Thomas Upshaw, M.D.
NPI 1306002142 · Psychiatry Physician · Mount Pleasant, SC
Enrolled with Medicare as Practitioner - Psychiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Thomas Upshaw, M.D. is a Psychiatry Physician provider in Mount Pleasant, SC (NPI 1306002142).
Provider details
- NPI number
- 1306002142
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 18101 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
17 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
793 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Psychotherapy With Evaluation and Management Visit, 30 Minutes90833 | 269 | $68 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 206 | $84 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 148 | $119 |
| Psychotherapy With Evaluation and Management Visit, 45 Minutes90836 | 82 | $87 |
| Subsequent Nursing Facility Care With High Level of Medical Decision Making, Per Day, If Using Time, at Least 45 Minutes99310 | 46 | $144 |
| Initial Nursing Facility Care With High Level of Medical Decision Making, Per Day, If Using Time, 50 Minutes Or More99306 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 67 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Alprazolam | 226 | 29 |
| Buspirone Hcl | 189 | 30 |
| Trazodone Hcl | 164 | 28 |
| Bupropion Hclbrand: Bupropion Xl | 160 | 29 |
| Quetiapine Fumarate | 158 | 25 |
| Clonazepam | 144 | 27 |
| Dextroamphetamine/Amphetamine |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$777 across 42 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-07-31
- Last updated
- 2023-09-18
- Certified
- 2021-05-27
Frequently asked questions
- What is Thomas Upshaw's NPI number?
- Thomas Upshaw's National Provider Identifier (NPI) is 1306002142, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Thomas Upshaw's specialty?
- Thomas Upshaw is listed in the NPPES registry with a primary specialty of Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Thomas Upshaw located?
- Thomas Upshaw's practice location on file with NPPES is 728 S Shelmore Blvd Ste 103, Mount Pleasant, SC 29464-1601.
- What is Thomas Upshaw's phone number?
- The practice phone number listed in the NPPES registry for Thomas Upshaw is (843) 972-0262.
- Does Thomas Upshaw accept Medicare?
- Thomas Upshaw is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Thomas Upshaw's NPI active?
- Yes — Thomas Upshaw's NPI (1306002142) is active in the NPPES registry as of the last update on 2023-09-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.