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CHAD JAMES SKIDMORE
NPI 1922749274
Anesthesiology in Conway, SC

Active since April 01, 2022PECOS EnrolledAccepts Medicare Assignment
300 SINGLETON RIDGE RD, CONWAY, SC 29526(843) 347-8134 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Chad James Skidmore NPPES

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

CHAD JAMES SKIDMORE (NPI 1922749274) is an individual anesthesiology provider in Conway, South Carolina, licensed in Utah (14267732-1204) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with St Mark's Hospital, and is a graduate of Rocky Vista University College Of Osteopathic Med (2022).

NPPES Registry Identity

NPI1922749274
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameCHAD JAMES SKIDMORE
Location Address300 SINGLETON RIDGE RDConway, SC 29526-9142
Mailing Address300 Singleton Ridge RdConway, SC 29526-9142 · (843) 347-8134
Phone(843) 347-8134
Sole ProprietorYes
Medical School CMSRocky Vista University College Of Osteopathic MedGraduated 2022
Enumeration DateApril 1, 2022
Last NPPES UpdateJuly 31, 2026
NPPES CertifiedJuly 31, 2026
✔ NPI 1922749274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in UT · 14267732-1204
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
300 SINGLETON RIDGE RD, Conway, SC 29526
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Chad James Skidmore 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 ID5092279356
PECOS Enrollment IDI20260708004166
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.

Medicare Billing Reassignment

Medicare enrollment records show Chad Skidmore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Millcreek Anesthesia PC
1,865 mi
Anesthesiology
1200 E 3900 S
Salt Lake City, UT 84124
  • Reassigned Medicare billing, Utah enrollment
  • 59 clinicians in this Medicare group
NPI 1306879820 (801) 727-2060

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

St Mark's Hospital

Acute Care Hospitals · Salt Lake City, UT
3/5 CMS rating
OwnershipProprietary
CMS Certification Number460047
Location1200 East 3900 SouthSalt Lake City, UT 84124 · Salt Lake County
Emergency services Birthing friendly

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.

CLINIC SERVICES OF SOUTH CAROLINA PC
Hospitalist
300 SINGLETON RIDGE RD
CONWAY, SC 29526
Horry County (843) 347-7111
ISABELLA JIMENEZ
Registered Nurse
300 SINGLETON RIDGE RD
CONWAY, SC 29526
Horry County (843) 347-7111
KAYLEA HORACEK DO
Student in an Organized Health Care Education/Training Program
300 SINGLETON RIDGE RD
CONWAY, SC 29526
Horry County (843) 234-7405
DR. ALLEN E SMOLENSKI MD
Emergency Medicine
300 SINGLETON RIDGE RD
CONWAY, SC 29526
Horry County (843) 347-8015
TAWSIF NADIR DO
Family Medicine
300 SINGLETON RIDGE RD
CONWAY, SC 29526
Horry County (843) 347-8134
MR. SETH WINEGAR RN
Registered Nurse
300 SINGLETON RIDGE RD
CONWAY, SC 29526
Horry County (843) 234-8575
EILEEN BROWN CRNA
Nurse Anesthetist, Certified Registered
300 SINGLETON RIDGE RD
CONWAY, SC 29526
Horry County (843) 347-7111
MRS. PATTY JOHNSON REIS CRNA
Nurse Anesthetist, Certified Registered
300 SINGLETON RIDGE RD
CONWAY, SC 29526
Horry County (843) 347-7111

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 Chad Skidmore's NPI number?

The NPI number for Chad Skidmore is 1922749274. It was assigned to this individual provider in the NPPES registry on April 1, 2022.

Where is Chad Skidmore located?

Chad Skidmore practices at 300 Singleton Ridge Rd, Conway, SC 29526. The listed phone number is (843) 347-8134.

What is Chad Skidmore's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Chad Skidmore enrolled in Medicare?

Yes. Chad Skidmore 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.

Which organization bills Medicare for Chad Skidmore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chad Skidmore reassigns Medicare benefits to Millcreek Anesthesia PC (Salt Lake City, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Chad Skidmore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Chad Skidmore affiliated with any hospitals?

According to CMS data, Chad Skidmore is affiliated with St Mark's Hospital.

When was this NPI record last updated?

The NPPES record for Chad Skidmore was last updated on July 31, 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.