DR. RICHARD WARREN MONK M.D.
NPI 1811150352
Internal Medicine - Pulmonary Disease in West Columbia, SC

Q: What is Richard Monk's NPI number?

The NPI number for Richard Monk is 1811150352. It was assigned to this individual provider in the NPPES registry on July 4, 2008.

Q: What is Richard Monk's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Richard Monk was last updated on November 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since July 04, 2008PECOS EnrolledAccepts Medicare Assignment

83.03/100

CMS Quality Rating

2728 SUNSET BLVD STE 104, WEST COLUMBIA, SC 29169(803) 256-0464(803) 254-5121 Get Directions Write a Review

NPPES record last updated: November 10, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 10, 2020, Oct 1, 2020, Jan 18, 2019 and 1 more (4 updates tracked since 2017).

On this page

About Dr. Richard Warren Monk M.d. NPPES

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

DR. RICHARD WARREN MONK M.D. (NPI 1811150352) is an individual pulmonary disease provider in West Columbia, South Carolina, licensed in South Carolina (30913) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Lexington Medical Center, and is a graduate of University Of South Carolina School Of Medicine (2008).

NPPES Registry Identity

NPI1811150352

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. RICHARD WARREN MONKCredential: M.D.

Location Address2728 SUNSET BLVD STE 104West Columbia, SC 29169-4838

Mailing AddressPo Box 6069West Columbia, SC 29171-6069

Phone(803) 256-0464

Fax(803) 254-5121

Sole ProprietorNo

Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2008

Enumeration DateJuly 4, 2008

Last NPPES UpdateNovember 10, 20204 updates tracked since enumeration

NPPES CertifiedNovember 10, 2020

✔ NPI 1811150352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in SC · 30913

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License LL30913 (SC)

2728 SUNSET BLVD STE 104, West Columbia, SC 29169

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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 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

Dr. Richard Warren Monk 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 ID1951557677

PECOS Enrollment IDI20120813000711

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 18

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.

961 services671 patients

Test to measure rate of airflow 94375

This test, known as spirometry, measures how much air you can breathe in and out, and how quickly you can do so. It helps assess your lung function and can be used to diagnose or monitor conditions like asthma or COPD.

402 services394 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.

212 services204 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

206 services206 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

192 services192 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

189 services189 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

165 services160 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

72 services72 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.

66 services66 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

63 services63 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

58 services58 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

24 services24 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.

17 services15 patients

Irrigation and suction of lung airways to obtain cells using an endoscope 31624

This is a procedure where a thin, flexible tube called an endoscope is inserted through your mouth into the lungs. A small amount of saline is then introduced to wash the airways. The fluid, along with cells from the lung, is suctioned back for analysis.

15 services15 patients

Pneumococcal vaccine, 23-valent 90732

The 23-valent pneumococcal vaccine is an injection that helps protect against serious infections caused by 23 types of pneumococcal bacteria. It's vital for those at risk, like older adults or people with certain health conditions, to prevent pneumonia, meningitis, and bloodstream infections.

14 services14 patients

Test to determine lung volumes using sensors 94726

13 services13 patients

Test to examine how well the lungs exchange gases 94729

13 services13 patients

Test for exercise-induced lung stress 94618

An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.

12 services12 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 29169 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.

83.03/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

80.45

Promoting Interoperability

Improvement Activities

Cost

72.17

Referred Medical Equipment & Supplies CMS DME claims 29

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

20 suppliers513 claims513 services$33.24 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

5 suppliers45 claims111 services$1.29 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005

DME-Other DME · category DE000N

7 suppliers19 claims19 services$11.24 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

22 suppliers397 claims397 services$74.09 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

19 suppliers389 claims1,035 services$28.28 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

14 suppliers116 claims630 services$15.39 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

12 suppliers87 claims466 services$11.92 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

15 suppliers216 claims216 services$43.58 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

25 suppliers331 claims331 services$15.81 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

14 suppliers61 claims61 services$9.31 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

23 suppliers536 claims2,932 services$1.75 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

11 suppliers26 claims26 services$5.05 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

19 suppliers204 claims204 services$11.86 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

14 suppliers356 claims368 services$14.25 avg. paid by Medicare

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

4 suppliers19 claims20 services$41.70 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

5 suppliers51 claims51 services$772.77 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

9 suppliers55 claims55 services$71.86 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

13 suppliers69 claims69 services$122.63 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

7 suppliers69 claims69 services$3.63 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

16 suppliers515 claims515 services$29.88 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

21 suppliers752 claims760 services$66.51 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

11 suppliers287 claims287 services$33.36 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

12 suppliers116 claims7,248 services$4.73 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

11 suppliers46 claims10,488 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

4 suppliers19 claims750 services$0.10 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

16 suppliers100 claims6,416 services$0.80 avg. paid by Medicare

Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram J7644

DME-Drugs Administered Through DME · category DG006N

13 suppliers80 claims3,891 services$0.16 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

21 suppliers151 claims151 services$25.38 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 90 days Q0514

DME-Other DME · category DE000N

6 suppliers15 claims15 services$52.09 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 15

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

ANDREI YERIK HETMAN M.D.

Internal Medicine (Critical Care Medicine)

2728 SUNSET BLVD STE 104
WEST COLUMBIA, SC 29169

Lexington County (803) 256-0464

DR. ROHAN R ARYA M.D.

Internal Medicine (Critical Care Medicine)

2728 SUNSET BLVD STE 104
WEST COLUMBIA, SC 29169

Lexington County (803) 256-0464

DR. PAUL D SMITH MD

Surgery

2728 SUNSET BLVD STE 104
WEST COLUMBIA, SC 29169

Lexington County (803) 939-2722

LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.

Internal Medicine (Sleep Medicine)

2728 SUNSET BLVD STE 104
WEST COLUMBIA, SC 29169

Lexington County (803) 791-2683

LEXINGTON COUNTY HEALTH SERVICE DISTRICT INC.

Surgery

2728 SUNSET BLVD STE 104
WEST COLUMBIA, SC 29169

Lexington County (803) 939-2723

MR. MICHAEL C MARSHALL MD

Internal Medicine (Pulmonary Disease)

2728 SUNSET BLVD STE 104
WEST COLUMBIA, SC 29169

Lexington County (803) 256-0464

REBECCA CORLEY BURNSIDE M.D.

Internal Medicine (Pulmonary Disease)

2728 SUNSET BLVD STE 104
WEST COLUMBIA, SC 29169

Lexington County (803) 256-0464

LEXINGTON HEALTH INC

Internal Medicine (Pulmonary Disease)

2728 SUNSET BLVD STE 104
WEST COLUMBIA, SC 29169

Lexington County (803) 256-0464

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 Richard Monk's NPI number?

The NPI number for Richard Monk is 1811150352. It was assigned to this individual provider in the NPPES registry on July 4, 2008.

Where is Richard Monk located?

Richard Monk practices at 2728 Sunset Blvd Ste 104, West Columbia, SC 29169. The listed phone number is (803) 256-0464.

What is Richard Monk's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Richard Monk enrolled in Medicare?

Yes. Richard Monk 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 Richard Monk accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, Molina Healthcare and UnitedHealthcare list Richard Monk 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 Richard Monk affiliated with any hospitals?

According to CMS data, Richard Monk is affiliated with Lexington Medical Center.

When was this NPI record last updated?

The NPPES record for Richard Monk was last updated on November 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.