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VANCE NEWTON PIRKLE MD
NPI 1851419394
Obstetrics & Gynecology in Seneca, SC

Active since March 26, 2007PECOS EnrolledAccepts Medicare Assignment
103 CARTER PARK DR, SUITE A, SENECA, SC 29678(864) 482-2360(864) 482-2365 Get Directions Write a Review

NPPES record last updated: February 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Vance Newton Pirkle Md NPPES

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

VANCE NEWTON PIRKLE MD (NPI 1851419394) is an individual obstetrics & gynecology provider in Seneca, South Carolina, licensed in South Carolina (29728) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Prisma Health Oconee Memorial Hospital, and maintains a secondary practice location in Abingdon.

NPPES Registry Identity

NPI1851419394
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameVANCE NEWTON PIRKLECredential: MD
Location Address103 CARTER PARK DR, SUITE ASeneca, SC 29678-1152
Mailing Address1 Independence Pt, Ste 212Greenville, SC 29615-4545 · (864) 797-6306
Phone(864) 482-2360
Fax(864) 482-2365
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateMarch 26, 2007
Last NPPES UpdateFebruary 6, 2026
NPPES CertifiedFebruary 6, 2026
✔ NPI 1851419394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in SC · 29728✔ Licensed in VA · 0101288034
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
103 CARTER PARK DR, Seneca, SC 29678
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Secondary Practice Location 1

Location 116000 Johnston Memorial Dr Ste 200Abingdon, VA 24211-7664 · Phone (276) 258-1000

Other Identifiers 1

Medicaid297281SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Vance Newton Pirkle Md 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 ID4789775735
PECOS Enrollment IDI20070806000849, I20260206000869
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

3

Medicare enrollment records show Vance Pirkle reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Greenville Health System
0.6 mi
Emergency Medicine
298 MEMORIAL DR
Seneca, SC 29672
  • Reassigned Medicare billing, South Carolina enrollment
  • 735 clinicians in this Medicare group
NPI 1033580444 (864) 885-7156
Ghs Partners In Health, Inc.
0.9 mi
Pediatrics
109 OMNI DR, SUITE B
Seneca, SC 29672
  • Reassigned Medicare billing, South Carolina enrollment
  • Medicare enrollment name: Prisma Health University Medical Group
  • Also billed through NPI 1457730814 (South Carolina)
  • 222 clinicians in this Medicare group
NPI 1962854125 (864) 888-4222
Blue Ridge Medical Management Corporation
120 mi
Cardiovascular Disease
311 PRINCETON RD, SUITE 7
Johnson City, TN 37601
  • Reassigned Medicare billing, Virginia enrollment
  • 337 clinicians in this Medicare group
NPI 1962434068 (423) 282-3236

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 3

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

Prisma Health Oconee Memorial Hospital

Acute Care Hospitals · Seneca, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420009
Location298 Memorial DrSeneca, SC 29672 · Oconee County
Emergency services Birthing friendly

Prisma Health Hillcrest Hospital

Acute Care Hospitals · Simpsonville, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420037
Location741 South East Main StreetSimpsonville, SC 29681 · Greenville County
Emergency services

Johnston Memorial Hospital

Acute Care Hospitals · Abingdon, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490053
Location16000 Johnston Memorial DriveAbingdon, VA 24211 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29678 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
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
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 3

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

DR. RANDALL MAC ROYAL M.D.
Obstetrics & Gynecology
103 CARTER PARK DR, SUITE A
SENECA, SC 29678
Oconee County (864) 482-2360
KACI BROOKE WAGLER FNP-C
Nurse Practitioner (Obstetrics & Gynecology)
103 CARTER PARK DR
SENECA, SC 29678
Oconee County (864) 482-2360
CAROL WANNAMAKER SHULER M.D.
Obstetrics & Gynecology (Gynecology)
103 CARTER PARK DR, SUITE A
SENECA, SC 29678
Oconee County (864) 482-2360

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 Vance Pirkle's NPI number?

The NPI number for Vance Pirkle is 1851419394. It was assigned to this individual provider in the NPPES registry on March 26, 2007.

Where is Vance Pirkle located?

Vance Pirkle practices at 103 Carter Park Dr Suite A, Seneca, SC 29678. The listed phone number is (864) 482-2360.

What is Vance Pirkle's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Vance Pirkle enrolled in Medicare?

Yes. Vance Pirkle 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.

Which organizations bill Medicare for Vance Pirkle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vance Pirkle reassigns Medicare benefits to 3 organizations: Greenville Health System (Seneca, SC), Ghs Partners In Health, Inc. (Seneca, SC) and Blue Ridge Medical Management Corporation (Johnson City, TN). 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 Vance Pirkle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vance Pirkle accept?

Health plans from UnitedHealthcare list Vance Pirkle 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 Vance Pirkle affiliated with any hospitals?

According to CMS data, Vance Pirkle is affiliated with Prisma Health Oconee Memorial Hospital, Prisma Health Hillcrest Hospital and Johnston Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Vance Pirkle was last updated on February 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.