Michael D Peters, M.D.

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

License

MD28577 Issued in SC

Practice address

3806 Sawtell Rd
Little River, SC 29566-7873

Phone

(843) 663-9090

Fax

(843) 663-9091

NPI assigned

May 10, 2006

Reactivated

Jul 19, 2024

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC, NC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

OtolaryngologyAlso: Plastic and Reconstructive Surgery

Education

State University of New York Downstate Medical Center, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coastal Carolina ENT DO PAGroup PAC ID 8325082498, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• McLeod Loris Hospital Hospital, Loris, SC, CCN 420105

Merit-based Incentive Payment System (MIPS)

Final score

89.15 of 100Reported as group

Quality

78.3

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Coastal Carolina ENT DO PA

  • Otolaryngology/Facial Plastic Surgery Physician
  • Whiteville, NC
  • NPI 1689757007
  Medicare reassignment Care Compare group NPD
• Coastal Carolina ENT, DO, PA

  • Facial Plastic Surgery Physician
  • Little River, SC
  • NPI 1386989028
  Medicare reassignment NPD
• Seacoast ENT & Facial Plastic Surgery, PA

  • Facial Plastic Surgery Physician
  • Little River, SC
  • NPI 1386698165
  NPD (past) Authorized official
• McLeod Physician Associates II

  • Orthopaedic Surgery Physician
  • Florence, SC
  • NPI 1922555739
  NPD (past)
• Providence Anesthesiology Associates, P.a.

  • Anesthesiology Physician
  • Charlotte, NC
  • NPI 1396739884
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• McLeod Loris Seacoast Hospital

  • General Acute Care Hospital
  • Loris, SC
  • NPI 1306123344
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1194775429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1859 HICKORY LN",
            "city": "LONGS",
            "state": "SC",
            "postal_code": "295686519",
            "telephone_number": "843-222-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3806 SAWTELL RD",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295667873",
            "telephone_number": "843-663-9090",
            "fax_number": "843-663-9091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "deactivation_date": "2024-06-17",
        "reactivation_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "NC",
            "license": "2013-01576",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "SC",
            "license": "MD28577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Niyanta Himanshu Patel, MD
• Emanuela Pavliqoti, MD
• Jodi S Peavy, LISW-CP
• Paul Percelay, MD
• Kristen M Perez, COTA/L
• Thirston S Phillips Jr., DO
• Heather Pitt
• Georgia Lynn Plum, APRN
• Robert Allan Prinzi, MD
• PRS 6, LLC

• Otolaryngology/Facial Plastic Surgery Physician in Little River, SC
• Providers in Little River, SC by specialty
• Otolaryngology/Facial Plastic Surgery Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.