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FRANK JOHN FERRARO M.D.
NPI 1861433831
Internal Medicine in West Columbia, SC

Active since June 09, 2006PECOS EnrolledAccepts Medicare Assignment
83.03/100
CMS Quality Rating
145 SUNSET CT STE 200, WEST COLUMBIA, SC 29169(803) 317-9360 Get Directions Write a Review

NPPES record last updated: May 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 27, 2026, Oct 27, 2020, Sep 29, 2020 and 3 more (6 updates tracked since 2016).

About Frank John Ferraro M.d. NPPES

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

FRANK JOHN FERRARO M.D. (NPI 1861433831) is an individual internal medicine provider in West Columbia, South Carolina, licensed in South Carolina (23738) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Lexington Medical Center, and maintains a secondary practice location in West Columbia.

NPPES Registry Identity

NPI1861433831
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameFRANK JOHN FERRAROCredential: M.D.
Location Address145 SUNSET CT STE 200West Columbia, SC 29169-2464
Mailing AddressPo Box 6069West Columbia, SC 29171-6069
Phone(803) 317-9360
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateJune 9, 2006
Last NPPES UpdateMay 27, 20266 updates tracked since enumeration
NPPES CertifiedMay 27, 2026
✔ NPI 1861433831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in SC · 23738
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X · License 23738 (SC)
145 SUNSET CT STE 200, West Columbia, SC 29169
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Secondary Practice Location 1

Location 1132 Sunset CtWest Columbia, SC 29169-2429 · Phone (803) 936-7450 · Fax (803) 936-7452

Other Identifiers 4

Other7145368SC · Aetna
OtherP00228228SC · Rr Medicare
Medicaid237381SC
Other576007863063SC · Bcbs Of Sc

Accepted Insurance

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

Frank John Ferraro 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 ID9739128323
PECOS Enrollment IDI20050503000740
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 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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
684 services374 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.
625 services358 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
287 services173 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.
160 services133 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
151 services79 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
60 services52 patients

Hospital Affiliations CMS Care Compare

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

Lexington Medical Center

Acute Care Hospitals · West Columbia, SC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420073
Location2720 Sunset BlvdWest Columbia, SC 29169 · Lexington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29169 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
$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.

83.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.45
Promoting Interoperability89
Improvement Activities40
Cost72.17

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
7 suppliers30 claims382 services$18.60 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
8 suppliers31 claims950 services$2.38 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
36 suppliers101 claims478 services$5.96 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers26 claims59 services$1.14 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
5 suppliers33 claims33 services$297.88 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
5 suppliers18 claims1,480 services$7.24 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 16

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

DR. SEAN PATRICK DONOHUE MD
Student in an Organized Health Care Education/Training Program
145 SUNSET CT STE 200
WEST COLUMBIA, SC 29169
Lexington County (803) 314-9360
LAUREN RILEY NORDIN MD
Student in an Organized Health Care Education/Training Program
145 SUNSET CT STE 200
WEST COLUMBIA, SC 29169
Lexington County (803) 314-9360
REBECCA WHITE
Student in an Organized Health Care Education/Training Program
145 SUNSET CT STE 200
WEST COLUMBIA, SC 29169
Lexington County (803) 314-9360
DR. MAKAYLA HOPE GRADY DO
Student in an Organized Health Care Education/Training Program
145 SUNSET CT STE 200
WEST COLUMBIA, SC 29169
Lexington County (803) 739-3550
JULIA TAYLOR JONES DO
Student in an Organized Health Care Education/Training Program
145 SUNSET CT STE 200
WEST COLUMBIA, SC 29169
Lexington County (803) 314-9360
BRUCE EDWIN GOECKERITZ MD
Internal Medicine
145 SUNSET CT STE 200
WEST COLUMBIA, SC 29169
Lexington County (803) 314-9360
DR. NILA MANANDHAR M.D.
Internal Medicine
145 SUNSET CT STE 200
WEST COLUMBIA, SC 29169
Lexington County (803) 314-9360
DR. OGECHUKWU SAMUEL OBI DO
Student in an Organized Health Care Education/Training Program
145 SUNSET CT STE 200
WEST COLUMBIA, SC 29169
Lexington County (803) 000-0000

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 Frank Ferraro's NPI number?

The NPI number for Frank Ferraro is 1861433831. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Frank Ferraro located?

Frank Ferraro practices at 145 Sunset Ct Ste 200, West Columbia, SC 29169. The listed phone number is (803) 317-9360.

What is Frank Ferraro's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Frank Ferraro enrolled in Medicare?

Yes. Frank Ferraro 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 Frank Ferraro accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and Molina Healthcare list Frank Ferraro 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 Frank Ferraro affiliated with any hospitals?

According to CMS data, Frank Ferraro is affiliated with Lexington Medical Center.

When was this NPI record last updated?

The NPPES record for Frank Ferraro was last updated on May 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.