DR. COLIN JAMES KANE M.D.
NPI 1891175378
Family Medicine in Spartanburg, SC

Active since June 01, 2015PECOS EnrolledAccepts Medicare Assignment
96.08/100
CMS Quality Rating
853 N CHURCH ST, SUITE 510, SPARTANBURG, SC 29303(864) 560-6193 Get Directions Write a Review

NPPES record last updated: May 17, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Colin James Kane M.d. NPPES

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

DR. COLIN JAMES KANE M.D. (NPI 1891175378) is an individual family medicine provider in Spartanburg, South Carolina, licensed in South Carolina (38306) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Spartanburg Medical Center, and is a graduate of Medical University Of South Carolina College Of Medicine (2015).

NPPES Registry Identity

NPI1891175378
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. COLIN JAMES KANECredential: M.D.
Location Address853 N CHURCH ST, SUITE 510Spartanburg, SC 29303-3098
Mailing Address853 N Church St, Suite 510Spartanburg, SC 29303-3098
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2015
Enumeration DateJune 1, 2015
Last NPPES UpdateMay 17, 2019
NPI 1891175378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in SC · 38306
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
853 N CHURCH ST, Spartanburg, SC 29303

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

Dr. Colin James Kane 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 ID9931416054
PECOS Enrollment IDI20181011002394
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 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.
459 services166 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.
113 services111 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.
66 services66 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.
31 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Spartanburg Medical Center

Acute Care Hospitals · Spartanburg, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420007
Location101 E Wood StSpartanburg, SC 29303 · Spartanburg County
Emergency services Birthing friendly

Cherokee Medical Center

Acute Care Hospitals · Gaffney, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420043
Location1530 N Limestone StGaffney, SC 29340 · Cherokee County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29303 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.

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

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 (Family)
853 N CHURCH ST, SUITE 620
SPARTANBURG, SC 29303
Family Medicine
853 N CHURCH ST
SPARTANBURG, SC 29303
Internal Medicine (Gastroenterology)
853 N CHURCH ST, SUITE 620
SPARTANBURG, SC 29303
Family Medicine
853 N CHURCH ST, SUITE 510
SPARTANBURG, SC 29303
Pediatrics
853 N CHURCH ST, SUITE 401
SPARTANBURG, SC 29303
Surgery (Surgical Critical Care)
853 N CHURCH ST, STE 500
SPARTANBURG, SC 29303
Obstetrics & Gynecology
853 N CHURCH ST, SUITE 600
SPARTANBURG, SC 29303
Specialist
853 N CHURCH ST, SUITE 700
SPARTANBURG, SC 29303

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 Colin Kane's NPI number?

The NPI number for Colin Kane is 1891175378. It was assigned to this individual provider in the NPPES registry on June 1, 2015.

Where is Colin Kane located?

Colin Kane practices at 853 N Church St Suite 510, Spartanburg, SC 29303. The listed phone number is (864) 560-6193.

What is Colin Kane's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Colin Kane enrolled in Medicare?

Yes. Colin Kane 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 Colin Kane accept?

Health plans from Molina Healthcare and UnitedHealthcare list Colin Kane 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 Colin Kane affiliated with any hospitals?

According to CMS data, Colin Kane is affiliated with Spartanburg Medical Center and Cherokee Medical Center.

When was this NPI record last updated?

The NPPES record for Colin Kane was last updated on May 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.