Eric Clinton Bass, D.O.
Individual provider Active NPI Diagnostic Radiology Physician · Charleston, SC
NPI 1184698573 · NPPES record last updated Jan 13, 2020
Key facts
- NPI
- 1184698573
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 37621 (SC)
- Practice address
- 171 Ashley Ave
Charleston, SC 29425-8908 - Phone
- (843) 792-1414
- NPI assigned
- Feb 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University Medical Associates of the Medical University of South Carol
Musc Community Physicians
Practice addresses (Care Compare)
171 Ashley Ave
Charleston, SC 29425-8508
Phone (843) 792-1414
29 N 2430
Lehi, UT 84043-1146
Phone (843) 792-1414
3000 Saint Matthews Rd
Orangeburg, SC 29118-1442
Phone (803) 395-3400
Hospital & facility affiliations
- Musc Medical Center
- Tidelands Georgetown Memorial Hospital
- Beaufort County Memorial Hospital
- Trident Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.02 of 100
- Quality
- 62.41
- Promoting interoperability
- 99
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.41 of 100
- Quality
- 64.93
- Promoting interoperability
- 99
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in SC, UT
- 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 |
|---|---|---|---|---|
| I20200210000627 | SC | Practitioner - Diagnostic Radiology | 6608175906 | Reassigns benefits to 2 organizations |
| I20250813004171 | UT | Practitioner - Diagnostic Radiology | 6608175906 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02002876A | IN | MD | Diagnostic Radiology Physician |
| 03683 | KY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Medical Associates of the Medical University of South Carol | Current |
Accepting new patients | |
| University Medical Associates of the Medical University of South Carol | Diagnostic Radiology | Current |
Accepting new patients |
| Musc Community Physicians | Current |
Accepting new patients | |
| Tidelands and Medquest Joint Venture, LLC | Current |
Accepting new patients | |
| Tidelands Health Market Common LLC | Current |
Accepting new patients | |
| Musc Community Physicians | Diagnostic Radiology | Current |
Accepting new patients |
Locations
506 North St
Bamberg, SC 29003
Phone (803) 245-6290
171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123
3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | OP60653343 | WA | |
| Diagnostic Radiology Physician | 2085R0202X | 03683 | KY | |
| Diagnostic Radiology Physician | 2085R0202X | 2295 | TN | |
| Diagnostic Radiology Physician | 2085R0202X | 02002876A | IN | |
| Diagnostic Radiology Physician | 2085R0202X | 37621 | SC | Yes |
Addresses
Primary practice location
171 Ashley Ave
Charleston, SC 29425-8908
Mailing address
PO Box 751461
Charlotte, NC 28275-1461
Phone (843) 792-6200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LL37621 | Other | SC | STATE LICENSE |
Other providers in Charleston, SC
- Mary Basel
- Jan Neil Basile
- Jeffrey M Basile
- Annie Bass
- Bailey Bradford Bass
- Lauren Marie Bass
- Eric Pierce Bassett
- Lee Young Bastian
- Taylor A Bastian
- Nicholas Ike Batalis
All providers in Charleston, SC · Diagnostic Radiology 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 Jan 13, 2020. 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.