DR. STEPHANIE B WOOLLEN M.D.
NPI 1790780096
Internal Medicine - Nephrology in Georgetown, SC

Active since June 15, 2005PECOS Enrolled
69.85/100
CMS Quality Rating
GEORGETOWN COMMUNITY HOSPITAL, 606 BLACK RIVER ROAD, GEORGETOWN, SC 29440(843) 520-8452 Get Directions Write a Review

NPPES record last updated: January 25, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 25, 2022, Mar 18, 2020, Oct 21, 2019 (3 updates tracked since 2019).

About Dr. Stephanie B Woollen M.d. NPPES

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

DR. STEPHANIE B WOOLLEN M.D. (NPI 1790780096) is an individual nephrology provider in Georgetown, South Carolina, licensed in South Carolina (15566) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790780096
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameDR. STEPHANIE B WOOLLENCredential: M.D.
Location AddressGEORGETOWN COMMUNITY HOSPITAL, 606 BLACK RIVER ROADGeorgetown, SC 29440
Mailing Address105 Old Waccamaw DrPawleys Island, SC 29585-7278
Sole ProprietorNo
Enumeration DateJune 15, 2005
Last NPPES UpdateJanuary 25, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2022
NPI 1790780096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses Licensed in SC · 15566 Licensed in GA · 042002
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License 042002 (GA)
Also ListedHospitalistTaxonomy 208M00000X · License 042002 (GA)
GEORGETOWN COMMUNITY HOSPITAL, Georgetown, SC 29440

Other Identifiers 2

MedicaidN06701SC
Medicaid000706428VGA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Stephanie B Woollen M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29440 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.

69.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality57.55
Cost68.12

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers15 claims15 services$15.47 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers15 claims15 services$70.21 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Stephanie Woollen's NPI number?

The NPI number for Stephanie Woollen is 1790780096. It was assigned to this individual provider in the NPPES registry on June 15, 2005.

Where is Stephanie Woollen located?

Stephanie Woollen practices at Georgetown Community Hospital 606 Black River Road, Georgetown, SC 29440. The listed phone number is (843) 520-8452.

What is Stephanie Woollen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Stephanie Woollen enrolled in Medicare?

Yes. Stephanie Woollen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephanie Woollen was last updated on January 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.