NPIMap

Individual provider Active NPI

David R Kingery, MD

  • Orthopaedic Surgery Physician
  • West Columbia, SC
National Provider Identifier
1730162058
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
23988 Issued in SC
Practice address
146 E Hospital Dr Ste 140&350
West Columbia, SC 29169-4800
Phone
(803) 936-7230
Fax
(803) 358-6208
NPI assigned
Nov 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 25345 NC
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 23988 SC
Orthopaedic Surgery Physician 207X00000X 23988 SC Primary

Addresses

Primary practice location

146 E Hospital Dr Ste 140&350
West Columbia, SC 29169-4800

Mailing address

PO Box 6069
West Columbia, SC 29171-6069

Other identifiers 2

IdentifierTypeStateIssuer
8949300MedicaidNC
N25345MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dkingery7790@direct.lexmed.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070402000505 SC Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 2163466848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
University of Florida College of Medicine, 1980
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)

146 E Hospital Dr
Suite 141
West Columbia, SC 29169-4800
Phone (803) 314-9640

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Newberry, SC, CCN 427850
  • Amedisys Home Health of Lexington Home health agency, Lexington, SC, CCN 427039
  • Interim Healthcare of the Upstate Home health agency, Greenville, SC, CCN 427015
  • Enhabit Home Health Aiken Home health agency, Columbia, SC, CCN 427128
  • Medical Services of America Home Health Home health agency, Irmo, SC, CCN 427010
  • Lexington Medical Center Hospital, West Columbia, SC, CCN 420073

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement75
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25345NCMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Health Inc CurrentSince Feb 1, 2021 Accepting new patients
Lexington Health Inc Sports Medicine CurrentSince Jul 24, 2022 Accepting new patients
Lexington County Health Services District Inc Current Accepting new patients
Lexington Health Inc Orthopaedic Surgery CurrentSince Feb 1, 2021 Accepting new patients
Lexington County Health Services District, Inc. Past Accepting new patients

Locations

3016 Longtown Commons Dr
Ste 200
Columbia, SC 29229
Phone (803) 314-9640

811 W Main St
Ste 207
Lexington, SC 29072
Phone (803) 314-9640

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

146 E Hospital Dr
Ste 141
West Columbia, SC 29169
Phone (803) 314-9640

146 E Hospital Dr
Ste 140
West Columbia, SC 29169
Phone (803) 936-7076

146 E Hospital Dr
Ste 140350
West Columbia, SC 29169
Phone (803) 936-7230

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 6

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": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1730162058",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 E HOSPITAL DR STE 140&350",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694800",
            "telephone_number": "803-936-7230",
            "fax_number": "803-358-6208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINGERY",
        "first_name": "DAVID",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NC",
            "license": "25345",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "SC",
            "license": "23988",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "SC",
            "license": "23988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8949300",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N25345",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dkingery7790@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "146 E Hospital Dr",
            "city": "West Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291694800",
            "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.