Individual provider Active NPI

Thomas S Cerasaro, MD

  • Urology Physician
  • Murrells Inlet, SC
National Provider Identifier
1295765402
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD12505 Issued in SC
Practice address
3911 Highway 17 Ste a
Murrells Inlet, SC 29576-5014
Phone
(843) 652-4001
Fax
(843) 652-4005
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD12505 SC Primary

Addresses

Primary practice location

3911 Highway 17 Ste a
Murrells Inlet, SC 29576-5014

Mailing address

3911A Highway 17
Murrells Inlet, SC 29576-5014
Phone (843) 652-4001

Other identifiers 9

IdentifierTypeStateIssuer
1494054OtherSCUNITED HEALTHCARE
5066145OtherSCAETNA
4571675OtherSCCIGNA
GP4522MedicaidSC
000000257307OtherSCUNISON HEALTH PLAN
P00376736OtherSCRAILROAD MEDICARE
125055MedicaidSC
771925OtherSCWELLCARE
80023017OtherSCSELECT HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20061024000227 SC Practitioner - UrologyPractitioner - Diagnostic Radiology 3274539069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
90.65 of 100Reported as group
Promoting interoperability
89
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
50.21 of 100Reported as individual
Quality
40.95
Promoting interoperability
0
Improvement activities
40
Cost
76.41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD12505SCMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Waccamaw Urology Associates Urology CurrentSince Apr 1, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

580 Black River Rd
Georgetown, SC 29440
Phone (803) 527-2421

3911A Highway 17
Murrells Inlt, SC 29576
Phone (843) 652-4000

3911 Highway 17
#A
Murrells Inlt, SC 29576
Phone (843) 651-8200

Interoperability endpoints

  • Direct secure messaging: tcerasaro447911@direct.musc.edu

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1295765402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911A HIGHWAY 17",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295765014",
            "telephone_number": "843-652-4001",
            "fax_number": "843-652-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 HIGHWAY 17 STE A",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295765014",
            "telephone_number": "843-652-4001",
            "fax_number": "843-652-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERASARO",
        "first_name": "THOMAS",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "SC",
            "license": "MD12505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1494054",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5066145",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4571675",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4522",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON HEALTH PLAN",
            "identifier": "000000257307",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00376736",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125055",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "771925",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT HEALTH",
            "identifier": "80023017",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrells Inlet, SC

Sources for this page

Verify at the official NPI Registry.