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THOMAS K STEWART P.A.
NPI 1922026046
Physician Assistant - Medical in Marion, SC

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment
1205 N MAIN ST, MARION, SC 29571(843) 423-0760(843) 423-8138 Get Directions Write a Review

NPPES record last updated: October 15, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Thomas K Stewart P.a. NPPES

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

THOMAS K STEWART P.A. (NPI 1922026046) is an individual medical provider in Marion, South Carolina, licensed in South Carolina (A212) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Musc Medical Center, and is a graduate of Medical University Of South Carolina College Of Medicine (1980).

NPPES Registry Identity

NPI1922026046
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameTHOMAS K STEWARTCredential: P.A.
Location Address1205 N MAIN STMarion, SC 29571-2008
Mailing Address1205 N Main StMarion, SC 29571-2008 · (843) 423-0760 · Fax (843) 423-8138
Phone(843) 423-0760
Fax(843) 423-8138
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 1980
Enumeration DateJuly 17, 2006
Last NPPES UpdateOctober 15, 2020
NPPES CertifiedOctober 15, 2020
✔ NPI 1922026046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in SC · A212
1205 N MAIN ST, Marion, SC 29571
Open in Google Maps ↗

Other Identifiers 2

Medicaid1089PASC
OtherGP5462SC · Medicaid Group

Accepted Insurance

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

Thomas K Stewart P.a. 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 ID5496949471
PECOS Enrollment IDI20101103001004
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.

Hospital Affiliations CMS Care Compare 4

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

Musc Medical Center

Acute Care Hospitals · Charleston, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420004
Location169 Ashley AveCharleston, SC 29425 · Charleston County
Emergency services Birthing friendly

Mcleod Regional Medical Center-Pee Dee

Acute Care Hospitals · Florence, SC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420051
Location555 E Cheves St Box 8700Florence, SC 29506 · Florence County
Emergency services Birthing friendly

Musc Health Marion Medical Center

Acute Care Hospitals · Mullins, SC
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number420055
Location2829 E Hwy 76Mullins, SC 29574 · Marion County
Emergency services

Musc Health Florence Medical Center

Acute Care Hospitals · Florence, SC
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number420091
Location805 Pamplico Hwy Box 100550Florence, SC 29505 · Florence 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

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
50%398 patients3/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
24%852 patients2/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
15%274 patients1/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%3,688 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
30%1,586 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 99% · 870 patients
Patients tobacco: 8% · 25 patients
80%870 patients4/55-star benchmark: 98%
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 7

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
8 suppliers47 claims95 services$5.56 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers16 claims19 services$1.04 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier14 claims14 services$19.78 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
2 suppliers16 claims16 services$771.77 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 suppliers30 claims30 services$115.20 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers20 claims22 services$21.59 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 5

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

MEDICAL UNIVERSITY HOSPITAL AUTHORITY
Clinic/Center (Rural Health)
1205 N MAIN ST
MARION, SC 29571
Marion County (843) 423-0760
MARION PHYSICIAN SERVICES LLC
Clinic/Center (Rural Health)
1205 N MAIN ST
MARION, SC 29571
Marion County (843) 423-0760
ALVIN C ABINSAY M.D.
Internal Medicine
1205 N MAIN ST
MARION, SC 29571
Marion County (843) 423-0760
JAMES L SUGGS MD
Internal Medicine
1205 N MAIN ST, PO DRAWER 1030
MARION, SC 29571
Marion County (843) 423-0760
MEDICAL UNIVERSITY HOSPITAL AUTHORITY
Clinic/Center (Rural Health)
1205 N MAIN ST
MARION, SC 29571
Marion County (843) 423-0760

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 Thomas Stewart's NPI number?

The NPI number for Thomas Stewart is 1922026046. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Thomas Stewart located?

Thomas Stewart practices at 1205 N Main St, Marion, SC 29571. The listed phone number is (843) 423-0760.

What is Thomas Stewart's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Thomas Stewart enrolled in Medicare?

Yes. Thomas Stewart 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 Thomas Stewart accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare list Thomas Stewart 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 Thomas Stewart affiliated with any hospitals?

According to CMS data, Thomas Stewart is affiliated with Musc Medical Center, Mcleod Regional Medical Center-Pee Dee, Musc Health Marion Medical Center and Musc Health Florence Medical Center.

When was this NPI record last updated?

The NPPES record for Thomas Stewart was last updated on October 15, 2020. 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.