DR. DAVID MACY VIDRINE M.D. NPI 1447293121

NPI Information

  • NPI: 1447293121
  • Provider Name: DR. DAVID MACY VIDRINE, M.D.
  • Classification: Otolaryngology - 207YP0228X
  • Specialization: Pediatric Otolaryngology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 15 EXCHANGE DR
    LUGOFF, SC
    ZIP 29078
  • Phone: (803) 408-3277

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NPI Details

DR. David Macy Vidrine, M.D. is a pediatric otolaryngology otolaryngology in Lugoff, SC with 24 years of experience. The provider is a pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing. DR. David Macy Vidrine, M.D. NPI is 1447293121. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduation Year:2001

The provider's business location address is:

15 EXCHANGE DR
LUGOFF, SC
ZIP 29078-198
Phone: (803) 408-3277
Fax: (803) 408-3282

The NPI 1447293121 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Professional service for preparation and provision of 1 or more antigens (HCPCS:95165)
  • Test for allergy using allergenic extract (HCPCS:95004)
  • Test for allergy using airborne allergenic extract injected into skin (HCPCS:95027)
  • Professional service for multiple injections of allergen (HCPCS:95117)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Professional service for single injection of allergen (HCPCS:95115)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Removal of impacted ear wax (HCPCS:69210)
  • Diagnostic exam of nasal passages using an endoscope (HCPCS:31231)
  • Test to assess middle ear function (HCPCS:92567)
  • Diagnostic exam of voice box using a flexible endoscope (HCPCS:31575)
  • Ct scan of face without contrast (HCPCS:70486)
  • Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing (HCPCS:G0268)
  • Test for balance and posture (HCPCS:92548)
  • Evaluation for physical therapy, typically 20 minutes (HCPCS:97161)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes (HCPCS:97112)
  • Test for balance and posture with motor control and adaption test (HCPCS:92549)
  • Test to measure expiratory airflow and volume (HCPCS:94010)
  • Comprehensive hearing and speech recognition test (HCPCS:92557)
  • Removal of inflamed or infected skin, up to 10% of body surface (HCPCS:11000)
  • Exam of ear using a microscope (HCPCS:92504)

The enumeration date for this NPI number is 6/13/2006 and was last updated on 5/26/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207YP0228XOtolaryngologyPediatric Otolaryngology30117SOUTH CAROLINAYes
2207YP0228XOtolaryngologyPediatric Otolaryngology226983MASSACHUSETTSNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1301177MEDICAIDSOUTH CAROLINA
2DE5192OTHERSOUTH CAROLINAUNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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