GAUTHAM GONDI MD
NPI 1952336034
Orthopaedic Surgery - Sports Medicine in West Columbia, SC

Active since July 11, 2006PECOS EnrolledAccepts Medicare Assignment
76.36/100
CMS Quality Rating
146 E HOSPITAL DR STE 350, WEST COLUMBIA, SC 29169(803) 314-9640(803) 314-9641 Get Directions Write a Review

NPPES record last updated: March 18, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 18, 2026, Jul 3, 2025, Jun 24, 2020 (3 updates tracked since 2020).

About Gautham Gondi Md NPPES

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

GAUTHAM GONDI MD (NPI 1952336034) is an individual sports medicine provider in West Columbia, South Carolina, licensed in South Carolina (90617) 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 Lynchburg.

NPPES Registry Identity

NPI1952336034
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameGAUTHAM GONDICredential: MD
Location Address146 E HOSPITAL DR STE 350West Columbia, SC 29169-4800
Mailing Address2405 Atherholt RdLynchburg, VA 24501-2184 · (434) 485-8500 · Fax (434) 485-8599
Fax(803) 314-9641
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 1992
Enumeration DateJuly 11, 2006
Last NPPES UpdateMarch 18, 20263 updates tracked since enumeration
NPPES CertifiedMarch 18, 2026
NPI 1952336034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License Licensed in SC · 90617
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 0101055531 (VA)
146 E HOSPITAL DR STE 350, West Columbia, SC 29169

Secondary Practice Location 1

Location 12405 Atherholt RdLynchburg, VA 24501-2184 · Phone (434) 485-8500 · Fax (434) 485-8599

Other Identifiers 3

OtherP00220180VA · Medicare Railroad Pin
Medicaid010160910VA
Medicaid1952336034VA

Accepted 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

Gautham Gondi 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 ID3476523085
PECOS Enrollment IDI20240516000498
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 32

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
866 services89 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.
417 services313 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
374 services112 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.
294 services248 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
217 services155 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
211 services155 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

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.

76.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.16
Promoting Interoperability100
Improvement Activities40
Cost54.07

Reported Quality Measures

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)
Lower rates are better for this measure.
0.02%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
5 suppliers18 claims18 services$55.10 avg. paid by Medicare
Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment L1820
DME-Orthotic Devices · category DF011N
2 suppliers99 claims104 services$117.93 avg. paid by Medicare
Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf L4350
DME-Orthotic Devices · category DF000N
2 suppliers20 claims22 services$72.71 avg. paid by Medicare
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
2 suppliers13 claims13 services$221.39 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 5

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

Orthopaedic Surgery (Sports Medicine)
146 E HOSPITAL DR STE 350
WEST COLUMBIA, SC 29169
Orthopaedic Surgery (Sports Medicine)
146 E HOSPITAL DR STE 350
WEST COLUMBIA, SC 29169
Physician Assistant (Surgical)
146 E HOSPITAL DR STE 350
WEST COLUMBIA, SC 29169
Orthopaedic Surgery (Sports Medicine)
146 E HOSPITAL DR STE 350
WEST COLUMBIA, SC 29169
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
146 E HOSPITAL DR STE 350
WEST COLUMBIA, SC 29169

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 Gautham Gondi's NPI number?

The NPI number for Gautham Gondi is 1952336034. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Gautham Gondi located?

Gautham Gondi practices at 146 E Hospital Dr Ste 350, West Columbia, SC 29169. The listed phone number is (803) 314-9640.

What is Gautham Gondi's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Gautham Gondi enrolled in Medicare?

Yes. Gautham Gondi 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 Gautham Gondi accept?

Health plans from Molina Healthcare and UnitedHealthcare list Gautham Gondi 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 Gautham Gondi affiliated with any hospitals?

According to CMS data, Gautham Gondi is affiliated with Lexington Medical Center.

When was this NPI record last updated?

The NPPES record for Gautham Gondi was last updated on March 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.