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CLARENCE WILLIAM WIMBERLY JR. MD
NPI 1932190139
Family Medicine in Summerville, SC

Active since November 04, 2005PECOS Enrolled
435 N CEDAR ST, SUMMERVILLE, SC 29483(843) 873-1592(843) 871-2936 Get Directions Write a Review

NPPES record last updated: April 17, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 17, 2019, Jun 2, 2017 (2 updates tracked since 2017).

About Clarence William Wimberly Jr. Md NPPES

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

CLARENCE WILLIAM WIMBERLY JR. MD (NPI 1932190139) is an individual family medicine provider in Summerville, South Carolina, licensed in South Carolina (5740) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932190139
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCLARENCE WILLIAM WIMBERLY JR.Credential: MD
Location Address435 N CEDAR STSummerville, SC 29483-6407
Mailing Address201 Sigma Drive, Suite 100Summerville, SC 29486-7722 · (843) 873-1592 · Fax (843) 871-2936
Phone(843) 873-1592
Fax(843) 871-2936
Sole ProprietorYes
Enumeration DateNovember 4, 2005
Last NPPES UpdateApril 17, 20192 updates tracked since enumeration
✔ NPI 1932190139 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 · 5740
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.
435 N CEDAR ST, Summerville, SC 29483
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Other Identifiers 2

Medicaid057404SC
OtherP01396493SC · Rr Medicare

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clarence William Wimberly Jr. Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Clarence Wimberly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Palmetto Primary Care Physicians, LLC
Same address
Family Medicine
435 N CEDAR ST
Summerville, SC 29483
  • Reassigned Medicare billing, South Carolina enrollment
  • 290 clinicians in this Medicare group
NPI 1144630716 (843) 873-1592

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29483 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.

Other Providers at the Same Location NPPES 9

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

PALMETTO PRIMARY CARE PHYSICIANS, LLC
Family Medicine
435 N CEDAR ST
SUMMERVILLE, SC 29483
Berkeley County (843) 873-1592
SHIRLEY L HO PA
Physician Assistant
435 N CEDAR ST
SUMMERVILLE, SC 29483
Berkeley County (843) 873-1592
BRIAN KEITH KELLER MD
Family Medicine
435 N CEDAR ST
SUMMERVILLE, SC 29483
Berkeley County (843) 873-1592
JACK ALLAN STAUFFER FNP
Nurse Practitioner (Family)
435 N CEDAR ST
SUMMERVILLE, SC 29483
Berkeley County (843) 873-1592
MISS ROBIN JOSEPH M.ED.
Counselor (Professional)
435 N CEDAR ST
SUMMERVILLE, SC 29483
Berkeley County (843) 873-1592
FRANCES C WELCH PHD
Psychologist (Clinical)
435 N CEDAR ST
SUMMERVILLE, SC 29483
Berkeley County (843) 873-1592
CASEY ANNA WETHERELL PA
Physician Assistant (Medical)
435 N CEDAR ST
SUMMERVILLE, SC 29483
Berkeley County (843) 476-4702
SOUTHERN COAST SPINE & PAIN SPECIALISTS LLC
Anesthesiology (Pain Medicine)
435 N CEDAR ST
SUMMERVILLE, SC 29483
Berkeley County (843) 476-4702

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 Clarence Wimberly's NPI number?

The NPI number for Clarence Wimberly is 1932190139. It was assigned to this individual provider in the NPPES registry on November 4, 2005.

Where is Clarence Wimberly located?

Clarence Wimberly practices at 435 N Cedar St, Summerville, SC 29483. The listed phone number is (843) 873-1592.

What is Clarence Wimberly's specialty?

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

Is Clarence Wimberly enrolled in Medicare?

Yes. Clarence Wimberly is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Clarence Wimberly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clarence Wimberly reassigns Medicare benefits to Palmetto Primary Care Physicians, LLC (Summerville, SC). 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 Clarence Wimberly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Clarence Wimberly was last updated on April 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.