JOSEPH K BETHLE PAC
NPI 1235195850
Physician Assistant in Myrtle Beach, SC

Q: What is Joseph Bethle's NPI number?

The NPI number for Joseph Bethle is 1235195850. It was assigned to this individual provider in the NPPES registry on April 22, 2006.

Q: What is Joseph Bethle's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Joseph Bethle was last updated on February 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 April 22, 2006PECOS EnrolledAccepts Medicare Assignment

920 DOUG WHITE DR STE 130, MYRTLE BEACH, SC 29572(843) 848-1440(843) 839-1654 Get Directions Write a Review

NPPES record last updated: February 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 1, 2022, Jun 26, 2020 (2 updates tracked since 2020).

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About Joseph K Bethle Pac NPPES

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

JOSEPH K BETHLE PAC (NPI 1235195850) is an individual physician assistant in Myrtle Beach, South Carolina, licensed in South Carolina (630) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Tidelands Georgetown Memorial Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1235195850

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameJOSEPH K BETHLECredential: PAC

Location Address920 DOUG WHITE DR STE 130Myrtle Beach, SC 29572-4180

Mailing Address920 Doug White Dr Ste 130Myrtle Beach, SC 29572-4180 · (843) 848-1440 · Fax (843) 839-1654

Phone(843) 848-1440

Fax(843) 839-1654

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateApril 22, 2006

Last NPPES UpdateFebruary 1, 20222 updates tracked since enumeration

NPPES CertifiedJune 26, 2020

✔ NPI 1235195850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in SC · 630

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License A630 (SC)

920 DOUG WHITE DR STE 130, Myrtle Beach, SC 29572

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Other Identifiers 1

MedicaidQM0497SC

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Joseph K Bethle Pac 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 ID7315130614

PECOS Enrollment IDI20101019001136

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 2

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.

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.

41 services36 patients

Application of short leg splint from calf to foot 29515

A short leg splint is a support device applied from the calf to the foot. It's used to immobilize, protect, and support an injured leg or foot, promoting healing. It's typically made of plaster or fiberglass, padded for comfort, and secured with bandages.

13 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Tidelands Georgetown Memorial Hospital

Acute Care Hospitals · Georgetown, SC

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420020

Location606 Black River Rd Drawer 1718Georgetown, SC 29440 · Georgetown County

Emergency services

Grand Strand Regional Medical Center

Acute Care Hospitals · Myrtle Beach, SC

3/5 CMS rating

OwnershipProprietary

CMS Certification Number420085

Location809 82nd ParkwayMyrtle Beach, SC 29572 · 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 29572 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908

DME-Orthotic Devices · category DF000N

4 suppliers13 claims14 services$42.43 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

JESSE MARSH PUTMAN D.O.

Orthopaedic Surgery