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DR. DIVYA SOMAYA KULKARNI M.D.
NPI 1740597178
Family Medicine in Roebuck, SC

Active since September 07, 2010PECOS EnrolledAccepts Medicare Assignment
5229 HIGHWAY 221, ROEBUCK, SC 29376(864) 576-8193(864) 595-2548 Get Directions Write a Review

NPPES record last updated: November 20, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Divya Somaya Kulkarni M.d. NPPES

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

DR. DIVYA SOMAYA KULKARNI M.D. (NPI 1740597178) is an individual family medicine provider in Roebuck, South Carolina, licensed in South Carolina (34046) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS, is affiliated with St Francis-downtown, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1740597178
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DIVYA SOMAYA KULKARNICredential: M.D.
Location Address5229 HIGHWAY 221Roebuck, SC 29376-3305
Mailing Address5229 Highway 221Roebuck, SC 29376-3305 · (864) 576-8193 · Fax (864) 595-2548
Phone(864) 576-8193
Fax(864) 595-2548
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateSeptember 7, 2010
Last NPPES UpdateNovember 20, 2015
✔ NPI 1740597178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in SC · 34046✔ Licensed in NY · 258522
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5229 HIGHWAY 221, Roebuck, SC 29376
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Other Names 1

Former Name (1)Dr. Divya Somaya M.d.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, First Choice Next and more.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. Divya Somaya Kulkarni 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 ID446445779
PECOS Enrollment IDI20120628000700
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 6

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 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.
347 services154 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
109 services109 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.
65 services48 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.
50 services38 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.
39 services38 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
35 services35 patients

Hospital Affiliations CMS Care Compare 2

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

St Francis-Downtown

Acute Care Hospitals · Greenville, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420023
LocationOne St Francis DrGreenville, SC 29601 · Greenville County
Emergency services Birthing friendly

Prisma Health Hillcrest Hospital

Acute Care Hospitals · Simpsonville, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420037
Location741 South East Main StreetSimpsonville, SC 29681 · Greenville County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29376 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
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

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
53%160 patients3/55-star benchmark: 100%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
22%27 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
67%226 patients3/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
82%222 patients4/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
53%93 patients3/55-star benchmark: 98%
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 2

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
10 suppliers47 claims110 services$5.67 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers25 claims29 services$0.81 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 4

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

MARY BLACK PHYSICIANS GROUP, LLC
Family Medicine
5229 HIGHWAY 221
ROEBUCK, SC 29376
Spartanburg County (864) 576-8193
MARY BLACK PHYSICIANS GROUP LLC
Clinic/Center (Rural Health)
5229 HIGHWAY 221
ROEBUCK, SC 29376
Spartanburg County (864) 576-8193
SPARTANBURG MEDICAL CENTER
Family Medicine
5229 HIGHWAY 221
ROEBUCK, SC 29376
Spartanburg County (864) 576-8193
DR. CARLA FRANKLIN GENTRY MD
Family Medicine
5229 HIGHWAY 221
ROEBUCK, SC 29376
Spartanburg County (864) 576-8193

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 Divya Kulkarni's NPI number?

The NPI number for Divya Kulkarni is 1740597178. It was assigned to this individual provider in the NPPES registry on September 7, 2010. The provider is also known as Dr. Divya Somaya M.D..

Where is Divya Kulkarni located?

Divya Kulkarni practices at 5229 Highway 221, Roebuck, SC 29376. The listed phone number is (864) 576-8193.

What is Divya Kulkarni's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Divya Kulkarni enrolled in Medicare?

Yes. Divya Kulkarni 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 Divya Kulkarni accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, First Choice Next, Molina Healthcare and UnitedHealthcare list Divya Kulkarni 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 Divya Kulkarni affiliated with any hospitals?

According to CMS data, Divya Kulkarni is affiliated with St Francis-Downtown and Prisma Health Hillcrest Hospital.

When was this NPI record last updated?

The NPPES record for Divya Kulkarni was last updated on November 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.