MICHAEL LUKE SIMHACHALAM
NPI 1841857331
Family Medicine in Greenwood, SC

Active since May 21, 2019PECOS EnrolledAccepts Medicare Assignment
155 ACADEMY AVE, GREENWOOD, SC 29646(864) 725-4865(864) 725-4883 Get Directions Write a Review

NPPES record last updated: July 18, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 18, 2023, Dec 14, 2021, Jun 5, 2020 and 1 more (4 updates tracked since 2019).

About Michael Luke Simhachalam NPPES

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

MICHAEL LUKE SIMHACHALAM (NPI 1841857331) is an individual family medicine provider in Greenwood, South Carolina, licensed in South Carolina (82669) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Frye Regional Medical Center, and is a graduate of Creighton University School Of Medicine (2019).

NPPES Registry Identity

NPI1841857331
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICHAEL LUKE SIMHACHALAM
Location Address155 ACADEMY AVEGreenwood, SC 29646-3869
Mailing Address155 Academy AveGreenwood, SC 29646-3869 · (864) 725-4865 · Fax (864) 725-4883
Fax(864) 725-4883
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 2019
Enumeration DateMay 21, 2019
Last NPPES UpdateJuly 18, 20234 updates tracked since enumeration
NPPES CertifiedJuly 18, 2023
NPI 1841857331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in SC · 82669
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
155 ACADEMY AVE, Greenwood, SC 29646

Accepted 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

Michael Luke Simhachalam 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 ID6901228212
PECOS Enrollment IDI20230814002995
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 6

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 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.
157 services98 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
83 services23 patients
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.
70 services50 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.
25 services25 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
21 services13 patients
Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected 0241U
This test detects the RNA of respiratory viruses, including COVID-19, Influenza A, Influenza B, and Respiratory Syncytial Virus, in an upper respiratory specimen. The test result will report if each virus is detected or not, helping in accurate diagnosis.
19 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Frye Regional Medical Center

Acute Care Hospitals · Hickory, NC
1/5 CMS rating
OwnershipProprietary
CMS Certification Number340116
Location420 N Center StHickory, NC 28601 · Catawba County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29646 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.

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
155 ACADEMY AVE
GREENWOOD, SC 29646
Student in an Organized Health Care Education/Training Program
155 ACADEMY AVE
GREENWOOD, SC 29646
Family Medicine
155 ACADEMY AVE
GREENWOOD, SC 29646
Family Medicine
155 ACADEMY AVE
GREENWOOD, SC 29646
Family Medicine
155 ACADEMY AVE
GREENWOOD, SC 29646
Family Medicine
155 ACADEMY AVE
GREENWOOD, SC 29646
Family Medicine
155 ACADEMY AVE
GREENWOOD, SC 29646
Family Medicine
155 ACADEMY AVE
GREENWOOD, SC 29646

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 Michael Simhachalam's NPI number?

The NPI number for Michael Simhachalam is 1841857331. It was assigned to this individual provider in the NPPES registry on May 21, 2019.

Where is Michael Simhachalam located?

Michael Simhachalam practices at 155 Academy Ave, Greenwood, SC 29646. The listed phone number is (864) 725-4865.

What is Michael Simhachalam's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michael Simhachalam enrolled in Medicare?

Yes. Michael Simhachalam 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 Michael Simhachalam accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and First Choice Next and 1 other insurer list Michael Simhachalam 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 Michael Simhachalam affiliated with any hospitals?

According to CMS data, Michael Simhachalam is affiliated with Frye Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Simhachalam was last updated on July 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.