Andrew James Picca, D.O.
Pediatrics Physician · Charleston, SC
Andrew James Picca, D.O. is a pediatrics physician with a practice address in Charleston, South Carolina, and NPI 1518493972, issued on May 4, 2017. Check the license (South Carolina 40699, as entered in NPPES) on the South Carolina Board of Medical Examiners; the Medicare figures below come from public CMS files.
- Name
- Andrew James Picca
- Credential
- D.O.
- Primary taxonomy
- Pediatrics Physician 208000000X
- License number
- 40699 SC
Self-reported in NPPES; status is on the state search - Practice location
- 169 Ashley Ave, Charleston, SC 29425
- Phone
- (843) 792-8972
- Enumerated
- May 4, 2017
- Record last updated
- May 4, 2017 (not updated in 9 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20230814003241); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest pediatrics physician records → All 1,136 in South Carolina → Look up another NPI →
Also registered at 169 Ashley Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Andrew James Picca in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersSouth Carolina Board of Medical Examiners
Search for license 40699Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
97% fewer Medicare Part D claims than the average pediatrics physician in 2024
11 Medicare Part D claims, against an average of 375 among the 5,609 providers of this specialty who prescribed in Part D.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 73.8 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- University Medical Associates OF The Medical University OF South CarolCharleston, SC
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Andrew James Picca among 1,136 pediatrics physician records in South Carolina
Andrew James Picca, D.O. is one of 1,136 pediatrics physician records with a practice address in South Carolina. 48% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2017, is newer than 69% of them.
- NPI issued2017 · 69% of these records are older, 28% newer
- In a Medicare fileYes · 48% of these records are
- In the CMS Doctors and Clinicians fileYes · 9% of these records are
- Graduated2017 · median 2016 among the 98 with a school on file
- Record last updated2017 · 52% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208000000X and a South Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
250 pediatrics physician records list a practice address in Charleston
They are 250 of the 10,840 NPPES records with a practice address in Charleston, and 1,136 pediatrics physician records in South Carolina.
All 1,136 in South Carolina → Every provider in Charleston → Pediatrics Physician nationwide →
The 8 pediatrics physician records with the nearest ZIP codes
- Michelle Amaya, M.D.Charleston, SC 294251568489557
- Erin Balog, M.D.Charleston, SC 294251417937442
- William Basco, MDCharleston, SC 294251356459309
- Jennifer Braden, MDCharleston, SC 294251669580536
- Kristina Gustafson, MDCharleston, SC 294251952419822
- Melissa Henshaw, MDCharleston, SC 294251457469405
- Paul Hletko, MD FAAPCharleston, SC 294251538274501
- Henry Lemon, MDCharleston, SC 294251346358207
Common questions
What is Andrew James Picca, D.O.'s NPI number?
Andrew James Picca, D.O.'s National Provider Identifier (NPI) is 1518493972, issued on May 4, 2017. An NPI identifies a provider in billing; it is not a license.
Where is Andrew James Picca, D.O. located?
The NPPES record lists a practice address at 169 Ashley Ave, Charleston, SC, 29425. Phone: (843) 792-8972. Providers update this record themselves, so call before visiting.
How can I verify Andrew James Picca, D.O.'s license?
NPPES lists South Carolina license number 40699, as entered by the provider. Search the South Carolina Board of Medical Examiners at https://verify.llronline.com/LicLookup/Med/Med.aspx?div=22. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Andrew James Picca, D.O. prescribe under Medicare Part D?
In 2024, Andrew James Picca, D.O. had 11 Medicare Part D claims; the average among pediatrics physician prescribers was 375. Part D covers Medicare prescriptions only.
What is Andrew James Picca, D.O.'s MIPS final score?
The 2023 MIPS final score is 73.8 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.