Active NPI 1164409488 Individual Practitioner Male Practitioner

Dr. Gary Randall Culbertson , MD

Plastic Surgery • Sumter, SC

Professional Overview & Biography Verified Profile Summary

Dr. Gary Culbertson, MD is a registered healthcare professional specializing in Plastic Surgery in Sumter, SC. Practice services are available at 18 MILLER RD under active NPI credentials.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

18 Miller Rd

Sumter, SC 291502403

Telephone 8037736361

Fax 8037736009

Associated Practice Facility / Clinic

🏢 Plastic & Reconstructive Surgery Of Sumter, Pa Facility NPI 1659560407

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Sumter, SC

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 14.0 Yrs

State Avg: 26.7 Yrs

Regional Practice Density

2 Specialists

Practicing in Sumter, SC (73 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	489	82	$42.00	$5.98
99213 Established patient office or other outpatient visit, typically 15 minutes	165	120	$125.00	$84.94
17000 Destruction of skin growth	111	91	$250.00	$54.45
11102 Tangential biopsy of single skin lesion	56	48	$279.00	$90.73
17004 Destruction of precancer skin growth, 15 or more growths	25	19	$650.00	$153.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$225.00	$156.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	671	100	$42.00	$6.07
99213 Established patient office or other outpatient visit, typically 15 minutes	290	146	$125.00	$85.49
17000 Destruction of skin growth	178	115	$250.00	$54.34
11102 Tangential biopsy of single skin lesion	102	75	$279.00	$93.53
17004 Destruction of precancer skin growth, 15 or more growths	38	25	$650.00	$158.32
11103 Biopsy of related skin growth, each additional growth	35	18	$150.00	$47.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$150.00	$106.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$225.00	$152.50
11606 Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm	19	15	$1216.00	$387.45
11644 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 3.1-4.0 cm	13	11	$1171.00	$295.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	789	101	$42.00	$6.29
99213 Established patient office or other outpatient visit, typically 15 minutes	303	162	$125.00	$86.50
17000 Destruction of skin growth	185	117	$250.00	$53.80
11102 Tangential biopsy of single skin lesion	118	98	$279.00	$96.67
17004 Destruction of precancer skin growth, 15 or more growths	44	32	$650.00	$160.17
11103 Biopsy of related skin growth, each additional growth	40	27	$150.00	$48.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$150.00	$107.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$225.00	$160.59
11606 Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm	17	17	$1216.00	$401.73
11646 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, more than 4.0 cm	12	12	$1647.00	$462.97
11644 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 3.1-4.0 cm	12	12	$1171.00	$309.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	999	125	$42.00	$6.11
99213 Established patient office or other outpatient visit, typically 15 minutes	359	176	$125.00	$87.53
17000 Destruction of skin growth	235	141	$250.00	$53.11
11102 Tangential biopsy of single skin lesion	125	107	$279.00	$97.54
17004 Destruction of precancer skin growth, 15 or more growths	44	32	$650.00	$154.04
11103 Biopsy of related skin growth, each additional growth	43	31	$150.00	$50.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$150.00	$107.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$225.00	$161.72
11626 Removal of malignant growth (over 4.0 centimeters) of the scalp, neck, hands, feet, or genitals	14	11	$1331.00	$350.52
11644 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 3.1-4.0 cm	13	13	$1171.00	$274.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,219	131	$42.00	$5.75
99213 Established patient office or other outpatient visit, typically 15 minutes	375	194	$108.47	$71.87
17000 Destruction of skin growth	249	147	$250.00	$54.29
11102 Tangential biopsy of single skin lesion	123	102	$279.00	$94.80
17004 Destruction of precancer skin growth, 15 or more growths	50	34	$650.00	$147.78
11103 Biopsy of related skin growth, each additional growth	32	23	$150.00	$50.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$150.00	$103.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$225.00	$158.55
11644 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 3.1-4.0 cm	18	18	$1171.00	$303.99
11606 Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm	12	12	$1216.00	$432.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,600	177	$42.00	$5.17
99213 Established patient office or other outpatient visit, typically 15 minutes	482	245	$100.00	$69.82
17000 Destruction of skin growth	337	196	$250.00	$52.93
11102 Tangential biopsy of single skin lesion	154	128	$279.00	$90.76
17004 Destruction of precancer skin growth, 15 or more growths	73	51	$650.00	$138.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$150.00	$100.37
11103 Biopsy of related skin growth, each additional growth	46	36	$150.00	$49.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$225.00	$154.92
11646 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, more than 4.0 cm	23	19	$1647.00	$479.99
11606 Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm	16	13	$1216.00	$406.75
11644 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 3.1-4.0 cm	14	14	$1171.00	$302.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,485	172	$42.00	$4.82
99213 Established patient office or other outpatient visit, typically 15 minutes	497	227	$100.00	$68.64
17000 Destruction of skin growth	311	194	$250.00	$52.93
11100 Biopsy of single growth of skin and/or tissue	175	143	$190.00	$97.90
17004 Destruction of precancer skin growth, 15 or more growths	73	49	$650.00	$134.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$150.00	$101.47
11101 Biopsy of each additional growth of skin and/or tissue	46	36	$81.00	$30.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$225.00	$152.41
11606 Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm	22	22	$1216.00	$410.38
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	15	11	$2573.00	$552.00
11644 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 3.1-4.0 cm	14	13	$1171.00	$315.77
11626 Removal of malignant growth (over 4.0 centimeters) of the scalp, neck, hands, feet, or genitals	12	11	$1331.00	$379.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,729	181	$42.00	$5.16
99213 Established patient office or other outpatient visit, typically 15 minutes	502	244	$100.00	$68.41
17000 Destruction of skin growth	350	209	$250.00	$53.58
11100 Biopsy of single growth of skin and/or tissue	143	118	$190.00	$94.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$150.00	$100.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$225.00	$154.95
17004 Destruction of precancer skin growth, 15 or more growths	54	39	$650.00	$139.68
11101 Biopsy of each additional growth of skin and/or tissue	33	26	$81.00	$30.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	21	$150.00	$101.47
11644 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 3.1-4.0 cm	20	20	$1171.00	$312.59
11646 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, more than 4.0 cm	17	16	$1647.00	$453.25
11606 Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm	17	16	$1216.00	$420.00
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	11	11	$2453.00	$545.95
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	11	11	$1626.00	$322.65

Medical Specialties & State Licenses

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License SC 17109

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

T11332 (SC)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active November 21, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location November 21, 2007

Registered at 18 MILLER RD, SUMTER, SC 291502403 (Tel: 8037736361)

📍

Updated Business Mailing Address November 21, 2007

Registered at 18 MILLER RD, SUMTER, SC 291502403 (Tel: 8037736361)

👤

Provider Name / Credentials Updated November 21, 2007

Recorded as GARY CULBERTSON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 21, 2007

Plastic Surgery (License #17109 in SC)

🟢

Initial NPI Registration & Enumeration December 28, 2005

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1164409488

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 28, 2005

Last Update: November 21, 2007

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

18 Miller Rd

Sumter, SC 291502403

Phone: 8037736361

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.