ALICIA OVERHOLT
NPI 1851051882
Nurse Practitioner - Gerontology in Columbia, SC

Active since December 17, 2021PECOS EnrolledAccepts Medicare Assignment
41.68/100
CMS Quality Rating
111 DOCTOR CIR, COLUMBIA, SC 29203(800) 491-0909 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 30, 2023, Dec 17, 2021 (2 updates tracked since 2021).

About Alicia Overholt NPPES

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

ALICIA OVERHOLT (NPI 1851051882) is an individual gerontology provider in Columbia, South Carolina, licensed in South Carolina (24505) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1851051882
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameALICIA OVERHOLT
Location Address111 DOCTOR CIRColumbia, SC 29203-6502
Mailing Address111 Doctor CirColumbia, SC 29203-6502 · (800) 491-0909
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 17, 2021
Last NPPES UpdateOctober 30, 20232 updates tracked since enumeration
NPPES CertifiedOctober 30, 2023
NPI 1851051882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in SC · 24505
111 DOCTOR CIR, Columbia, SC 29203

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

Alicia Overholt 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 ID3375937865
PECOS Enrollment IDI20220226000027
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 10

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.

Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month 99489
Complex chronic care management is a service for patients with multiple chronic conditions. It involves an additional 60 minutes per month of clinical staff time directed by a healthcare professional. This service assists in managing your health conditions effectively.
584 services41 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
439 services78 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.
264 services65 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
133 services58 patients
Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month 99487
Complex chronic care management is a service for patients with two or more long-term health conditions. It involves a healthcare professional directing clinical staff in providing care for the first 60 minutes each month. This helps manage your health conditions effectively.
99 services41 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
22 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29203 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.

41.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality26.11
Improvement Activities40
Cost41.08

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.

Nurse Practitioner (Psychiatric/Mental Health)
111 DOCTOR CIR
COLUMBIA, SC 29203
Nurse Practitioner (Family)
111 DOCTOR CIR
COLUMBIA, SC 29203
Nurse Practitioner (Family)
111 DOCTOR CIR
COLUMBIA, SC 29203
Nurse Practitioner (Family)
111 DOCTOR CIR
COLUMBIA, SC 29203
Nurse Practitioner (Family)
111 DOCTOR CIR
COLUMBIA, SC 29203
Nurse Practitioner (Family)
111 DOCTOR CIR
COLUMBIA, SC 29203
Nurse Practitioner
111 DOCTOR CIR
COLUMBIA, SC 29203
Nurse Practitioner (Family)
111 DOCTOR CIR
COLUMBIA, SC 29203

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 Alicia Overholt's NPI number?

The NPI number for Alicia Overholt is 1851051882. It was assigned to this individual provider in the NPPES registry on December 17, 2021.

Where is Alicia Overholt located?

Alicia Overholt practices at 111 Doctor Cir, Columbia, SC 29203. The listed phone number is (800) 491-0909.

What is Alicia Overholt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Alicia Overholt enrolled in Medicare?

Yes. Alicia Overholt 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 Alicia Overholt accept?

Health plans from BlueCross BlueShield of South Carolina list Alicia Overholt 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 Alicia Overholt was last updated on October 30, 2023. 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.