DR. MARY KAYE FAVARO M.D.
NPI 1043326036
Family Medicine in Surfside Beach, SC

Q: What is Mary Favaro's NPI number?

The NPI number for Mary Favaro is 1043326036. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Q: What is Mary Favaro's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Favaro was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since August 22, 2006PECOS Enrolled

1407 SOUTHWOOD DR, SURFSIDE BEACH, SC 29575(843) 215-6992(843) 215-9409 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Mary Kaye Favaro M.d. NPPES

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

DR. MARY KAYE FAVARO M.D. (NPI 1043326036) is an individual family medicine provider in Surfside Beach, South Carolina, licensed in South Carolina (6170) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043326036

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MARY KAYE FAVAROCredential: M.D.

Location Address1407 SOUTHWOOD DRSurfside Beach, SC 29575-5365

Mailing Address1407 Southwood DrSurfside Beach, SC 29575-5365 · (843) 215-6992 · Fax (843) 215-9409

Phone(843) 215-6992

Fax(843) 215-9409

Sole ProprietorYes

Enumeration DateAugust 22, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1043326036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in SC · 6170✔ Licensed in WI · 17183

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1407 SOUTHWOOD DR, Surfside Beach, SC 29575

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mary Kaye Favaro M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Mary Favaro reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Little River Medical Center, Inc.

7.1 mi

Family Medicine

1005 OSCEOLA ST
Myrtle Beach, SC 29577

Reassigned Medicare billing, South Carolina enrollment
104 clinicians in this Medicare group

NPI 1144472119 (843) 663-8000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29575 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

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.

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 Mary Favaro's NPI number?

The NPI number for Mary Favaro is 1043326036. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Where is Mary Favaro located?

Mary Favaro practices at 1407 Southwood Dr, Surfside Beach, SC 29575. The listed phone number is (843) 215-6992.

What is Mary Favaro's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mary Favaro enrolled in Medicare?

Yes. Mary Favaro is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Favaro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Favaro reassigns Medicare benefits to Little River Medical Center, Inc. (Myrtle Beach, SC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Favaro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mary Favaro was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.