DR. MICHAEL ROBERT CENTILLI D.O.
NPI 1215223326
Dermatology in Myrtle Beach, SC

Active since June 27, 2011PECOS EnrolledAccepts Medicare Assignment
73.25/100
CMS Quality Rating
199 VILLAGE CENTER BLVD STE 200, MYRTLE BEACH, SC 29579(843) 738-0500(437) 380-5058 Get Directions Write a Review

NPPES record last updated: June 10, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 10, 2021, Sep 17, 2018 (2 updates tracked since 2018).

About Dr. Michael Robert Centilli D.o. NPPES

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

DR. MICHAEL ROBERT CENTILLI D.O. (NPI 1215223326) is an individual dermatology provider in Myrtle Beach, South Carolina, licensed in South Carolina (52108) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Osteopathic Medicine (2011).

NPPES Registry Identity

NPI1215223326
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. MICHAEL ROBERT CENTILLICredential: D.O.
Location Address199 VILLAGE CENTER BLVD STE 200Myrtle Beach, SC 29579-3589
Mailing Address199 Village Center Blvd Ste 200Myrtle Beach, SC 29579-3589 · (843) 738-0500 · Fax (843) 738-0505
Fax(437) 380-5058
Sole ProprietorYes
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2011
Enumeration DateJune 27, 2011
Last NPPES UpdateJune 10, 20212 updates tracked since enumeration
NPPES CertifiedJune 10, 2021
NPI 1215223326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in SC · 52108
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
199 VILLAGE CENTER BLVD STE 200, Myrtle Beach, SC 29579

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael Robert Centilli D.o. 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 ID9739490731
PECOS Enrollment IDI20181002003869
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.

Areas of Expertise CMS Part B claims 46

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
2,338 services409 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
923 services627 patients
Superficial and/or low voltage radiation treatment delivery 77401
Superficial and/or low voltage radiation treatment delivery is a non-invasive procedure used to treat certain diseases like skin cancer. It uses low energy radiation to target and destroy abnormal cells, aiding in halting disease progression.
807 services52 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
796 services570 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
419 services320 patients
Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks 17313
This procedure involves the removal of a growth from your trunk, arms, or legs. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to identify any abnormalities. This helps in diagnosing and planning further treatment.
348 services252 patients

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.

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.

73.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality93.98
Improvement Activities40
Cost18.86

Reported Quality Measures

Advance Care Plan
100%1,034 patients5/55-star benchmark: 100%
Melanoma: Continuity of Care - Recall System
100%59 patients
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 94% · 823 patients
Patients screened: 95% · 823 patients
86%49 patients4/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
100%42 patients5/55-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.

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.

Dermatology (MOHS-Micrographic Surgery)
199 VILLAGE CENTER BLVD STE 200
MYRTLE BEACH, SC 29579
Physician Assistant (Medical)
199 VILLAGE CENTER BLVD STE 200
MYRTLE BEACH, SC 29579

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 Michael Centilli's NPI number?

The NPI number for Michael Centilli is 1215223326. It was assigned to this individual provider in the NPPES registry on June 27, 2011.

Where is Michael Centilli located?

Michael Centilli practices at 199 Village Center Blvd Ste 200, Myrtle Beach, SC 29579. The listed phone number is (843) 738-0500.

What is Michael Centilli's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Michael Centilli enrolled in Medicare?

Yes. Michael Centilli 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.

When was this NPI record last updated?

The NPPES record for Michael Centilli was last updated on June 10, 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.