Individual provider Active NPI

Mark Duane Kilgus, MD

  • Psychiatry Physician
  • West Columbia, SC
National Provider Identifier
1093771107
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
14995 Issued in SC
Practice address
145 Sunset CT Ste 100
West Columbia, SC 29169-2464
Phone
(803) 739-3550
Fax
(803) 739-3546
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0101241086 VA
Psychiatry Physician 2084P0800X MD36657 TN
Psychiatry Physician 2084P0800X 14995 SC Primary

Addresses

Primary practice location

145 Sunset CT Ste 100
West Columbia, SC 29169-2464

Mailing address

PO Box 6069
West Columbia, SC 29171-6069
Phone (803) 739-3550

Other identifiers 2

IdentifierTypeStateIssuer
4106719OtherTNBCBS
TN01BEOtherTNJOHN DEERE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mkilgus176156@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
I20180413001960 SC Practitioner - Psychiatry 4486613346 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of South Carolina School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lexington Health IncGroup PAC ID 2567872070, 905 clinicians

Practice addresses (Care Compare)

145 Sunset CT
Suite 100And201
West Columbia, SC 29169-2429
Phone (803) 739-3550

Hospital & facility affiliations

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD36657TNMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Health Inc CurrentSince Jun 1, 2024 Accepting new patients
Lexington Health Inc Current Accepting new patients
Lexington Health, Inc CurrentSince Jun 1, 2024 Accepting new patients
Lexington County Health Services District Inc Current Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince May 29, 2021 Accepting new patients
South Carolina Dept of Mental Health Accounting Office Psychiatry Current Accepting new patients
South Carolina Dept of Mental Health Accounting Office Psychiatry CurrentSince May 29, 2021 Accepting new patients
Northpointe Behavioral Healthcare System Psychiatry Past Accepting new patients

Locations

610 Faison Dr
Columbia, SC 29203
Phone (803) 898-8523

2414 Bull St
Columbia, SC 29201
Phone (803) 898-2461

220 Faison Dr
Columbia, SC 29203
Phone (803) 898-1662

7901 Farrow Rd
Columbia, SC 29203
Phone (803) 734-7846

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

145 Sunset Ct
Ste 100
West Columbia, SC 29169
Phone (803) 739-3491

145 Sunset Ct
Ste 100201
West Columbia, SC 29169
Phone (803) 739-3550

Interoperability endpoints

  • Direct secure messaging: mkilgus176156@direct.lexmed.com

Organizations & group practices 8

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.

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1093771107",
    "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",
            "telephone_number": "803-739-3550",
            "fax_number": "803-739-3546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 SUNSET CT STE 100",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291692464",
            "telephone_number": "803-739-3550",
            "fax_number": "803-739-3546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILGUS",
        "first_name": "MARK",
        "middle_name": "DUANE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101241086",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "MD36657",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "14995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4106719",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE",
            "identifier": "TN01BE",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkilgus176156@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "145 Sunset Ct Ste 100",
            "city": "West Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291692429",
            "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.