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NICHOLE PRICE MCDONALD MD
NPI 1932411600
Obstetrics & Gynecology in West Columbia, SC

Active since July 09, 2010PECOS EnrolledAccepts Medicare Assignment
83.03/100
CMS Quality Rating
ONE WELLNESS BLVD, SUITE 203, WEST COLUMBIA, SC 29169(803) 749-9920(803) 749-9916 Get Directions Write a Review

NPPES record last updated: November 9, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 9, 2020, Oct 2, 2020, Jun 9, 2017 (3 updates tracked since 2017).

About Nichole Price Mcdonald Md NPPES

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

NICHOLE PRICE MCDONALD MD (NPI 1932411600) is an individual obstetrics & gynecology provider in West Columbia, South Carolina, licensed in South Carolina (LL32563) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, is affiliated with Lexington Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1932411600
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameNICHOLE PRICE MCDONALDCredential: MD
Location AddressONE WELLNESS BLVD, SUITE 203West Columbia, SC 29169-4840
Mailing AddressPo Box 6069West Columbia, SC 29171-6069
Phone(803) 749-9920
Fax(803) 749-9916
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJuly 9, 2010
Last NPPES UpdateNovember 9, 20203 updates tracked since enumeration
NPPES CertifiedNovember 9, 2020
✔ NPI 1932411600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in SC · LL32563✔ Licensed in SC · 32563
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
ONE WELLNESS BLVD, West Columbia, SC 29169
Open in Google Maps ↗

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

Nichole Price Mcdonald 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 ID3971724451
PECOS Enrollment IDI20141027001198
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 4

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
39 services39 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.
24 services16 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.
13 services12 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Lexington Medical Center

Acute Care Hospitals · West Columbia, SC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420073
Location2720 Sunset BlvdWest Columbia, SC 29169 · Lexington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29169 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

83.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.45
Promoting Interoperability89
Improvement Activities40
Cost72.17

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 Nichole Mcdonald's NPI number?

The NPI number for Nichole Mcdonald is 1932411600. It was assigned to this individual provider in the NPPES registry on July 9, 2010.

Where is Nichole Mcdonald located?

Nichole Mcdonald practices at One Wellness Blvd Suite 203, West Columbia, SC 29169. The listed phone number is (803) 749-9920.

What is Nichole Mcdonald's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Nichole Mcdonald enrolled in Medicare?

Yes. Nichole Mcdonald 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 Nichole Mcdonald accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, Molina Healthcare and UnitedHealthcare list Nichole Mcdonald 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 Nichole Mcdonald affiliated with any hospitals?

According to CMS data, Nichole Mcdonald is affiliated with Lexington Medical Center.

When was this NPI record last updated?

The NPPES record for Nichole Mcdonald was last updated on November 9, 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.