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DR. REX B G CABALTICA MD
NPI 1942221494
Family Medicine in West Columbia, SC

Active since July 21, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
145 SUNSET CT STE 100, WEST COLUMBIA, SC 29169(803) 739-3550(803) 739-3546 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Mar 11, 2025, Aug 23, 2024, Jun 18, 2024 and 1 more (4 updates tracked since 2023).

About Dr. Rex B G Cabaltica Md NPPES

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

DR. REX B G CABALTICA MD (NPI 1942221494) is an individual family medicine provider in West Columbia, South Carolina, licensed in South Carolina (92032) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Lexington Medical Center, and maintains a secondary practice location in Niles.

NPPES Registry Identity

NPI1942221494
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. REX B G CABALTICACredential: MD
Location Address145 SUNSET CT STE 100West Columbia, SC 29169-2429
Mailing AddressPo Box 6069West Columbia, SC 29171-6069 · (803) 739-3550
Phone(803) 739-3550
Fax(803) 739-3546
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 1992
Enumeration DateJuly 21, 2006
Last NPPES UpdateMarch 11, 20254 updates tracked since enumeration
NPPES CertifiedMarch 11, 2025
✔ NPI 1942221494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in SC · 92032✔ Licensed in MI · 4301088640
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.
145 SUNSET CT STE 100, West Columbia, SC 29169
Open in Google Maps ↗

Secondary Practice Location 1

Location 12002 S 11th StNiles, MI 49120-4074 · Phone (269) 687-0200 · Fax (269) 684-0199

Other Identifiers 3

Medicaid1942221494MI
Other4810199Cigna
Other0801111051MI · Blue Cross Pin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, Molina Healthcare.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

Dr. Rex B G Cabaltica 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 ID7911903984
PECOS Enrollment IDI20240605000389
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 7

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
202 services129 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
180 services123 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
64 services56 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
59 services57 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
12 services12 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
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
$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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier18 claims18 services$14.94 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 20

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

DUVAL SAMWARU DO
Student in an Organized Health Care Education/Training Program
145 SUNSET CT STE 100
WEST COLUMBIA, SC 29169
Lexington County (803) 000-0000
HOLLY OWENS MD
Student in an Organized Health Care Education/Training Program
145 SUNSET CT STE 100
WEST COLUMBIA, SC 29169
Lexington County (803) 739-3550
BRANDON AUSTIN MCCONNELL
Student in an Organized Health Care Education/Training Program
145 SUNSET CT STE 100
WEST COLUMBIA, SC 29169
Lexington County (803) 739-3550
JOSEPH GABRIEL PATRAUTANU MD
Family Medicine
145 SUNSET CT STE 100
WEST COLUMBIA, SC 29169
Lexington County (803) 739-3550
TRIET LE
Student in an Organized Health Care Education/Training Program
145 SUNSET CT STE 100
WEST COLUMBIA, SC 29169
Lexington County (803) 739-3550
DR. JOSEPH MICHAEL COONEY DO
Family Medicine
145 SUNSET CT STE 100
WEST COLUMBIA, SC 29169
Lexington County (803) 739-3550
TREVOR DOANE
Student in an Organized Health Care Education/Training Program
145 SUNSET CT STE 100
WEST COLUMBIA, SC 29169
Lexington County (803) 739-3550
ALEXANDER KHOA-NGUYEN GIEP
Student in an Organized Health Care Education/Training Program
145 SUNSET CT STE 100
WEST COLUMBIA, SC 29169
Lexington County (803) 000-0000

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 Rex Cabaltica's NPI number?

The NPI number for Rex Cabaltica is 1942221494. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Rex Cabaltica located?

Rex Cabaltica practices at 145 Sunset Ct Ste 100, West Columbia, SC 29169. The listed phone number is (803) 739-3550.

What is Rex Cabaltica's specialty?

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

Is Rex Cabaltica enrolled in Medicare?

Yes. Rex Cabaltica 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 Rex Cabaltica accept?

Health plans from BlueCross BlueShield of South Carolina and Molina Healthcare list Rex Cabaltica 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 Rex Cabaltica affiliated with any hospitals?

According to CMS data, Rex Cabaltica is affiliated with Lexington Medical Center.

When was this NPI record last updated?

The NPPES record for Rex Cabaltica was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.