Dominique Samarane Bultsma, MD
Internal Medicine Physician · Johns Island, SC
Dominique Samarane Bultsma, MD is an internal medicine physician with a practice address in Johns Island, South Carolina, and NPI 1033733704, issued on May 29, 2020. Check the license (South Carolina 90584, as entered in NPPES) on the South Carolina Board of Medical Examiners; the Medicare figures below come from public CMS files.
- Name
- Dominique Samarane Bultsma
- Credential
- MD
- Primary taxonomy
- Internal Medicine Physician 207R00000X
- License numbers
- 90584 SC
LL84222 SC
Self-reported in NPPES; status is on the state search - Practice location
- 345 Freshfields Dr Ste J101, Johns Island, SC 29455
- Phone
- (843) 768-4800
- Enumerated
- May 29, 2020
- Record last updated
- Feb 23, 2026
- Fax
- (843) 606-8039
- Medicaid ID
- 905846 SC
- Medicare enrollment
- Enrolled (PECOS I20231107000516); accepts Medicare assignment
- Medical or professional school
- Wayne State University School Of Medicine, 2020
- Entity
- Type 1 · individual
8 nearest internal medicine physician records → All 1,881 in South Carolina → Look up another NPI →
Also registered at 345 Freshfields Dr Ste J101
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Stacy Messersmith, FNPFamily Nurse Practitioner1689161598
- Arthur Oliphant, PAPhysician Assistant1740780147
- Sasha Perez, M.D.Family Medicine Physician1720467525
- Sarah Relyea-Logan, MDFamily Medicine Physician1043292576
Verify Dominique Samarane Bultsma in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersSouth Carolina Board of Medical Examiners
Search for license 90584Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
91% fewer Medicare Part D claims than the average internal medicine physician in 2024
296 Medicare Part D claims for 104 beneficiaries, against an average of 3,176 among the 108,855 providers of this specialty who prescribed in Part D.
Most prescribed
- Amlodipine Besylate21 claims
- Pantoprazole Sodium15 claims
- Atorvastatin Calcium11 claims
- Furosemide11 claims
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): 73.2 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 2 group practices
- 24 ON Physicians OF SC LLCCharleston, SC
- Roper Saint Francis Physicians NetworkJohns Island, SC
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Dominique Samarane Bultsma among 1,881 internal medicine physician records in South Carolina
Dominique Samarane Bultsma, MD is one of 1,881 internal medicine physician records with a practice address in South Carolina. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2020, is newer than 74% of them.
- NPI issued2020 · 74% of these records are older, 22% newer
- In a Medicare fileYes · 81% of these records are
- In the CMS Doctors and Clinicians fileYes · 60% of these records are
- Graduated2020 · median 2006 among the 1,119 with a school on file
- Record last updated2026 · 46% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207R00000X and a South Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
7 internal medicine physician records list a practice address in Johns Island
They are 7 of the 205 NPPES records with a practice address in Johns Island, and 1,881 internal medicine physician records in South Carolina.
All 1,881 in South Carolina → Every provider in Johns Island → Internal Medicine Physician nationwide →
The 8 internal medicine physician records with the nearest ZIP codes
- George Book, MDJohns Island, SC 294551972127637
- James Byer, MDKiawah Island, SC 294551891930483
- Bernard Mansheim, MDJohns Island, SC 294551568820173
- C Martin, MDJohns Island, SC 294551023179504
- Brittney Rodriguez, MDJohns Island, SC 294551083357792
- Margaret Roth, MDJohns Island, SC 294551740805449
- David Seignious, M.D.Johns Island, SC 294551891726287
- Michael Otruba, D.O.Ladson, SC 294561649255316
Common questions
What is Dominique Samarane Bultsma, MD's NPI number?
Dominique Samarane Bultsma, MD's National Provider Identifier (NPI) is 1033733704, issued on May 29, 2020. An NPI identifies a provider in billing; it is not a license.
Where is Dominique Samarane Bultsma, MD located?
The NPPES record lists a practice address at 345 Freshfields Dr Ste J101, Johns Island, SC, 29455. Phone: (843) 768-4800. Providers update this record themselves, so call before visiting.
How can I verify Dominique Samarane Bultsma, MD's license?
NPPES lists South Carolina license number 90584, 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 Dominique Samarane Bultsma, MD prescribe under Medicare Part D?
In 2024, Dominique Samarane Bultsma, MD had 296 Medicare Part D claims for 104 beneficiaries; the average among internal medicine physician prescribers was 3,176. Part D covers Medicare prescriptions only.
What is Dominique Samarane Bultsma, MD's MIPS final score?
The 2023 MIPS final score is 73.2 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.