3299
Fax(803) 408-3299
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 1997
Enumeration DateJuly 12, 2006
Last NPPES UpdateMay 26, 20202 updates tracked since enumeration
NPPES CertifiedMay 26, 2020
NPI 1740215904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOtolaryngology · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207YS0012X
License Licensed in SC · 23048
Definition

An Otolaryngologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.

Also ListedOtolaryngologyTaxonomy 207Y00000X · License 23048 (SC)
15 EXCHANGE DR, Lugoff, SC 29078

Other Identifiers 2

Medicaid230486SC
OtherDE5192SC · Unspecified

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. Robert Puchalski 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 ID1759376528
PECOS Enrollment IDI20040420000318
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 35

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.

Test for allergy using airborne allergenic extract injected into skin 95027
This procedure, often called a skin prick test, helps identify allergies. A tiny amount of allergenic extract is introduced into the skin using a small needle. If you're allergic, you'll develop a small raised bump. It's a quick, simple way to diagnose allergies.
5,058 services96 patients
Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
5,054 services96 patients
Injection, omalizumab, 5 mg J2357
Omalizumab is a medication given via injection. It's used to treat severe allergic asthma and chronic hives when other treatments fail. The 5mg dose is determined by your doctor based on your weight and condition.
4,050 services11 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
2,774 services359 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.
1,187 services686 patients
Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
760 services67 patients

Hospital Affiliations CMS Care Compare

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

Prisma Health Richland Hospital

Acute Care Hospitals · Columbia, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420018
Location5 Medical ParkColumbia, SC 29203 · Richland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29078 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.

99.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality90.59
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 12

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
9 suppliers73 claims73 services$32.30 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
7 suppliers43 claims43 services$69.01 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
6 suppliers41 claims118 services$25.92 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
5 suppliers23 claims137 services$15.73 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
3 suppliers20 claims119 services$12.81 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
8 suppliers47 claims47 services$45.40 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 13

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

Nurse Practitioner (Family)
15 EXCHANGE DR
LUGOFF, SC 29078
Otolaryngology
15 EXCHANGE DR
LUGOFF, SC 29078
Otolaryngology
15 EXCHANGE DR
LUGOFF, SC 29078
Otolaryngology
15 EXCHANGE DR
LUGOFF, SC 29078
Physician Assistant
15 EXCHANGE DR
LUGOFF, SC 29078
Otolaryngology
15 EXCHANGE DR
LUGOFF, SC 29078
Audiologist
15 EXCHANGE DR
LUGOFF, SC 29078
Audiologist
15 EXCHANGE DR
LUGOFF, SC 29078

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 Robert Puchalski's NPI number?

The NPI number for Robert Puchalski is 1740215904. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Robert Puchalski located?

Robert Puchalski practices at 15 Exchange Dr, Lugoff, SC 29078. The listed phone number is (803) 408-3277.

What is Robert Puchalski's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Sleep Medicine, with taxonomy code 207YS0012X.

Is Robert Puchalski enrolled in Medicare?

Yes. Robert Puchalski 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 Robert Puchalski accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare and 1 other insurer list Robert Puchalski 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 Robert Puchalski affiliated with any hospitals?

According to CMS data, Robert Puchalski is affiliated with Prisma Health Richland Hospital.

When was this NPI record last updated?

The NPPES record for Robert Puchalski was last updated on May 26, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.