DR. JOHN THOMAS DANIELS D.O.
NPI 1235105420
Internal Medicine - Pulmonary Disease in Hilton Head, SC
About Dr. John Thomas Daniels D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN THOMAS DANIELS D.O. (NPI 1235105420) is an individual pulmonary disease provider in Hilton Head, South Carolina, licensed in South Carolina (83768) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Candler Hospital, and is a graduate of Other (2002).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 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
Dr. John Thomas Daniels 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.
Medicare Billing Reassignments
2Medicare enrollment records show John Daniels reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bluffton, SC 29910
- Reassigned Medicare billing, South Carolina and Georgia enrollments
- Medicare enrollment name: Southeast Lung & Critical Care Specialists PC
- Also billed through NPI 1104346394 (Georgia)
- 11 clinicians in this Medicare group
Jacksonville Beach, FL 32250
- Reassigned Medicare billing, Florida enrollment
- 7 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 33
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.
Candler Hospital
Acute Care Hospitals · Savannah, GAMusc Health Columbia Medical Center Downtown
Acute Care Hospitals · Columbia, SCBeaufort County Memorial Hospital
Acute Care Hospitals · Beaufort, SCHilton Head Regional Medical Center
Acute Care Hospitals · Hilton Head Island, SCCoastal Carolina Hospital
Acute Care Hospitals · Hardeeville, SCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29926 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 22
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 John Daniels's NPI number?
The NPI number for John Daniels is 1235105420. It was assigned to this individual provider in the NPPES registry on February 27, 2006.
Where is John Daniels located?
John Daniels practices at 2323 Main St., Ste 202, Hilton Head, SC 29926. The listed phone number is (843) 682-3583.
What is John Daniels's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is John Daniels enrolled in Medicare?
Yes. John Daniels 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 John Daniels's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Daniels reassigns Medicare benefits to 2 organizations: Southeast Lung & Criticial Care Specialists, PC (Bluffton, SC) and Cisca Pulmonary Critical Care Inc (Jacksonville Beach, FL). 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 John Daniels's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Daniels accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 3 other insurers list John Daniels 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 John Daniels affiliated with any hospitals?
According to CMS data, John Daniels is affiliated with Candler Hospital, Musc Health Columbia Medical Center Downtown, Beaufort County Memorial Hospital, Hilton Head Regional Medical Center and Coastal Carolina Hospital.
When was this NPI record last updated?
The NPPES record for John Daniels was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.