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

Q: 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.

Q: What is Clarence Wimberly's specialty?

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

Q: 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.

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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, and ordering and referring status from the CMS PECOS system.

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.

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