Active NPI
Stephen Andrew Dersch, MD
- Family Medicine Physician
- Florence, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 22678
- Practice address
- 805 Pamplico Hwy Ste B135
Florence, SC 29505-6047 - Phone
- (843) 674-6414
- Fax
- (843) 674-2642
- NPI assigned
- May 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 22678 | SC | |
| Family Medicine Physician | 207Q00000X | 22678 | SC | Primary |
Addresses
Primary practice location
805 Pamplico Hwy Ste B135
Florence, SC 29505-6047
Mailing address
PO Box 603898
Charlotte, NC 28260-3898
Phone (843) 792-6200
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 226785 | Medicaid | SC | |
| P00103192 | Other | SC | RAILROAD MEDICARE- PROVIDER NUMBER |
| GP4840 | Other | SC | MEDICAID GROUP |
| CN2547 | Other | SC | RAILROAD MEDICARE- GROUP NUMBER |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081023000701 | SC | Practitioner - Family Practice | 1658439393 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Indiana University School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
805 Pamplico Hwy
Florence, SC 29505-6047
Phone (843) 674-2500
Hospital & facility affiliations
- Musc Health Florence Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.41 of 100
- Quality
- 64.93
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Musc Community Physicians | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients | |
| Carolina Family Care, Inc | Family Medicine | Current | Accepting new patients |
| Carolina Family Care, Inc | Family Medicine | Current | Accepting new patients |
| Medical University Hospital Authority | Past | Accepting new patients |
Locations
506 North St
Bamberg, SC 29003
Phone (803) 245-6290
1925 Hoffmeyer Rd
Florence, SC 29501
Phone (843) 661-4390
805 Pamplico Hwy
Florence, SC 29505
Phone (843) 674-2500
805 Pamplico Hwy
Ste 300
Florence, SC 29505
Phone (843) 679-2760
805 Pamplico Hwy
Ste B135
Florence, SC 29505
Phone (843) 674-6414
1341 Old Georgetown Rd
Ste C
Mt Pleasant, SC 29464
Phone (843) 884-2175
Interoperability endpoints
- sdersch260119@direct.musc.edu
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Charleston, SC
- NPI 1184655722
Family Medicine, SC
-
- Hospitalist Physician
- Monroe, GA
- NPI 1760410385
SC
-
- Rural Health Clinic/Center
- Bowman, SC
- NPI 1225735772
-
- General Acute Care Hospital
- Florence, SC
- NPI 1184197683
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Florence, SC
- NPI 1184197683
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615161600000",
"number": "1699733238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 603898",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282603898",
"telephone_number": "843-792-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 PAMPLICO HWY STE B135",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295056047",
"telephone_number": "843-674-6414",
"fax_number": "843-674-2642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DERSCH",
"first_name": "STEPHEN",
"middle_name": "ANDREW",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2021-03-08",
"certification_date": "2021-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "SC",
"license": "22678",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "22678",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "226785",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE- PROVIDER NUMBER",
"identifier": "P00103192",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GROUP",
"identifier": "GP4840",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE- GROUP NUMBER",
"identifier": "CN2547",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Florence, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.