NPPES file of Aug 9, 2026

Ralph Bernard Piening, MD

Internal Medicine Physician · Charleston, SC

Ralph Bernard Piening, MD is an internal medicine physician with a practice address in Charleston, South Carolina, and NPI 1306991666, issued on Jan 24, 2007. Check the license (South Carolina 12291, as entered in NPPES) on the South Carolina Board of Medical Examiners; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1306991666
Name
Ralph Bernard Piening
Credential
MD
Primary taxonomy
Internal Medicine Physician 207R00000X
License number
12291 SC
Self-reported in NPPES; status is on the state search
Practice location
27 Gamecock Ave, Charleston, SC 29407
Phone
(843) 769-8215
Enumerated
Jan 24, 2007
Record last updated
Mar 13, 2017 (not updated in 9 years: call before relying on the address or phone)
Fax
(843) 769-8216
Medicaid ID
GP2529 SC
Medicare enrollment
Enrolled (PECOS I20040211000637); accepts Medicare assignment
Medical or professional school
Saint Louis University School Of Medicine, 1984
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 27 Gamecock Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Janet Barr, FNPFamily Nurse Practitioner1538428172
  2. Vera Brown, LPC, MEDProfessional Counselor1154673481
  3. Lauren Delbridge, ANPAdult Health Nurse Practitioner1750702692
  4. John Emmel, MDGeriatric Medicine (Family Medicine) Physician1326048828
  5. Anthony Hale, MSN, APRN, AGNP-CAdult Health Nurse Practitioner1295190874
  6. Susanne Jeter, MED LPCProfessional Counselor1396813093

Verify Ralph Bernard Piening in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersSouth Carolina Board of Medical Examiners
    Search for license 12291
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the South Carolina license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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92% fewer Medicare Part D claims than the average internal medicine physician in 2024

249 Medicare Part D claims for 35 beneficiaries, against an average of 3,176 among the 108,855 providers of this specialty who prescribed in Part D. Brand-name drugs were 7% of claims. 44 claims were for opioids.

  1. Ralph Piening249
  2. Specialty average3,176

Most prescribed

  1. Tramadol Hcl27 claims
  2. Lorazepam22 claims
  3. Levothyroxine Sodium20 claims
  4. Amlodipine Besylate19 claims
  5. Clonazepam19 claims
  6. Januvia15 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 MIPS final score for 2023 (Medicare payment program): 92.9 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score75.7
  2. Costnot scored (reweighted)
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Bills Medicare through 3 group practices

  1. CH Specialty Services SC LLCNorth Charleston, SC
  2. Curana Health OF South Carolina PCNorth Charleston, SC
  3. John E Emmel MD PCMount Pleasant, SC

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Ralph Bernard Piening among 1,881 internal medicine physician records in South Carolina

Ralph Bernard Piening, 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 2007, is newer than 42% of them.

  • NPI issued2007 · 42% of these records are older, 53% newer
  • In a Medicare fileYes · 81% of these records are
  • In the CMS Doctors and Clinicians fileYes · 60% of these records are
  • Graduated1984 · median 2006 among the 1,119 with a school on file
  • Record last updated2017 · 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).

427 internal medicine physician records list a practice address in Charleston

They are 427 of the 10,840 NPPES records with a practice address in Charleston, and 1,881 internal medicine physician records in South Carolina.

The 8 internal medicine physician records with the nearest ZIP codes

  1. James Anoia, MDCharleston, SC 294071588647572
  2. Robert Cain, MDCharleston, SC 294071083672745
  3. James Fayssoux, M.D.Charleston, SC 294071407808926
  4. Cary Hickman, MDCharleston, SC 294071134171440
  5. Keith Lackey, MDCharleston, SC 294071154389815
  6. William Maguire, M.D.Charleston, SC 294071528061397
  7. Christopher McLain, MDCharleston, SC 294071437167202
  8. Preeth Menon, M.D.Charleston, SC 294071598729386

Common questions

What is Ralph Bernard Piening, MD's NPI number?

Ralph Bernard Piening, MD's National Provider Identifier (NPI) is 1306991666, issued on Jan 24, 2007. An NPI identifies a provider in billing; it is not a license.

Where is Ralph Bernard Piening, MD located?

The NPPES record lists a practice address at 27 Gamecock Ave, Charleston, SC, 29407. Phone: (843) 769-8215. Providers update this record themselves, so call before visiting.

How can I verify Ralph Bernard Piening, MD's license?

NPPES lists South Carolina license number 12291, 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 Ralph Bernard Piening, MD prescribe under Medicare Part D?

In 2024, Ralph Bernard Piening, MD had 249 Medicare Part D claims for 35 beneficiaries; the average among internal medicine physician prescribers was 3,176. Part D covers Medicare prescriptions only.

What is Ralph Bernard Piening, MD's MIPS final score?

The 2023 MIPS final score is 92.9 of 100. 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.