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DR. SANDRA M. HALTERMAN OS, DDS
NPI 1083863633
Dentist - Oral and Maxillofacial Surgery in Myrtle Beach, SC

Active since September 18, 2008PECOS Enrolled
4220 CAROLINA EXCHANGE DR, MYRTLE BEACH, SC 29579(843) 663-8000(843) 663-8166 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Sandra M. Halterman Os, Dds NPPES

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

DR. SANDRA M. HALTERMAN OS, DDS (NPI 1083863633) is an individual oral and maxillofacial surgery provider in Myrtle Beach, South Carolina, licensed in South Carolina (2026) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Little River.

NPPES Registry Identity

NPI1083863633
Entity TypeIndividualFemale
Primary Taxonomy1223S0112X
Provider Legal NameDR. SANDRA M. HALTERMANCredential: OS, DDS
Location Address4220 CAROLINA EXCHANGE DRMyrtle Beach, SC 29579-4220
Mailing AddressPo Box 547Little River, SC 29566-0547 · (843) 663-8000 · Fax (843) 663-8166
Phone(843) 663-8000
Fax(843) 663-8166
Sole ProprietorNo
Enumeration DateSeptember 18, 2008
Last NPPES UpdateDecember 12, 2024
NPPES CertifiedDecember 12, 2024
✔ NPI 1083863633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in SC · 2026
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 9473 (SC)
4220 CAROLINA EXCHANGE DR, Myrtle Beach, SC 29579
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Secondary Practice Location 1

Location 14303 Live Oak DrLittle River, SC 29566-9138 · Phone (843) 663-8000 · Fax (843) 663-8166

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sandra M. Halterman Os, Dds 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 Sandra Halterman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Little River Medical Center, Inc
Same address
Federally Qualified Health Center (FQHC)
4220 CAROLINA EXCHANGE BLVD
Myrtle Beach, SC 29579
NPI 1346638483 (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 29579 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
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

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

DR. EUNICE LUZ GUZMAN MD
Internal Medicine (Infectious Disease)
4220 CAROLINA EXCHANGE DR
MYRTLE BEACH, SC 29579
Horry County (843) 663-8371
LINDSEY ROSE NELSON LISW-CP
Social Worker (Clinical)
4220 CAROLINA EXCHANGE DR
MYRTLE BEACH, SC 29579
Horry County (843) 663-8000
DR. MARY SARA BAKER M.D.
Pediatrics
4220 CAROLINA EXCHANGE DR
MYRTLE BEACH, SC 29579
Horry County (843) 663-8000
DR. VISHALI AYGARI D.M.D
Dentist (General Practice)
4220 CAROLINA EXCHANGE DR
MYRTLE BEACH, SC 29579
Horry County (843) 663-8000
LITTLE RIVER MEDICAL CENTER, INC.
Clinic/Center (Multi-Specialty)
4220 CAROLINA EXCHANGE DR
MYRTLE BEACH, SC 29579
Horry County (843) 663-8000
LITTLE RIVER MEDICAL CENTER, INC.
Clinic/Center (Multi-Specialty)
4220 CAROLINA EXCHANGE DR
MYRTLE BEACH, SC 29579
Horry County (843) 663-8000
MS. TRICIA PAYNE LISW-CP
Social Worker (Clinical)
4220 CAROLINA EXCHANGE DR
MYRTLE BEACH, SC 29579
Horry County (843) 663-8000
LITTLE RIVER MEDICAL CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
4220 CAROLINA EXCHANGE DR
MYRTLE BEACH, SC 29579
Horry County (843) 663-8000

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 Sandra Halterman's NPI number?

The NPI number for Sandra Halterman is 1083863633. It was assigned to this individual provider in the NPPES registry on September 18, 2008.

Where is Sandra Halterman located?

Sandra Halterman practices at 4220 Carolina Exchange Dr, Myrtle Beach, SC 29579. The listed phone number is (843) 663-8000.

What is Sandra Halterman's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Sandra Halterman enrolled in Medicare?

Yes. Sandra Halterman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sandra Halterman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Halterman 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 Sandra Halterman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sandra Halterman accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Anthem Blue Cross and Blue Shield and BEST Life and 11 other insurers list Sandra Halterman 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.

When was this NPI record last updated?

The NPPES record for Sandra Halterman was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.