Active NPI
Marc C Antonetti, MD
- Surgery Physician
- West Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 27683
- Practice address
- 146 E Hospital Dr Ste 400
West Columbia, SC 29169-4800 - Phone
- (803) 936-3300
- Fax
- (803) 936-7735
- NPI assigned
- Jul 17, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 27683 | SC | Primary |
Addresses
Primary practice location
146 E Hospital Dr Ste 400
West Columbia, SC 29169-4800
Mailing address
PO Box 6069
West Columbia, SC 29171-6069
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 276837 | Medicaid | SC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mantonetti7207@direct.lexmed.com |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050531000724 | SC | Practitioner - General Surgery | 7214925569 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Georgetown University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lexington Health Inc
Practice addresses (Care Compare)
146 E Hospital Dr
Suite 400
West Columbia, SC 29169-4800
Phone (803) 936-3300
Hospital & facility affiliations
- Lexington Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.09 of 100
- Quality
- 68.87
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.11
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 36 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 89 |
| Melanoma (skin cancer) excision | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lexington Health Inc | Surgery | Current | Accepting new patients |
| Lexington Health Inc | Current | Accepting new patients | |
| Lexington Health Inc | Current | Accepting new patients | |
| Lexington County Health Services District Inc | Current | Accepting new patients | |
| Lexington County Health Services District, Inc. | Surgery | Past | Accepting new patients |
| Lexington County Health Services District, Inc. | Past | Accepting new patients | |
| Lexington Health Inc | Past | Accepting new patients | |
| Lexington Medical Center | Past | Accepting new patients |
Locations
3016 Longtown Commons Dr
Ste 210
Columbia, SC 29229
Phone (803) 936-3300
811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230
2006 Augusta Hwy
Lexington, SC 29072
Phone (803) 358-6400
122 Powell Dr
Lexington, SC 29072
Phone (803) 957-8400
146 E Hospital Dr
Ste 400
West Columbia, SC 29169
Phone (803) 936-3300
2720 Sunset Blvd
West Columbia, SC 29169
Phone (803) 791-2480
Organizations & group practices 21
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.
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- Sports Medicine (Orthopaedic Surgery) Physician
- West Columbia, SC
- NPI 1710634753
SC
-
- General Acute Care Hospital
- West Columbia, SC
- NPI 1386241834
-
- Clinic Pharmacy
- West Columbia, SC
- NPI 1023616232
-
- Durable Medical Equipment & Medical Supplies
- Columbia, SC
- NPI 1063019453
-
- Rural Health Clinic/Center
- Swansea, SC
- NPI 1245837632
-
- Radiology Clinic/Center
- Lexington, SC
- NPI 1275130650
-
- Ambulatory Surgical Clinic/Center
- Columbia, SC
- NPI 1285236083
-
- Radiology Clinic/Center
- Columbia, SC
- NPI 1326640442
-
- Radiology Clinic/Center
- Cayce, SC
- NPI 1386343135
-
- Ambulatory Surgical Clinic/Center
- Columbia, SC
- NPI 1396342838
-
- Radiology Clinic/Center
- Lexington, SC
- NPI 1407457013
-
- Ambulatory Surgical Clinic/Center
- Lexington, SC
- NPI 1497352934
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602547200000",
"number": "1043237803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6069",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291716069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 E HOSPITAL DR STE 400",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291694800",
"telephone_number": "803-936-3300",
"fax_number": "803-936-7735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTONETTI",
"first_name": "MARC",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2020-10-13",
"certification_date": "2020-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "SC",
"license": "27683",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "276837",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mantonetti7207@direct.lexmed.com",
"affiliation": "N",
"address_1": "146 E Hospital Dr Ste 400",
"city": "West Columbia",
"state": "SC",
"country_code": "US",
"postal_code": "291694800",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in West Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.