Andrew Fenters Calcutt, MD
Individual provider Active NPI Surgery Physician · Walterboro, SC
NPI 1174588263 · NPPES record last updated Nov 10, 2010
Key facts
- NPI
- 1174588263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 20022 (SC)
- Practice address
- 901 Robertson Blvd
Walterboro, SC 29488-3171 - Phone
- (843) 549-8003
- Fax
- (843) 549-8006
- NPI assigned
- Apr 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Medical University of South Carolina College of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
901 Robertson Blvd
Walterboro, SC 29488-3171
Phone (843) 549-8003
Hospital & facility affiliations
- Colleton Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 95 of 100
- Quality
- 90
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 78 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 110 |
| Removal of tissue | 29 |
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100923000348 | SC | Practitioner - General Surgery | 1355420613 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lowcountry Surgical Associates, PA | Current |
Accepting new patients |
Locations
901 Robertson Blvd
Walterboro, SC 29488
Phone (843) 549-6729
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BFEEAA
- https://fhir4.healow.com/fhir/r4/BFEEAA/Endpoint/BFEEAA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 20022 | SC | Yes |
Addresses
Primary practice location
901 Robertson Blvd
Walterboro, SC 29488-3171
Mailing address
901 Robertson Blvd
Walterboro, SC 29488-3171
Phone (843) 549-8003
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 161633693 | Other | SC | BCBS |
| 20037555 | Other | SC | FIRST CHOICE/SELECT HEALT |
| GP3585 | Medicaid | SC | |
| 161633693 | Other | SC | TRICARE |
Other providers in Walterboro, SC
- Tychia Brown
- Buckner in Home Care LTD Co
- Building Independence Together
- Bulls Drug Store Inc
- Nancy A Burnham
- Vonda Gilgen Calcutt
- Lauren Forster Callison
- Beverly Calloway
- Cambridge Healthcare Inc.
- David Campbell
All providers in Walterboro, SC · Surgery Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.