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

Q: 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.

Q: What is Clarence Campbell's specialty?

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

Q: 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.

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: October 18, 2026.

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

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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

Phone(803) 273-4018

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

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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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Clarence Campbell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Metrolyna Health Care LLC

Same address

Primary Care

209 SOUTH COLLEGE STREET
Heath Springs, SC 29058

Reassigned Medicare billing, South Carolina enrollment
2 clinicians in this Medicare group

NPI 1780761684 (803) 273-4018

Prisma Health Medical Group-Midlands

44 mi

Oral & Maxillofacial Surgery

3304 FOREST DR
Columbia, SC 29204

Reassigned Medicare billing, South Carolina enrollment
1,466 clinicians in this Medicare group

NPI 1295222503 (803) 434-6565

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 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

Quality

77.06

Improvement Activities

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

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

DME-Oxygen and Supplies · category DC000N

3 suppliers57 claims58 services$14.57 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers25 claims25 services$3.66 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

4 suppliers37 claims38 services$25.17 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

3 suppliers83 claims84 services$59.99 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$31.71 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

2 suppliers14 claims840 services$6.33 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

5 suppliers26 claims8,185 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

7 suppliers25 claims3,630 services$0.10 avg. paid by Medicare

Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram J7677

DME-Drugs Administered Through DME · category DG006N

2 suppliers16 claims84,000 services$0.15 avg. paid by Medicare

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

DME-Other DME · category DE000N

9 suppliers66 claims66 services$25.66 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 2

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

IFEDIORA FOSTER AFULUKWE MD

Internal Medicine

209 S COLLEGE ST
HEATH SPRINGS, SC 29058

Lancaster County (803) 273-4018

MEDICAL UNIVERSITY HOSPITAL AUTHORITY

Clinic/Center (Rural Health)

209 S COLLEGE ST
HEATH SPRINGS, SC 29058

Lancaster County (803) 286-7720

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.

Which organizations bill Medicare for Clarence Campbell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clarence Campbell reassigns Medicare benefits to 2 organizations: Metrolyna Health Care LLC (Heath Springs, SC) and Prisma Health Medical Group-Midlands (Columbia, SC). Each 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 Clarence Campbell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.