Active NPI
Don Owen Stovall Jr., M.D.
- Orthopaedic Surgery of the Spine Physician
- North Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- 19225
- Practice address
- 2880 Tricom St
North Charleston, SC 29406-9171 - Phone
- (843) 797-5050
- Fax
- (843) 797-3633
- NPI assigned
- Jun 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 19225 | SC | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 19225 | SC | Primary |
Addresses
Primary practice location
2880 Tricom St
North Charleston, SC 29406-9171
Mailing address
2880 Tricom St
North Charleston, SC 29406-9171
Phone (843) 797-5050
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326287434 | Other | SC | MEDICAID DME NPI |
| 20076508 | Other | SC | SELECT HEALTH DME |
| T31766 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Medical College of Georgia School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2880 Tricom St
North Charleston, SC 29406-9171
Phone (843) 797-5050
Hospital & facility affiliations
- Trident Medical Center
- Colleton Medical Center
- Roper St Francis Hospital-Berkeley Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.2 of 100
- Quality
- 74.91
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 65 |
| Laminectomy or laminotomy (partial removal of spine bones) | 40 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arcis Healthcare, LLC | Current | Accepting new patients | |
| Arcis Healthcare, LLC | Orthopaedic Surgery | Current | Accepting new patients |
Locations
1951 Clements Ferry Rd
Ste 100
Charleston, SC 29492
Phone (843) 797-5050
2880 Tricom St
North Charleston, SC 29406
Phone (843) 797-5050
93 Springview Ln
Unit B
Summerville, SC 29485
Phone (843) 266-4883
130 E 3rd North St
Summerville, SC 29483
Phone (843) 797-5050
Interoperability endpoints
- https://api.platform.athenahealth.com/7388/brand/1/csg/1/fhir/r4
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- North Charleston, SC
- NPI 1902246077
-
- Durable Medical Equipment & Medical Supplies
- Ladson, SC
- NPI 1881406767
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Summerville, SC
- NPI 1336603646
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1366496937
-
- General Acute Care Hospital
- Walterboro, SC
- NPI 1376597997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583884800000",
"number": "1003844523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2880 TRICOM ST",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294069171",
"telephone_number": "843-797-5050",
"fax_number": "843-797-3633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2880 TRICOM ST",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294069171",
"telephone_number": "843-797-5050",
"fax_number": "843-797-3633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOVALL",
"first_name": "DON",
"middle_name": "OWEN",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2020-03-11",
"certification_date": "2020-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "SC",
"license": "19225",
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "SC",
"license": "19225",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID DME NPI",
"identifier": "1326287434",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SELECT HEALTH DME",
"identifier": "20076508",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "T31766",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.