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DR. STANLEY MADU NWABUDIKE M.D
NPI 1851700751
Internal Medicine - Hematology & Oncology in Lancaster, SC

Active since August 05, 2014PECOS EnrolledAccepts Medicare Assignment
83.84/100
CMS Quality Rating
834 W MEETING ST, LANCASTER, SC 29720(803) 313-3004(843) 985-8035 Get Directions Write a Review

NPPES record last updated: November 15, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 15, 2025, Jun 30, 2024, Jan 11, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Stanley Madu Nwabudike M.d NPPES

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

DR. STANLEY MADU NWABUDIKE M.D (NPI 1851700751) is an individual hematology & oncology provider in Lancaster, South Carolina, licensed in South Carolina (95674) and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS, is affiliated with Presbyterian Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1851700751
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. STANLEY MADU NWABUDIKECredential: M.D
Location Address834 W MEETING STLancaster, SC 29720-6251
Mailing Address834 W Meeting StLancaster, SC 29720-6251 · (803) 313-3004 · Fax (843) 985-8035
Phone(803) 313-3004
Fax(843) 985-8035
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateAugust 5, 2014
Last NPPES UpdateNovember 15, 20254 updates tracked since enumeration
NPPES CertifiedNovember 15, 2025
✔ NPI 1851700751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in SC · 95674
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
834 W MEETING ST, Lancaster, SC 29720
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.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

Dr. Stanley Madu Nwabudike M.d 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 ID6002105137
PECOS Enrollment IDI20200610000469, I20251215000038
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

2

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

Musc Community Physicians
98 mi
Internal Medicine
506 NORTH ST
Bamberg, SC 29003
  • Reassigned Medicare billing, South Carolina enrollment
  • 2,389 clinicians in this Medicare group
NPI 1841878006 (803) 245-6290
Presbyterian Healthcare Services
1,277 mi
Rural
2100 MARTIN LUTHER KING JR BLVD
Clovis, NM 88101
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,331 clinicians in this Medicare group
NPI 1629053509 (505) 469-7577

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

Areas of Expertise CMS Part B claims 7

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
264 services99 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.
113 services83 patients
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.
80 services62 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
35 services13 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
21 services21 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
20 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Presbyterian Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320021
Location1100 Central Avenue SEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Musc Health Lancaster Medical Center

Acute Care Hospitals · Lancaster, SC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number420036
Location800 W Meeting StLancaster, SC 29720 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29720 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
$163.84 typical visit price
range $53.57 – $163.84
Typical copayment $40.96 (range $13.39 – $40.96)
Most-billed visit code 99205
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.

83.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.59
Promoting Interoperability100
Improvement Activities40
Cost58.63

Other Providers at the Same Location NPPES 7

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

DR. DHARMENDRA BHASKARAN MD
Internal Medicine
834 W MEETING ST, SUITE F
LANCASTER, SC 29720
Lancaster County (803) 285-8777
PULMONARY AND SLEEP ASSOCIATES OF CAROLINAS LLC
Internal Medicine (Pulmonary Disease)
834 W MEETING ST, SUITE E
LANCASTER, SC 29720
Lancaster County (803) 283-3775
RACHELLE ZIELAZIENSKI
Nurse Practitioner
834 W MEETING ST
LANCASTER, SC 29720
Lancaster County (803) 313-3004
HEATHER G HARTLIN CRNP
Nurse Practitioner (Adult Health)
834 W MEETING ST
LANCASTER, SC 29720
Lancaster County (843) 285-1111
DR. EBENEZER YAW-OBENG MANTE MD
Pediatrics
834 W MEETING ST, SUITE C
LANCASTER, SC 29720
Lancaster County (803) 313-3846
THE SURGERY CENTER OF LANCASTER, LLC
Surgery
834 W MEETING ST, MEDICAL ARTS BUILDING 4, SUITE H
LANCASTER, SC 29720
Lancaster County (803) 286-8688
MANTE PEDIATRICS LLC
Pediatrics
834 W MEETING ST, SUITE C
LANCASTER, SC 29720
Lancaster County (803) 313-3846

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 Stanley Nwabudike's NPI number?

The NPI number for Stanley Nwabudike is 1851700751. It was assigned to this individual provider in the NPPES registry on August 5, 2014.

Where is Stanley Nwabudike located?

Stanley Nwabudike practices at 834 W Meeting St, Lancaster, SC 29720. The listed phone number is (803) 313-3004.

What is Stanley Nwabudike's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Stanley Nwabudike enrolled in Medicare?

Yes. Stanley Nwabudike 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 Stanley Nwabudike's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stanley Nwabudike reassigns Medicare benefits to 2 organizations: Musc Community Physicians (Bamberg, SC) and Presbyterian Healthcare Services (Clovis, NM). 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 Stanley Nwabudike's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stanley Nwabudike accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and Molina Healthcare and 1 other insurer list Stanley Nwabudike 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 Stanley Nwabudike affiliated with any hospitals?

According to CMS data, Stanley Nwabudike is affiliated with Presbyterian Hospital and Musc Health Lancaster Medical Center.

When was this NPI record last updated?

The NPPES record for Stanley Nwabudike was last updated on November 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.