TIMOTHY DUNIHO MD
NPI 1720021207
Obstetrics & Gynecology in Anderson, SC


Quality Rating: 93.99 out of 100 score

NPI Status: Active since June 13, 2006

Contact Information

2000 E GREENVILLE ST
SUITE 4500
ANDERSON, SC
ZIP 29621
Phone: (864) 512-4500
Fax: (864) 512-4505

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  • Individual
  • Male
  • Years of Experience 38
  • Obstetrics & Gynecology
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About TIMOTHY DUNIHO

This page provides the complete NPI Profile along with additional information for Timothy Duniho, a women's health care provider established in Anderson, South Carolina with a medical specialization in Obstetrics & Gynecology and more than 38 years of experience. He graduated from University Of Missouri, Columbia School Of Medicine in 1988. The healthcare provider is registered in the NPI registry with number 1720021207 assigned on June 2006. The practitioner's primary taxonomy code is 207V00000X with license number 16123 (SC). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1720021207
Provider Name
TIMOTHY DUNIHO MD
Gender
Male
Entity Type
Individual
Location Address
2000 E GREENVILLE ST SUITE 4500 ANDERSON, SC 29621
Location Phone
(864) 512-4500
Location Fax
(864) 512-4505
Mailing Address
PO BOX 2047 ANDERSON, SC 29622
Mailing Phone
(864) 512-4500
Mailing Fax
(864) 512-4505
Medical School Name
UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduation Year
1988
Is Sole Proprietor?
No
Enumeration Date
06-13-2006
Last Update Date
04-28-2010
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Women's health care providers like Timothy Duniho treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Obstetrics & Gynecology

Taxonomy Code
207V00000X
Type
Allopathic & Osteopathic Physicians
License No.
16123
License State
SC
Taxonomy Description
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Clear Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Clear Silver with $0 Insulin Options - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Gold with Atrium Health - HMO
  • Complete Gold with Atrium Health + Vision + Adult Dental - HMO
  • Complete Silver with Atrium Health - HMO
  • Complete Silver with Atrium Health + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Blue Direction Silver 1 - POS
  • Blue Direction Silver 1 + Adult Vision - POS
  • Blue Direction Silver 2 - POS
  • Blue Direction Standard Gold - POS
  • Blue Direction Standard Silver - POS
  • Blue VirtuConnect Bronze 1 - EPO
  • Blue VirtuConnect Gold 1 - EPO
  • Blue VirtuConnect Silver 1 - EPO
  • BlueEssentials Bronze 4 - EPO
  • BlueEssentials Bronze 6 - EPO
  • First Choice Next Bronze Essential - HMO
  • First Choice Next Bronze Premier - HMO
  • First Choice Next Bronze Signature - HMO
  • First Choice Next Gold Deluxe - HMO
  • First Choice Next Gold Signature - HMO
  • First Choice Next Silver Deluxe - HMO
  • First Choice Next Silver Premier - HMO
  • First Choice Next Silver Signature - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 - HMO
  • Silver 8 - HMO
  • UHC Bronze Copay Focus $0 Indiv Med Ded - HMO
  • UHC Bronze Standard - HMO
  • UHC Bronze Value - HMO
  • UHC Gold Advantage - HMO
  • UHC Gold Advantage+ (Dental + Vision) - HMO
  • UHC Gold Copay Focus $0 Indiv Med Ded - HMO
  • UHC Gold Standard - HMO
  • UHC Silver Advantage - HMO
  • UHC Silver Copay Focus $0 Indiv Med Ded - HMO
  • UHC Silver Standard - HMO
  • Standard Expanded Bronze WellCare - PPO
  • Standard Gold WellCare - PPO
  • Standard Silver WellCare - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
F36428MEDICARE UPIN (02) 
161238MEDICAID (05)SC 
7111MEDICARE PIN (08)SC 

Medicare Participation & PECOS Enrollment Status

Timothy Duniho is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Timothy Duniho is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 9739103144

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20060124000531

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Automated urinalysis test

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

This service was performed 17 times for 16 patients

Cervical or vaginal cancer screening; pelvic and clinical breast examination

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

This service was performed 19 times for 19 patients

Established patient office or other outpatient visit, 10-19 minutes

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

This service was performed 19 times for 16 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 95 times for 79 patients

Removal of uterus, tubes, and/or ovaries through abdomen using an endoscope, 250.0 g or less

This procedure involves the removal of certain internal structures through small incisions in the abdomen, using a special tool called an endoscope. It's performed when these structures are causing health issues. The weight reference (250.0 g or less) relates to the size of the structures being removed.

This service was performed 14 times for 14 patients

Repair of herniated rectum into vaginal wall

This procedure involves correcting a physical condition where part of the rectum bulges into the vaginal area. It's done by repositioning the rectum and strengthening the tissue between the two areas to prevent recurrence.

This service was performed 14 times for 14 patients

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory

A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.

This service was performed 15 times for 15 patients

Surgical repair of vaginal defect using an endoscope

This procedure involves the use of a special instrument, an endoscope, to help fix an issue within your body. It's a minimally invasive method, meaning less discomfort and quicker recovery compared to traditional surgery.

