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MARTIN C MIRRA MD
NPI 1972615631
Surgery in Columbia, SC

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
99.32/100
CMS Quality Rating
1333 TAYLOR STREET, STE 3A, COLUMBIA, SC 29201(803) 254-4707(803) 254-1198 Get Directions Write a Review

NPPES record last updated: May 18, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Martin C Mirra Md NPPES

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

MARTIN C MIRRA MD (NPI 1972615631) is an individual surgery provider in Columbia, South Carolina, licensed in South Carolina (19670) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Prisma Health Richland Hospital, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (1996).

NPPES Registry Identity

NPI1972615631
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMARTIN C MIRRACredential: MD
Location Address1333 TAYLOR STREET, STE 3AColumbia, SC 29201
Mailing AddressPo Box 743904Atlanta, GA 30374-3904 · (803) 296-7320 · Fax (803) 296-7330
Phone(803) 254-4707
Fax(803) 254-1198
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 1996
Enumeration DateAugust 31, 2006
Last NPPES UpdateMay 18, 2018
✔ NPI 1972615631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in SC · 19670
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1333 TAYLOR STREET, Columbia, SC 29201
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Other Identifiers 1

Medicaid196709SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Martin C Mirra 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 ID446423958
PECOS Enrollment IDI20111028000244
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 Reassignments

2

Medicare enrollment records show Martin Mirra reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Prisma Health-Midlands
Same address
General Acute Care Hospital
1330 TAYLOR ST
Columbia, SC 29201
  • Reassigned Medicare billing, South Carolina enrollment
  • 373 clinicians in this Medicare group
NPI 1205889458 (803) 296-2548
Prisma Health Medical Group-Midlands
0.8 mi
Multi-Specialty
3555 HARDEN STREET EXT STE 300
Columbia, SC 29203
  • Reassigned Medicare billing, South Carolina enrollment
  • 1,466 clinicians in this Medicare group
NPI 1275988321 (803) 545-5000

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

Areas of Expertise CMS Part B claims 5

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 hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
44 services22 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.
26 services19 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
26 services26 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
22 services22 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.
20 services20 patients

Hospital Affiliations CMS Care Compare 3

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

Prisma Health Richland Hospital

Acute Care Hospitals · Columbia, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420018
Location5 Medical ParkColumbia, SC 29203 · Richland County
Emergency services Birthing friendly

Prisma Health Baptist

Acute Care Hospitals · Columbia, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420086
Location1330 Taylor At Marion StColumbia, SC 29220 · Richland County
Emergency services Birthing friendly

Prisma Health Baptist Parkridge

Acute Care Hospitals · Columbia, SC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420106
Location400 Palmetto Health ParkwayColumbia, SC 29212 · Lexington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29201 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
$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.

99.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality90.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

MRS. AMI ROBINSON STEELE PA-C
Physician Assistant (Medical)
1333 TAYLOR STREET, SUITE 2-B
COLUMBIA, SC 29201
Richland County (803) 251-6602

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 Martin Mirra's NPI number?

The NPI number for Martin Mirra is 1972615631. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Martin Mirra located?

Martin Mirra practices at 1333 Taylor Street Ste 3A, Columbia, SC 29201. The listed phone number is (803) 254-4707.

What is Martin Mirra's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Martin Mirra enrolled in Medicare?

Yes. Martin Mirra 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.

Which organizations bill Medicare for Martin Mirra's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Martin Mirra reassigns Medicare benefits to 2 organizations: Prisma Health-Midlands (Columbia, SC) and Prisma Health Medical Group-Midlands (Columbia, SC). Each 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 Martin Mirra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Martin Mirra accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina and BlueCross BlueShield of South Carolina list Martin Mirra 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 Martin Mirra affiliated with any hospitals?

According to CMS data, Martin Mirra is affiliated with Prisma Health Richland Hospital, Prisma Health Baptist and Prisma Health Baptist Parkridge.

When was this NPI record last updated?

The NPPES record for Martin Mirra was last updated on May 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.