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ELIJAH SCOTT BAUSUM AGNP-C
NPI 1801642707
Urology in Sumter, SC

Active since April 30, 2024PECOS Enrolled
1285 WILSON HALL RD, SUMTER, SC 29150(803) 905-3555 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Elijah Scott Bausum Agnp-c NPPES

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

ELIJAH SCOTT BAUSUM AGNP-C (NPI 1801642707) is an individual urology provider in Sumter, South Carolina, licensed in South Carolina (28689) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801642707
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameELIJAH SCOTT BAUSUMCredential: AGNP-C
Location Address1285 WILSON HALL RDSumter, SC 29150-1804
Mailing Address704 Haile StSumter, SC 29150-3144 · (803) 464-2698
Phone(803) 905-3555
Sole ProprietorNo
Enumeration DateApril 30, 2024
NPPES CertifiedApril 30, 2024
✔ NPI 1801642707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in SC · 28689
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1285 WILSON HALL RD, Sumter, SC 29150
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elijah Scott Bausum Agnp-c 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.

Medicare Billing Reassignment

Medicare enrollment records show Elijah Bausum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Urology Clinic, Inc.
Same address
Urology
1285 WILSON HALL RD
Sumter, SC 29150
  • Reassigned Medicare billing, South Carolina enrollment
  • 6 clinicians in this Medicare group
NPI 1912368457 (803) 905-3555

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29150 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.

Other Providers at the Same Location NPPES 2

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

BRITTNEY HAWKINS APRN
Urology
1285 WILSON HALL RD
SUMTER, SC 29150
Sumter County (803) 905-3555
UROLOGY CLINIC, INC.
Urology
1285 WILSON HALL RD
SUMTER, SC 29150
Sumter County (803) 905-3555

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 Elijah Bausum's NPI number?

The NPI number for Elijah Bausum is 1801642707. It was assigned to this individual provider in the NPPES registry on April 30, 2024.

Where is Elijah Bausum located?

Elijah Bausum practices at 1285 Wilson Hall Rd, Sumter, SC 29150. The listed phone number is (803) 905-3555.

What is Elijah Bausum's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Elijah Bausum enrolled in Medicare?

Yes. Elijah Bausum is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elijah Bausum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elijah Bausum reassigns Medicare benefits to Urology Clinic, Inc. (Sumter, SC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elijah Bausum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elijah Bausum accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina and BlueCross BlueShield of South Carolina list Elijah Bausum 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.

When was this NPI record last updated?

The NPPES record for Elijah Bausum was last updated on April 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.