This service was performed 16 times for 16 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $31.01 for a new patient copayment and $16.78 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 29621 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $124.04
  • Minimum New Patient Price $53.57
  • Maximum New Patient Price $163.84
  • Average New Patient Copayment $31.01
  • Minimum New Patient Copayment $13.39
  • Maximum New Patient Copayment $40.96

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $67.12
  • Minimum Established Patient Price $16.96
  • Maximum Established Patient Price $133.52
  • Average Established Patient Copayment $16.78
  • Minimum Established Patient Copayment $4.24
  • Maximum Established Patient Copayment $33.38

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 93.99, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 93.99 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 88.64

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 98.91

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Timothy Duniho is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
ANMED HEALTH800 N FANT ST
ANDERSON, SC 29621
(864) 512-2830Acute Care Hospitals

Reviews for TIMOTHY DUNIHO MD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1720021207
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
274002220
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 0 + 2 + 2 + 2 + 0 + 24 = 43
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 43 = 77

The NPI number 1720021207 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1033112008 SARAH BROWNE LONG APRN
Individual
Nurse Practitioner (Family)2000 E GREENVILLE ST STE 3850
ANDERSON, SC 29621
(864) 225-5667
1619958584 LORI ELIZABETH MCCLANAHAN MD
Individual
Pediatrics2000 E GREENVILLE ST SUITE 3000
ANDERSON, SC 29621
(864) 224-1055
1700860624 CAROLINE H SANDERS MD
Individual
Family Medicine2000 E GREENVILLE ST SUITE 3700
ANDERSON, SC 29621
(864) 512-1475
1821073016 ANDREA F DRAISEN MD
Individual
Pediatrics2000 E GREENVILLE ST STE 3000
ANDERSON, SC 29621
(864) 224-1055
1467428607 SZABOLCS BATIZY M.D.
Individual
Internal Medicine (Hematology & Oncology)2000 E GREENVILLE ST STE 5000
ANDERSON, SC 29621
(864) 224-5765
1982670147 JOHN DOSTER M.D.
Individual
Internal Medicine (Hematology & Oncology)2000 E GREENVILLE ST STE 5000
ANDERSON, SC 29621
(864) 224-5765
1063488203 RAJEEV MALIK M.D.
Individual
Internal Medicine (Hematology & Oncology)2000 E GREENVILLE ST STE 5000
ANDERSON, SC 29621
(864) 224-5765
1619946415 BARRY H MADDOX M.D.
Individual
Pediatrics2000 E GREENVILLE ST SUITE 3000
ANDERSON, SC 29621
(864) 224-1055
1649249814DR. RAVINDER MALIK M.D.
Individual
Radiology (Radiation Oncology)2000 E GREENVILLE ST
ANDERSON, SC 29621
(864) 512-4600
1609835511 PATTI K MOSELEY MD
Individual
Pediatrics2000 E GREENVILLE ST STE 3000
ANDERSON, SC 29621
(864) 224-1055
1013978303PEDIATRIC ASSOCIATES OF ANDERSON, P.A.
Organization
Pediatrics2000 E GREENVILLE ST SUITE 3000
ANDERSON, SC 29621
(864) 224-1055
1548222326 JAMES O. STUMPFF M.D.
Individual
Emergency Medicine2000 E GREENVILLE ST
ANDERSON, SC 29621
(864) 716-6612
1790749851 VALDA L. SMITH M.D.
Individual
Family Medicine2000 E GREENVILLE ST
ANDERSON, SC 29621
(864) 512-6612
1730144114 AMIR M. AGHA MD
Individual
Internal Medicine (Rheumatology)2000 E GREENVILLE ST
ANDERSON, SC 29621
(864) 716-6030
1891747747INTERNAL MEDICINE ASSOCIATES OF ANDERSON, PA
Organization
Internal Medicine2000 E GREENVILLE ST SUITE 3850
ANDERSON, SC 29621
(864) 225-5667
1710934633 FELICE PEARL MOODY MD
Individual
Specialist2000 E GREENVILLE ST STE 2300
ANDERSON, SC 29621
(864) 224-1232
1821035627DR. HENRY B HEARN IV MD
Individual
Obstetrics & Gynecology2000 E GREENVILLE ST SUITE 4500
ANDERSON, SC 29621
(864) 512-4500
1992746671DR. JOHN ROGER SHOWALTER PH.D.
Individual
Counselor (Professional)2000 E GREENVILLE ST SUITE 1500
ANDERSON, SC 29621
(864) 964-9155
1679515605 MARK LACY MD
Individual
Obstetrics & Gynecology2000 E GREENVILLE ST SUITE 4500
ANDERSON, SC 29621
(864) 512-4500
1578507349ANMED HEALTH PHARMACY, OGLESBY CENTER
Organization
Pharmacy (Community/Retail Pharmacy)2000 E GREENVILLE ST SUITE 1000
ANDERSON, SC 29621
(864) 512-6020

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720021207, enumerated in the NPI registry as an "individual" on June 13, 2006

The provider is located at 2000 E Greenville St Suite 4500 Anderson, Sc 29621 and the phone number is (864) 512-4500

The provider's speciality is Obstetrics & Gynecology with taxonomy code 207V00000X

The provider has more than 38 years of experience. He graduated from University Of Missouri, Columbia School Of Medicine in 1988.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information.

Medicare beneficiaries should expect a typical cost of $124.04 with an average copayment of $31.01 for new patient appointments. Established patients should expect a typical charge of $67.12 and an average copayment of 16.78. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Automated urinalysis test, Cervical or vaginal cancer screening; pelvic and clinical breast examination, Established patient office or other outpatient visit, 10-19 minutes, Established patient office or other outpatient visit, 20-29 minutes, Removal of uterus, tubes, and/or ovaries through abdomen using an endoscope, 250.0 g or less, Repair of herniated rectum into vaginal wall, Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory and Surgical repair of vaginal defect using an endoscope.

The practitioner is affiliated to the following hospital(s): ANMED HEALTH. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on June 13, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.