Gerald Congdon, MD
NPI 1568446326 · Family Medicine Physician · Pawleys Island, SC
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gerald Congdon, MD is a Family Medicine Physician provider in Pawleys Island, SC (NPI 1568446326).
Provider details
- NPI number
- 1568446326
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 19721 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
681 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Chronic Care Management Services, First 20 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month99490 | 223 | $49 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 175 | $119 |
| Detection Test By Immunoassay With Direct Visual Observation for Influenza Virus87804 | 72 | $16 |
| Detection Test By Immunoassay With Direct Visual Observation for Severe Acute Respiratory Syndrome Coronavirus 2 (covid-19)87811 | 43 | $41 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 40 | $85 |
| Advance Care Planning, First 30 Minutes99497 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 21 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Oxycodone Hcl | 140 | 13 |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 99 | — |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 95 | — |
| Gabapentin | 49 | — |
| Buprenorphine Hcl/Naloxone Hclbrand: Buprenorphine-Naloxone | 36 | 25 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa |
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-12-05
- Last updated
- 2015-09-24
Frequently asked questions
- What is Gerald Congdon's NPI number?
- Gerald Congdon's National Provider Identifier (NPI) is 1568446326, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gerald Congdon's specialty?
- Gerald Congdon is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Gerald Congdon located?
- Gerald Congdon's practice location on file with NPPES is 201 Business Center Dr, Pawleys Island, SC 29585-6522.
- What is Gerald Congdon's phone number?
- The practice phone number listed in the NPPES registry for Gerald Congdon is (888) 467-1117.
- Does Gerald Congdon accept Medicare?
- Gerald Congdon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Gerald Congdon's NPI active?
- Yes — Gerald Congdon's NPI (1568446326) is active in the NPPES registry as of the last update on 2015-09-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.