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RAFAEL SANCHEZ-YRIARTE
NPI 1073722377
Internal Medicine in Hilton Head Island, SC

Active since May 22, 2007PECOS EnrolledAccepts Medicare Assignment
25 HOSPITAL CENTER BLVD STE 309, HILTON HEAD ISLAND, SC 29926(843) 227-4595 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Rafael Sanchez-yriarte NPPES

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

RAFAEL SANCHEZ-YRIARTE (NPI 1073722377) is an individual internal medicine provider in Hilton Head Island, South Carolina, licensed in South Carolina (34188) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Hilton Head Regional Medical Center, and is a graduate of Duke University School Of Medicine (2007).

NPPES Registry Identity

NPI1073722377
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRAFAEL SANCHEZ-YRIARTE
Location Address25 HOSPITAL CENTER BLVD STE 309Hilton Head Island, SC 29926-2739
Mailing Address25 Hospital Center Blvd Ste 309Hilton Head Island, SC 29926-2739 · (843) 227-4595 · Fax (949) 561-4596
Phone(843) 227-4595
Sole ProprietorYes
Medical School CMSDuke University School Of MedicineGraduated 2007
Enumeration DateMay 22, 2007
Last NPPES UpdateSeptember 11, 2024
NPPES CertifiedSeptember 11, 2024
✔ NPI 1073722377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in SC · 34188
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 2011-00332 (NC)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
25 HOSPITAL CENTER BLVD STE 309, Hilton Head Island, SC 29926
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include First Choice Next.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rafael Sanchez-yriarte 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 ID9335318435
PECOS Enrollment IDI20150618002044
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 Reassignments

4

Medicare enrollment records show Rafael Sanchez-yriarte reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rafael D Sanchez Medical Services LLC
2.1 mi
Internal Medicine
17 FIELD SPARROW RD
Hilton Head Island, SC 29926
  • Reassigned Medicare billing, South Carolina enrollment
  • 2 clinicians in this Medicare group
NPI 1053943555 (919) 599-6806
South Carolina Group Services, LLC
64 mi
Hospitalist
2000 HOSPITAL DR
Mount Pleasant, SC 29464
  • Reassigned Medicare billing, South Carolina enrollment
  • 61 clinicians in this Medicare group
NPI 1609212232 (770) 874-5439
Sc House Calls Inc
126 mi
Family Medicine
111 DOCTOR CIR
Columbia, SC 29203
  • Reassigned Medicare billing, South Carolina enrollment
  • 631 clinicians in this Medicare group
NPI 1518048859 (800) 491-0909
Southeastern Hospitalist Services PC
153 mi
Hospitalist
809 82ND PKWY
Myrtle Beach, SC 29572
  • Reassigned Medicare billing, South Carolina enrollment
  • 529 clinicians in this Medicare group
NPI 1003280108 (843) 692-1000

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

Areas of Expertise CMS Part B claims 7

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.

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
2,877 services153 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
131 services109 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
120 services13 patients
Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month 99491
Chronic care management services involve a healthcare professional personally providing care for patients with two or more chronic conditions. This service, offered monthly, focuses on the first 30 minutes of care, helping manage and coordinate the patient's health needs.
116 services102 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
106 services29 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

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

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.

Reported Quality Measures

Colorectal Cancer Screening
46%24 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
64%22 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
69%143 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
76%46 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 88% · 68 patients
87%68 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 7% · 30 patients
Patients totalRate: 23% · 31 patients
16%31 patients3/55-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 5

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$55.62 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier53 claims53 services$16.61 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier65 claims65 services$87.75 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$34.10 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier15 claims15 services$22.76 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

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

HILTON HEAD CARDIOLOGY, CONSULTANTS, LLC
Internal Medicine (Cardiovascular Disease)
25 HOSPITAL CENTER BLVD STE 309
HILTON HEAD, SC 29926
Beaufort County (843) 535-0666

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 Rafael Sanchez-yriarte's NPI number?

The NPI number for Rafael Sanchez-yriarte is 1073722377. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Rafael Sanchez-yriarte located?

Rafael Sanchez-yriarte practices at 25 Hospital Center Blvd Ste 309, Hilton Head Island, SC 29926. The listed phone number is (843) 227-4595.

What is Rafael Sanchez-yriarte's specialty?

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

Is Rafael Sanchez-yriarte enrolled in Medicare?

Yes. Rafael Sanchez-yriarte 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.

Which organizations bill Medicare for Rafael Sanchez-yriarte's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rafael Sanchez-yriarte reassigns Medicare benefits to 4 organizations: Rafael D Sanchez Medical Services LLC (Hilton Head Island, SC), South Carolina Group Services, LLC (Mount Pleasant, SC), Sc House Calls Inc (Columbia, SC) and Southeastern Hospitalist Services PC (Myrtle Beach, SC). Each 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 Rafael Sanchez-yriarte's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rafael Sanchez-yriarte accept?

Health plans from First Choice Next list Rafael Sanchez-yriarte 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 Rafael Sanchez-yriarte affiliated with any hospitals?

According to CMS data, Rafael Sanchez-yriarte is affiliated with Hilton Head Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Rafael Sanchez-yriarte was last updated on September 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.