Individual provider Active NPI

Marc C Antonetti, MD

  • Surgery Physician
  • West Columbia, SC
National Provider Identifier
1043237803
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
27683 Issued in SC
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

Updated by the provider on Oct 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
276837MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 905 clinicians

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 Hospital, West Columbia, SC, CCN 420073

Merit-based Incentive Payment System (MIPS)

Final score
84.09 of 100Reported as group
Quality
68.87
Promoting interoperability
100
Improvement activities
40
Cost
78.11

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)36
Upper gastrointestinal (GI) endoscopy for acid reflux89
Melanoma (skin cancer) excision11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Health Inc Surgery CurrentSince Feb 1, 2021 Accepting new patients
Lexington Health Inc CurrentSince Feb 1, 2021 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.

View all 21

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

Verify at the official NPI Registry.