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MIGUEL ANTONIO RAMIREZ JR. M.D
NPI 1861652323
Internal Medicine in Greenwood, SC

Active since June 09, 2008PECOS EnrolledAccepts Medicare Assignment
96.08/100
CMS Quality Rating
1325 SPRING ST, GREENWOOD, SC 29646(864) 725-4272(864) 725-4452 Get Directions Write a Review

NPPES record last updated: July 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miguel Antonio Ramirez Jr. M.d NPPES

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

MIGUEL ANTONIO RAMIREZ JR. M.D (NPI 1861652323) is an individual internal medicine provider in Greenwood, South Carolina, licensed in South Carolina (85698) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Self Regional Healthcare, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1861652323
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMIGUEL ANTONIO RAMIREZ JR.Credential: M.D
Location Address1325 SPRING STGreenwood, SC 29646-3860
Mailing Address1325 Spring StGreenwood, SC 29646-3860 · (864) 725-4272 · Fax (864) 725-4452
Phone(864) 725-4272
Fax(864) 725-4452
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJune 9, 2008
Last NPPES UpdateJuly 29, 2021
NPPES CertifiedJuly 29, 2021
✔ NPI 1861652323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in SC · 85698
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.
1325 SPRING ST, Greenwood, SC 29646
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include First Choice Next.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

Miguel Antonio Ramirez Jr. 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 ID1658544515
PECOS Enrollment IDI20210805001398
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 4

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.

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.
377 services134 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.
138 services68 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
125 services120 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
99 services95 patients

Hospital Affiliations CMS Care Compare

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

Self Regional Healthcare

Acute Care Hospitals · Greenwood, SC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420071
Location1325 Spring StreetGreenwood, SC 29646 · Greenwood 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
$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.

96.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality92.17
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers33 claims35 services$20.59 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers46 claims48 services$115.04 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 20

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

LAURA DIANE MOON
Nurse Anesthetist, Certified Registered
1325 SPRING ST
GREENWOOD, SC 29646
Greenwood County (864) 725-4111
WHITNEY PENCE PHARMD
Pharmacist
1325 SPRING ST
GREENWOOD, SC 29646
Greenwood County (864) 725-5774
SELF MEDICAL GROUP
Anesthesiology
1325 SPRING ST
GREENWOOD, SC 29646
Greenwood County (864) 725-4111
SELF REGIONAL HEALTHCARE
Anesthesiology (Pain Medicine)
1325 SPRING ST
GREENWOOD, SC 29646
Greenwood County (864) 725-4095
CHACKO JOHN M.D.
Pediatrics (Neonatal-Perinatal Medicine)
1325 SPRING ST
GREENWOOD, SC 29646
Greenwood County (864) 725-4449
SUSAN STRIEGEL-EDWARDS CRNA
Nurse Anesthetist, Certified Registered
1325 SPRING ST
GREENWOOD, SC 29646
Greenwood County (864) 725-4111
SELF REGIONAL HEALTHCARE
General Acute Care Hospital
1325 SPRING ST
GREENWOOD, SC 29646
Greenwood County (864) 725-4252
CODY MICHAEL NYE CRNA
Nurse Anesthetist, Certified Registered
1325 SPRING ST
GREENWOOD, SC 29646
Greenwood County (864) 725-4111

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 Miguel Ramirez's NPI number?

The NPI number for Miguel Ramirez is 1861652323. It was assigned to this individual provider in the NPPES registry on June 9, 2008.

Where is Miguel Ramirez located?

Miguel Ramirez practices at 1325 Spring St, Greenwood, SC 29646. The listed phone number is (864) 725-4272.

What is Miguel Ramirez's specialty?

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

Is Miguel Ramirez enrolled in Medicare?

Yes. Miguel Ramirez 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 Miguel Ramirez accept?

Health plans from First Choice Next list Miguel Ramirez 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 Miguel Ramirez affiliated with any hospitals?

According to CMS data, Miguel Ramirez is affiliated with Self Regional Healthcare.

When was this NPI record last updated?

The NPPES record for Miguel Ramirez was last updated on July 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.