DR. STEPHEN SEAN LUTHER M.D.
NPI 1033193024
Internal Medicine in Hilton Head Island, SC

Active since December 02, 2005PECOS EnrolledAccepts Medicare Assignment
79.42/100
CMS Quality Rating
460 WILLIAM HILTON PKWY, HILTON HEAD ISLAND, SC 29926(843) 738-4800(843) 738-4801 Get Directions Write a Review

NPPES record last updated: January 17, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 17, 2023, Dec 22, 2022, Dec 2, 2021 (3 updates tracked since 2021).

About Dr. Stephen Sean Luther M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. STEPHEN SEAN LUTHER M.D. (NPI 1033193024) is an individual internal medicine provider in Hilton Head Island, South Carolina, licensed in South Carolina (29750) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Candler Hospital, and is a graduate of Indiana University School Of Medicine (1992).

NPPES Registry Identity

NPI1033193024
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. STEPHEN SEAN LUTHERCredential: M.D.
Location Address460 WILLIAM HILTON PKWYHilton Head Island, SC 29926-2497
Mailing Address460 William Hilton PkwyHilton Head Island, SC 29926-2497 · (843) 738-4800 · Fax (843) 738-4801
Fax(843) 738-4801
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1992
Enumeration DateDecember 2, 2005
Last NPPES UpdateJanuary 17, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2023
NPI 1033193024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in SC · 29750 Licensed in IN · 01042750A
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
460 WILLIAM HILTON PKWY, Hilton Head Island, SC 29926

Other Identifiers 2

Medicaid200000020AIN
Medicaid297501SC

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Stephen Sean Luther M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294829495
PECOS Enrollment IDI20070919000344
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 51

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
6,835 services2,136 patients
Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
4,880 services61 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
1,544 services1,143 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
1,527 services1,527 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
1,312 services1,026 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
1,274 services1,015 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Candler Hospital

Acute Care Hospitals · Savannah, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110024
Location5353 Reynolds StreetSavannah, GA 31412 · Chatham County
Emergency services Birthing friendly

Memorial University Medical Center

Acute Care Hospitals · Savannah, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110036
Location4700 Waters AvenueSavannah, GA 31404 · Chatham County
Emergency services Birthing friendly

Beaufort County Memorial Hospital

Acute Care Hospitals · Beaufort, SC
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number420067
Location955 Ribaut RdBeaufort, SC 29902 · Beaufort County
Emergency services Birthing friendly

Hilton Head Regional Medical Center

Acute Care Hospitals · Hilton Head Island, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number420080
Location25 Hospital Center BlvdHilton Head Island, SC 29925 · Beaufort County
Emergency services Birthing friendly

Coastal Carolina Hospital

Acute Care Hospitals · Hardeeville, SC
2/5 CMS rating
OwnershipProprietary
CMS Certification Number420101
Location1000 Medical Center DriveHardeeville, SC 29927 · Jasper County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29926 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Promoting Interoperability100
Improvement Activities40
Cost31.43

Reported Quality Measures

Breast Cancer Screening
79%1,535 patients4/55-star benchmark: 93%
Cervical Cancer Screening
70%1,119 patients3/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
50%896 patients3/55-star benchmark: 87%
Colorectal Cancer Screening
69%3,281 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
63%1,990 patients3/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
27%333 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
91%17,589 patients4/55-star benchmark: 100%
e-Prescribing
99%5,608 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
84%3,259 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
85%4,941 patients4/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 91% · 5,145 patients
Patients screened: 94% · 5,145 patients
43%212 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
94%4,449 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 3,293 patients
Patients totalRate: 7% · 3,391 patients
7%3,391 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
20 suppliers89 claims238 services$6.36 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
2 suppliers13 claims13 services$2.94 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
15 suppliers38 claims58 services$1.11 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
4 suppliers11 claims64 services$14.30 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers17 claims17 services$56.00 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
3 suppliers12 claims12 services$15.66 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
460 WILLIAM HILTON PKWY
HILTON HEAD, SC 29926
Internal Medicine
460 WILLIAM HILTON PKWY
HILTON HEAD ISLAND, SC 29926
Dentist (Orthodontics and Dentofacial Orthopedics)
460 WILLIAM HILTON PKWY
HILTON HEAD ISLAND, SC 29926
Internal Medicine
460 WILLIAM HILTON PKWY
HILTON HEAD ISLAND, SC 29926
Radiology (Body Imaging)
460 WILLIAM HILTON PKWY, SUITE F1
HILTON HEAD ISLAND, SC 29926
Nurse Practitioner (Family)
460 WILLIAM HILTON PKWY
HILTON HEAD ISLAND, SC 29926
Internal Medicine
460 WILLIAM HILTON PKWY
HILTON HEAD, SC 29926
Physical Therapy Assistant
460 WILLIAM HILTON PKWY
HILTON HEAD, SC 29926

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephen Luther's NPI number?

The NPI number for Stephen Luther is 1033193024. It was assigned to this individual provider in the NPPES registry on December 2, 2005.

Where is Stephen Luther located?

Stephen Luther practices at 460 William Hilton Pkwy, Hilton Head Island, SC 29926. The listed phone number is (843) 738-4800.

What is Stephen Luther's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Stephen Luther enrolled in Medicare?

Yes. Stephen Luther is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Stephen Luther accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next list Stephen Luther as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Stephen Luther affiliated with any hospitals?

According to CMS data, Stephen Luther is affiliated with Candler Hospital, Memorial University Medical Center, Beaufort County Memorial Hospital, Hilton Head Regional Medical Center and Coastal Carolina Hospital.

When was this NPI record last updated?

The NPPES record for Stephen Luther was last updated on January 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.