MARIA VERONICA BANDRES URBINA M.D
NPI 1174975098
Internal Medicine - Infectious Disease in Conway, SC

Q: What is Maria Bandres Urbina's NPI number?

The NPI number for Maria Bandres Urbina is 1174975098. It was assigned to this individual provider in the NPPES registry on July 2, 2016.

Q: What is Maria Bandres Urbina's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Active since July 02, 2016PECOS EnrolledAccepts Medicare Assignment

72.72/100

CMS Quality Rating

176 WACCAMAW MEDICAL PARK CT, CONWAY, SC 29526(843) 347-7115(843) 347-7116 Get Directions Write a Review

NPPES record last updated: September 16, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 16, 2021, Jul 21, 2021, Jul 2, 2016 (3 updates tracked since 2016).

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About Maria Veronica Bandres Urbina M.d NPPES

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

MARIA VERONICA BANDRES URBINA M.D (NPI 1174975098) is an individual infectious disease provider in Conway, South Carolina, licensed in South Carolina (85116) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, is affiliated with Conway Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1174975098

Entity TypeIndividualFemale

Primary Taxonomy207RI0200X

Provider Legal NameMARIA VERONICA BANDRES URBINACredential: M.D

Location Address176 WACCAMAW MEDICAL PARK CTConway, SC 29526-8965

Mailing Address300 Singleton Ridge Rd, Attention Patient AccountingConway, SC 29526-9142 · (843) 234-6946

Phone(843) 347-7115

Fax(843) 347-7116

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateJuly 2, 2016

Last NPPES UpdateSeptember 16, 20213 updates tracked since enumeration

NPPES CertifiedSeptember 16, 2021

✔ NPI 1174975098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RI0200X

License✔ Licensed in SC · 85116

Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

176 WACCAMAW MEDICAL PARK CT, Conway, SC 29526

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Other Identifiers 1

Medicaid851162SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South 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 and accepts Medicare assignment

Maria Veronica Bandres Urbina M.d 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 ID7315273679

PECOS Enrollment IDI20210714000648

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 Maria Bandres Urbina reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Conway Hospital, Inc.

0.1 mi

Surgery

2361 CYPRESS CIR
Conway, SC 29526

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

NPI 1649742321 (843) 347-7291

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 6

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 hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

125 services43 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.

104 services48 patients

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212

This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.

96 services40 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

57 services49 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

22 services22 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

18 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Conway Medical Center

Acute Care Hospitals · Conway, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420049

Location300 Singleton Ridge RoadConway, SC 29526 · Horry County

Emergency services Birthing friendly

Mcleod Loris Hospital

Acute Care Hospitals · Loris, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420105

Location3655 Mitchell StreetLoris, SC 29569 · Horry County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29526 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.

72.72/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

60.98

Promoting Interoperability

100

Improvement Activities

Cost

48.1

Other Providers at the Same Location NPPES 2

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

AMI S VAIDYA MD

Internal Medicine (Critical Care Medicine)

176 WACCAMAW MEDICAL PARK CT
CONWAY, SC 29526

Horry County (843) 234-6888

LORIS / CONWAY HEALTHCARE SERVICES

Home Health

176 WACCAMAW MEDICAL PARK CT
CONWAY, SC 29526

Horry County (843) 347-5899

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 Maria Bandres Urbina's NPI number?

The NPI number for Maria Bandres Urbina is 1174975098. It was assigned to this individual provider in the NPPES registry on July 2, 2016.

Where is Maria Bandres Urbina located?

Maria Bandres Urbina practices at 176 Waccamaw Medical Park Ct, Conway, SC 29526. The listed phone number is (843) 347-7115.

What is Maria Bandres Urbina's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Maria Bandres Urbina enrolled in Medicare?

Yes. Maria Bandres Urbina 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 organization bills Medicare for Maria Bandres Urbina's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maria Bandres Urbina reassigns Medicare benefits to Conway Hospital, Inc. (Conway, 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 Maria Bandres Urbina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maria Bandres Urbina accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare list Maria Bandres Urbina 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 Maria Bandres Urbina affiliated with any hospitals?

According to CMS data, Maria Bandres Urbina is affiliated with Conway Medical Center and Mcleod Loris Hospital.

When was this NPI record last updated?

The NPPES record for Maria Bandres Urbina was last updated on September 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.