Individual provider Active NPI

Phelan Giles Piehota, D.O.

  • Ophthalmology Physician
  • Ladson, SC
National Provider Identifier
1548534381
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
83038 Issued in SC
Practice address
9565 Highway 78
BLDG 200
Ladson, SC 29456-4118
Phone
(843) 553-2477
Fax
(843) 553-2478
NPI assigned
Feb 24, 2012
Last updated
Aug 15, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X OS017900 PA
Ophthalmology Physician 207W00000X 83038 SC Primary

Addresses

Primary practice location

9565 Highway 78
BLDG 200
Ladson, SC 29456-4118

Mailing address

9565 Highway 78
BLDG 200
Ladson, SC 29456-4118
Phone (843) 553-2477

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address PPIEHOTA@LCEYES.INTELLECHARTDIRECT.NET Health Information Exchange (HIE)

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
I20200320000044 SC Practitioner - Ophthalmology 7911144266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Philadelphia College of Osteopathic Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cataract and Laser Center of CharlestonGroup PAC ID 3678637147, 4 clinicians

Practice addresses (Care Compare)

9565 Hwy 78
BLDG 200
Ladson, SC 29456-4118
Phone (843) 553-2477

Merit-based Incentive Payment System (MIPS)

Final score
91.76 of 100Reported as group
Quality
100
Improvement activities
40
Cost
72.53

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery168
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS017900PAMDOphthalmology Physician
83038SCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cataract and Laser Center of Charleston Ophthalmology CurrentSince Mar 1, 2020 Accepting new patients
Ophthalmology Associates of York, LLP Ophthalmology CurrentSince Aug 1, 2016 Accepting new patients
Alan L. Robin, MD PA Ophthalmology PastSince Aug 1, 2016 Accepting new patients

Locations

1945 Queenswood Dr
York, PA 17403
Phone (717) 846-6900

9565 Highway 78
Bldg 200
Ladson, SC 29456
Phone (843) 553-2477

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71938
  • Direct secure messaging: ppiehota@lceyes.intellechartdirect.net

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1330041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1548534381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9565 HIGHWAY 78",
            "address_2": "BLDG 200",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294564118",
            "telephone_number": "843-553-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9565 HIGHWAY 78",
            "address_2": "BLDG 200",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294564118",
            "telephone_number": "843-553-2477",
            "fax_number": "843-553-2478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIEHOTA",
        "first_name": "PHELAN",
        "middle_name": "GILES",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-24",
        "last_updated": "2023-08-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "OS017900",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "83038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "PPIEHOTA@LCEYES.INTELLECHARTDIRECT.NET",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9565 HIGHWAY 78",
            "address_2": "BLDG 200",
            "city": "LADSON",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294564118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ladson, SC

Sources for this page

Verify at the official NPI Registry.