Michael L Blubaugh, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

19591 Issued in SC

Practice address

461 Spruce St
Walterboro, SC 29488-2766

Phone

(843) 549-4335

Fax

(843) 782-3070

NPI assigned

Sep 22, 2006

Last updated

Apr 26, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Carolina Medical Center of Walterboro PAGroup PAC ID 3779514112, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Edisto Home Care & Hospice Hospice, Orangeburg, SC, CCN 421634
• Colleton Medical Center Hospital, Walterboro, SC, CCN 420030

Merit-based Incentive Payment System (MIPS)

Final score

44.82 of 100Reported as group

Quality

35

Improvement activities

0

Cost

81.73

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
• devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DGBBBA/Endpoint/DGBBBA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carolina Medical Center of Walterboro PA

  • Specialist
  • Walterboro, SC
  • NPI 1306042585
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Edisto Home Care & Hospice, LLC

  • Community Based Hospice Care Agency
  • Orangeburg, SC
  • NPI 1578098190
  Care Compare affiliation
• Walterboro Community Hospital, Inc.

  dba HCA Healthcare Colleton Hospital

  • General Acute Care Hospital
  • Walterboro, SC
  • NPI 1376597997
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303776000000",
    "number": "1013016138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 SPRUCE ST",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294882766",
            "telephone_number": "843-549-4335",
            "fax_number": "843-549-6502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 SPRUCE ST",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294882766",
            "telephone_number": "843-549-4335",
            "fax_number": "843-782-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUBAUGH",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2011-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "19591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2719",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Frank Biggers, MD
• Kelly Bjorkman, OTR/L
• Donald R Black, MD
• Diera Blackwell, LPN
• Kayla Blocker, SLP
• Bon Secours St Francis Xavier Hospital, Inc. (Charleston Oncology A Department of Bon Secours St. Francis Hospital)
• Phillip Jeffrey Bower, M.D.
• Boxwood Emergency Physicians, LLC
• Linda J. Brabham, COTA/L
• Megan Brett, MS, RD, LD

• Internal Medicine Physician in Walterboro, SC
• Providers in Walterboro, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; 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.

Verify at the official NPI Registry.