THOMAS MARK TODORAN MD
NPI 1104945955
Internal Medicine - Interventional Cardiology in Pawleys Island, SC
About Thomas Mark Todoran Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THOMAS MARK TODORAN MD (NPI 1104945955) is an individual interventional cardiology provider in Pawleys Island, South Carolina, licensed in South Carolina (33016) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Musc Medical Center, and maintains 6 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 6
Accepted 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
Thomas Mark Todoran Md 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.
Medicare Billing Reassignments
5Medicare enrollment records show Thomas Todoran reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pawleys Island, SC 29585
- Reassigned Medicare billing, South Carolina enrollment
- 266 clinicians in this Medicare group
Georgetown, SC 29440
- Reassigned Medicare billing, South Carolina enrollment
- 261 clinicians in this Medicare group
Murrells Inlet, SC 29576
- Reassigned Medicare billing, South Carolina enrollment
- 249 clinicians in this Medicare group
Mt Pleasant, SC 29464
- Reassigned Medicare billing, South Carolina enrollment
- Medicare enrollment name: University Medical Associates Of The Medical University Of South Carol
- 2,594 clinicians in this Medicare group
Bamberg, SC 29003
- Reassigned Medicare billing, South Carolina enrollment
- 2,389 clinicians in this Medicare group
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 10
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Musc Medical Center
Acute Care Hospitals · Charleston, SCTidelands Georgetown Memorial Hospital
Acute Care Hospitals · Georgetown, SCBeaufort County Memorial Hospital
Acute Care Hospitals · Beaufort, SCGrand Strand Regional Medical Center
Acute Care Hospitals · Myrtle Beach, SCTidelands Waccamaw Community Hospital
Acute Care Hospitals · Murrells Inlet, SCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29585 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PAWLEYS ISLAND, SC 29585
PAWLEYS ISLAND, SC 29585
PAWLEYS ISLAND, SC 29585
PAWLEYS ISLAND, SC 29585
PAWLEYS ISLAND, SC 29585
PAWLEYS ISLAND, SC 29585
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 Thomas Todoran's NPI number?
The NPI number for Thomas Todoran is 1104945955. It was assigned to this individual provider in the NPPES registry on March 29, 2007.
Where is Thomas Todoran located?
Thomas Todoran practices at 9653 Ocean Hwy, Pawleys Island, SC 29585. The listed phone number is (843) 235-3131.
What is Thomas Todoran's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.
Is Thomas Todoran enrolled in Medicare?
Yes. Thomas Todoran 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 Thomas Todoran's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Todoran reassigns Medicare benefits to 5 organizations: Georgetown Physician Associates, LLC (Pawleys Island, SC), Georgetown Memorial Hospital (Georgetown, SC), Waccamaw Community Hospital (Murrells Inlet, SC), University Medical Associates (Mt Pleasant, SC) and Musc Community Physicians (Bamberg, 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 Thomas Todoran's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Thomas Todoran accept?
Health plans from BlueCross BlueShield of South Carolina, First Choice Next and UnitedHealthcare list Thomas Todoran 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 Thomas Todoran affiliated with any hospitals?
According to CMS data, Thomas Todoran is affiliated with Musc Medical Center, Tidelands Georgetown Memorial Hospital, Beaufort County Memorial Hospital, Grand Strand Regional Medical Center and Tidelands Waccamaw Community Hospital.
When was this NPI record last updated?
The NPPES record for Thomas Todoran was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.