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DR. JAMES KEANE FROST MD
NPI 1891748794
Specialist in Bluffton, SC

Active since May 19, 2006PECOS EnrolledAccepts Medicare Assignment
29 PLANTATION PARK DR, SUITE 602, BLUFFTON, SC 29910(843) 815-5211(843) 815-5213 Get Directions Write a Review

NPPES record last updated: October 17, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. James Keane Frost Md NPPES

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

DR. JAMES KEANE FROST MD (NPI 1891748794) is an individual specialist in Bluffton, South Carolina and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Candler Hospital, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (1996).

NPPES Registry Identity

NPI1891748794
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. JAMES KEANE FROSTCredential: MD
Location Address29 PLANTATION PARK DR, SUITE 602Bluffton, SC 29910-9001
Mailing AddressPo Box 1577Bluffton, SC 29910-1577 · (843) 815-5211 · Fax (843) 815-5213
Phone(843) 815-5211
Fax(843) 815-5213
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 1996
Enumeration DateMay 19, 2006
Last NPPES UpdateOctober 17, 2007
✔ NPI 1891748794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
29 PLANTATION PARK DR, Bluffton, SC 29910
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Other Identifiers 3

Medicare PINAA06378072SC
Medicare UPING76901SC
Medicaid271066SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, First Choice Next, UnitedHealthcare.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. James Keane Frost 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 ID9739149329
PECOS Enrollment IDI20041018001014
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 3

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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
111 services72 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.
70 services50 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.
59 services42 patients

Hospital Affiliations CMS Care Compare 4

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

Candler Hospital

Acute Care Hospitals · Savannah, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110024
Location5353 Reynolds StreetSavannah, GA 31412 · Chatham County
Emergency services Birthing friendly

Beaufort County Memorial Hospital

Acute Care Hospitals · Beaufort, SC
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number420067
Location955 Ribaut RdBeaufort, SC 29902 · Beaufort County
Emergency services Birthing friendly

Hilton Head Regional Medical Center

Acute Care Hospitals · Hilton Head Island, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number420080
Location25 Hospital Center BlvdHilton Head Island, SC 29925 · Beaufort County
Emergency services Birthing friendly

Coastal Carolina Hospital

Acute Care Hospitals · Hardeeville, SC
2/5 CMS rating
OwnershipProprietary
CMS Certification Number420101
Location1000 Medical Center DriveHardeeville, SC 29927 · Jasper County
Emergency services Birthing friendly

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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%67 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers12 claims30 services$4.42 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425
DME-Orthotic Devices · category DF010N
1 supplier12 claims360 services$3.13 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
1 supplier11 claims12 services$91.55 avg. paid by Medicare
Azathioprine, oral, 50 mg J7500
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers11 claims825 services$1.09 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.

MRS. TORY IRENE CANDEA M.S. CCC-SLP
Speech-Language Pathologist
29 PLANTATION PARK DR, SUITE #403
BLUFFTON, SC 29910
Beaufort County (843) 815-6999
HHI SENIOR HOME CARE LLC.
In Home Supportive Care
29 PLANTATION PARK DR, SUITE 114
BLUFFTON, SC 29910
Beaufort County (843) 757-1002
MRS. AMBER PARNOW
Contractor
29 PLANTATION PARK DR, UNIT 204
BLUFFTON, SC 29910
Beaufort County (843) 706-0831
DAVID J REMIGIO M.D.
Ophthalmology
29 PLANTATION PARK DR
BLUFFTON, SC 29910
Beaufort County (843) 757-9661
ANDREW SPENCER
Contractor
29 PLANTATION PARK DR
BLUFFTON, SC 29910
Beaufort County (843) 298-4320
WENIGER PLASTIC SURGERY LLC
Plastic Surgery
29 PLANTATION PARK DR, SUITE 201
BLUFFTON, SC 29910
Beaufort County (843) 757-0123
NEW RIVER UROLOGY PA
Urology
29 PLANTATION PARK DR, SUITE 202
BLUFFTON, SC 29910
Beaufort County (843) 706-2255
MATTHEW D'ANTONIO DPT
Physical Therapist
29 PLANTATION PARK DR, 403
BLUFFTON, SC 29910
Beaufort County (843) 815-6999

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 James Frost's NPI number?

The NPI number for James Frost is 1891748794. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is James Frost located?

James Frost practices at 29 Plantation Park Dr Suite 602, Bluffton, SC 29910. The listed phone number is (843) 815-5211.

What is James Frost's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is James Frost enrolled in Medicare?

Yes. James Frost 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 James Frost accept?

Health plans from BlueCross BlueShield of South Carolina, First Choice Next and UnitedHealthcare list James Frost 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 James Frost affiliated with any hospitals?

According to CMS data, James Frost is affiliated with Candler Hospital, Beaufort County Memorial Hospital, Hilton Head Regional Medical Center and Coastal Carolina Hospital.

When was this NPI record last updated?

The NPPES record for James Frost was last updated on October 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.