John Fitzgerald Ansley, MD
Individual provider Active NPI Otolaryngology Physician · Orangeburg, SC
NPI 1790733590 · NPPES record last updated Jul 9, 2020
Key facts
- NPI
- 1790733590
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Otolaryngology Physician 207Y00000X
- License
- 21712 (SC)
- Practice address
- 832 Cook Rd
Orangeburg, SC 29118-2126 - Phone
- (803) 536-5511
- Fax
- (803) 536-0636
- NPI assigned
- May 4, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Otolaryngology
- Education
- JS Weill Medical College, Cornell University, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Charleston ENT Associates, LLC
Practice addresses (Care Compare)
2295 Henry Tecklenburg Dr
Charleston, SC 29414-7801
Phone (843) 766-7103
Hospital & facility affiliations
- Musc Medical Center
- Colleton Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.33 of 100
- Quality
- 86.06
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Skin biopsy | 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 |
|---|---|---|---|---|
| I20120125000528 | SC | Practitioner - Otolaryngology | 7214074756 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charleston ENT Associates, LLC | Otolaryngology | Current |
Accepting new patients |
| Charleston ENT Associates, LLC | Current |
Accepting new patients |
Locations
2295 Henry Tecklenburg Dr
Charleston, SC 29414
1849 Savage Rd
Charleston, SC 29407
Phone (843) 576-2600
832 Cook Rd
Orangeburg, SC 29118
Phone (803) 536-5511
302 Medical Park Dr
Ste 207
Walterboro, SC 29488
Phone (803) 536-5511
Interoperability endpoints
- jansley447599@direct.musc.edu
- john.ansley.p1@direct.entap.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 21712 | SC | Yes |
| Specialist | 174400000X | 21712 | SC |
Addresses
Primary practice location
832 Cook Rd
Orangeburg, SC 29118-2126
Mailing address
832 Cook Rd
Orangeburg, SC 29118-2126
Phone (803) 536-5511
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA2835 | Medicaid | SC |
Other providers in Orangeburg, SC
- Nicole Lanee' Anderson
- Perrin Deandre Anderson
- Angel in a Scrub LLC
- Ibn Ansari
- Murtuza Ansari
- Lauren Rebecca Arant
- Aliesha Argrow
- Articularis Healthcare Group Inc
- Beverly Asbury
- Marquita L Asbury
All providers in Orangeburg, SC · Otolaryngology 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 Jul 9, 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.