Active NPI
Stephen Ray Sisco, MD
- Surgery Physician
- Beaufort, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 19943
- Practice address
- 1055 Ribaut Road
Suite 30
Beaufort, SC 29902-5447 - Phone
- (843) 524-8171
- Fax
- (843) 525-6613
- NPI assigned
- Feb 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 19943 | SC | Primary |
Addresses
Primary practice location
1055 Ribaut Road
Suite 30
Beaufort, SC 29902-5447
Mailing address
1055 Ribaut Road
Suite 30
Beaufort, SC 29902-5447
Phone (843) 524-8171
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T39777 | Medicaid | SC |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Medical College of Georgia School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1680 Ribaut Rd
Port Royal, SC 29935-2008
Phone (843) 524-3344
955 Ribaut Rd
Beaufort, SC 29902-5441
Hospital & facility affiliations
- Amedisys Home Health of Beaufort
- Beaufort County Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.95 of 100
- Quality
- 83.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.35
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 13 |
| Hernia repair - groin (open) | 51 |
| Hernia repair (minimally invasive) | 1-10 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19943 | SC | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaufort County Memorial Hospital | Current | Accepting new patients | |
| Beaufort County Memorial Hospital | Current | Accepting new patients | |
| Beaufort County Memorial Hospital | Current | Accepting new patients | |
| Jackson Clinic PA | Past | Accepting new patients | |
| Beaufort County Memorial Hospital | Past | Accepting new patients |
Locations
989 Ribaut Rd
Ste 360
Beaufort, SC 29902
Phone (843) 522-5900
1055 Ribaut Rd
Ste 30
Beaufort, SC 29902
Phone (843) 476-4702
955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200
122 Okatie Center Blvd N
Ste 300
Okatie, SC 29909
Phone (843) 707-8040
1680 Ribaut Rd
Port Royal, SC 29935
Phone (843) 522-7600
Interoperability endpoints
- stephen.sisco.1@16436.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Beaufort, SC
- NPI 1598713117
-
- Specialist
- Beaufort, SC
- NPI 1346474996
-
- Emergency Medicine Physician
- Beaufort, SC
- NPI 1871335018
-
- Certified Registered Nurse Anesthetist
- Beaufort, SC
- NPI 1467423178
-
- Durable Medical Equipment & Medical Supplies
- Jackson, TN
- NPI 1689443038
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Beaufort, SC
- NPI 1366436073
-
- Home Health Agency
- Ladys Island, SC
- NPI 1043278542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1952373763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 RIBAUT ROAD",
"address_2": "SUITE 30",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299025447",
"telephone_number": "843-524-8171",
"fax_number": "843-525-6613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 RIBAUT ROAD",
"address_2": "SUITE 30",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299025447",
"telephone_number": "843-524-8171",
"fax_number": "843-525-6613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SISCO",
"first_name": "STEPHEN",
"middle_name": "RAY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-06",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "SC",
"license": "19943",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "T39777",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beaufort, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.