CMS-1500 Box 24J / 33a • NPI
1487765897
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
261QA1903X (CMS 49)
Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center
Box 32 Service Location & ZIP+4
1200 HIGHMARKET ST, STE 100, GEORGETOWN, SC, 29440-3227
✓ 9-Digit EDI 837 ZIP+4 (29440-3227)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1487765897 (BAY MICROSURGICAL UNIT) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1487765897)
Medicare Beneficiaries
1,447
Total Billed Services
2,680
Distinct CPT/HCPCS Codes
25
Medicare Allowed Total
$2,589,841.32
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
65820 | Incision to improve eye fluid flow | 26 |
65855 | Laser repair to improve eye fluid flow | 23 |
66180 | Creation of shunt to improve eye fluid flow using tissue graft | 60 |
66710 | Destruction of lens tissue using laser | 20 |
66821 | Removal of recurring cataract in lens capsule using a laser | 579 |
66982 | Complex removal of cataract with insertion of prosthetic lens | 108 |
66984 | Removal of cataract with insertion of prosthetic lens | 1,466 |
66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 151 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1487765897 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | BAY MICROSURGICAL UNIT |
| Plain-English Specialty | Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: 261QA1903X (Clinic/Center, Ambulatory Surgical) |
| Certifying / Licensing Body | Accreditation Association for Ambulatory Health Care (AAAHC) / CMS |
| Practice Location Address | 1200 HIGHMARKET ST, STE 100, GEORGETOWN, SC, 29440-3227 |
| Practice Telephone / Fax | Tel: (843) 546-8421 | Fax: (843) 546-1173 |
| Administrative Mailing Address | PO BOX 2900, GEORGETOWN, SC, 29442-2900 |
| Enumeration & Last Sync | Enumerated: 2006-08-31 | CMS Record Updated: 2007-10-23 |
| Authorized Official | GERALD TILLER (Owner) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (261QA1903X)
What Does Taxonomy Code 261QA1903X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QA1903X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (BAY MICROSURGICAL UNIT)
Typical CPT / Diagnostic Procedures:- Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
- Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures
- Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
261QA1903X — Clinic/Center, Ambulatory SurgicalPlain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center | State: SC | License: ASF090 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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