MR. CLARENCE CAMPBELL III FNP
NPI 1811448194
Nurse Practitioner - Family in Heath Springs, SC

Active since October 20, 2016PECOS Enrolled
89.96/100
CMS Quality Rating
209 S COLLEGE ST, HEATH SPRINGS, SC 29058(803) 273-4018(803) 273-4023 Get Directions Write a Review

NPPES record last updated: February 26, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 26, 2019, Feb 13, 2017, Oct 20, 2016 (3 updates tracked since 2016).

About Mr. Clarence Campbell Iii Fnp NPPES

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

MR. CLARENCE CAMPBELL III FNP (NPI 1811448194) is an individual family provider in Heath Springs, South Carolina, licensed in South Carolina (20425) and active in the NPI registry since October 2016. He is enrolled in Medicare PECOS and maintains a secondary practice location in Columbia.

NPPES Registry Identity

NPI1811448194
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. CLARENCE CAMPBELL IIICredential: FNP
Location Address209 S COLLEGE STHeath Springs, SC 29058
Mailing Address209 S College StHeath Springs, SC 29058-9710 · (803) 273-4018 · Fax (803) 273-4023
Fax(803) 273-4023
Sole ProprietorNo
Enumeration DateOctober 20, 2016
Last NPPES UpdateFebruary 26, 20193 updates tracked since enumeration
NPI 1811448194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in SC · 20425
209 S COLLEGE ST, Heath Springs, SC 29058

Secondary Practice Location 1

Location 12 Medical Park Rd Ste 410Columbia, SC 29203-6808 · Phone (803) 540-1000 · Fax (803) 540-1075

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Clarence Campbell Iii Fnp 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 29058 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.

89.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.06
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 16

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
4 suppliers32 claims64 services$1.21 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers11 claims11 services$74.05 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers11 claims22 services$25.03 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
3 suppliers12 claims12 services$15.15 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
4 suppliers13 claims13 services$7.84 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers21 claims126 services$1.58 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

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

Internal Medicine
209 S COLLEGE ST
HEATH SPRINGS, SC 29058

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 Clarence Campbell's NPI number?

The NPI number for Clarence Campbell is 1811448194. It was assigned to this individual provider in the NPPES registry on October 20, 2016.

Where is Clarence Campbell located?

Clarence Campbell practices at 209 S College St, Heath Springs, SC 29058. The listed phone number is (803) 273-4018.

What is Clarence Campbell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Clarence Campbell enrolled in Medicare?

Yes. Clarence Campbell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Clarence Campbell was last updated on February 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.