HOLBROOK WYMAN RAYNAL M.D., D.H.A.
NPI 1124099874
Family Medicine in Clinton, SC

Q: What is Holbrook Raynal's NPI number?

The NPI number for Holbrook Raynal is 1124099874. It was assigned to this individual provider in the NPPES registry on January 31, 2006.

Q: What is Holbrook Raynal'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 Holbrook Raynal was last updated on September 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 January 31, 2006PECOS Enrolled

210 S BROAD ST, CLINTON, SC 29325(864) 833-0973(864) 833-9571 Get Directions Write a Review

NPPES record last updated: September 10, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Holbrook Wyman Raynal M.d., D.h.a. NPPES

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

HOLBROOK WYMAN RAYNAL M.D., D.H.A. (NPI 1124099874) is an individual family medicine provider in Clinton, South Carolina, licensed in South Carolina (8942) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124099874

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameHOLBROOK WYMAN RAYNALCredential: M.D., D.H.A.

Location Address210 S BROAD STClinton, SC 29325-2505

Mailing Address1 Independence Pt, Suite 212Greenville, SC 29615-4545 · (864) 797-6044 · Fax (864) 797-6198

Phone(864) 833-0973

Fax(864) 833-9571

Sole ProprietorNo

Enumeration DateJanuary 31, 2006

Last NPPES UpdateSeptember 10, 2013

✔ NPI 1124099874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in SC · 8942

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.

210 S BROAD ST, Clinton, SC 29325

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Other Identifiers 3

Medicare PINAA84687951SC

Medicare UPIN92144SC

Medicaid089424SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Holbrook Wyman Raynal M.d., D.h.a. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29325 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.

Other Providers at the Same Location NPPES 7

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

SARA P MOORE

Nurse Practitioner (Family)