STEPHANIE C PETERSON PA
NPI 1770708232
Physician Assistant in Irmo, SC

Q: What is Stephanie Peterson's NPI number?

The NPI number for Stephanie Peterson is 1770708232. It was assigned to this individual provider in the NPPES registry on April 17, 2007.

Q: What is Stephanie Peterson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since April 17, 2007PECOS EnrolledAccepts Medicare Assignment

7182 WOODROW ST STE 200, IRMO, SC 29063(803) 749-1111(803) 749-0050 Get Directions Write a Review

NPPES record last updated: June 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 19, 2024, Jul 19, 2021, Oct 23, 2017 (3 updates tracked since 2017).

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About Stephanie C Peterson Pa NPPES

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

STEPHANIE C PETERSON PA (NPI 1770708232) is an individual physician assistant in Irmo, South Carolina, licensed in South Carolina (1204) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, is affiliated with Lexington Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1770708232

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSTEPHANIE C PETERSONCredential: PA

Location Address7182 WOODROW ST STE 200Irmo, SC 29063-2958

Mailing Address7182 Woodrow St Ste 200Irmo, SC 29063-2958 · (803) 749-1111 · Fax (803) 749-0050

Phone(803) 749-1111

Fax(803) 749-0050

Sole ProprietorNo

Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2006

Enumeration DateApril 17, 2007

Last NPPES UpdateJune 19, 20243 updates tracked since enumeration

NPPES CertifiedJune 19, 2024

✔ NPI 1770708232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in SC · 1204

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

7182 WOODROW ST STE 200, Irmo, SC 29063

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Secondary Practice Locations 4

Location 17021 Saint Andrews Rd Ste 2Columbia, SC 29212-1177 · Phone (803) 749-1111 · Fax (803) 749-0050

Location 21 Wellness Blvd Ste 109Irmo, SC 29063-2872 · Phone (803) 749-1111 · Fax (803) 749-0050

Location 31 Wellness Blvd Ste 114Irmo, SC 29063-2873 · Phone (803) 749-1111 · Fax (803) 749-0050

Location 42728 Sunset Blvd Ste 300West Columbia, SC 29169-4815 · Phone (803) 744-4900 · Fax (803) 744-4938

Other Identifiers 2

Medicaid117698SC

OtherSC1204SC · Sc Medical License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina 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

Stephanie C Peterson Pa 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 ID749447498

PECOS Enrollment IDI20120208000015

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 8

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.

374 services322 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.

187 services150 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

178 services168 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

75 services65 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

42 services19 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426

An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.

27 services25 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 29063 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

$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.

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.

DIANNA LYN NEAL M.D.

Family Medicine