MARK DOUGLAS NETHERTON MD
NPI 1437267473
Pain Medicine - Interventional Pain Medicine in Mt Pleasant, SC

Active since August 29, 2006PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
1625 HOSPITAL DR, MT PLEASANT, SC 29464(843) 849-1551(843) 884-0629 Get Directions Write a Review

NPPES record last updated: December 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 23, 2024, Mar 30, 2023, Jul 21, 2022 and 1 more (4 updates tracked since 2017).

About Mark Douglas Netherton Md NPPES

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

MARK DOUGLAS NETHERTON MD (NPI 1437267473) is an individual interventional pain medicine provider in Mt Pleasant, South Carolina, licensed in South Carolina (16147) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Medical University Of South Carolina College Of Medicine (1991).

NPPES Registry Identity

NPI1437267473
Entity TypeIndividualMale
Primary Taxonomy208VP0014X
Provider Legal NameMARK DOUGLAS NETHERTONCredential: MD
Location Address1625 HOSPITAL DRMt Pleasant, SC 29464-3698
Mailing AddressPo Box 749340Atlanta, GA 30374-9340
Fax(843) 884-0629
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 1991
Enumeration DateAugust 29, 2006
Last NPPES UpdateDecember 23, 20244 updates tracked since enumeration
NPPES CertifiedDecember 23, 2024
NPI 1437267473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License Licensed in SC · 16147
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
Also ListedAnesthesiologyTaxonomy 207L00000X · License 16147 (SC)
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License 16147 (SC)
1625 HOSPITAL DR, Mt Pleasant, SC 29464

Accepted 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

Mark Douglas Netherton Md 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 ID6406807809
PECOS Enrollment IDI20070626000074
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

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.

Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
33 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29464 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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Other Providers at the Same Location NPPES 20

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

Orthopaedic Surgery
1625 HOSPITAL DR
MT PLEASANT, SC 29464
Physical Medicine & Rehabilitation
1625 HOSPITAL DR
MT PLEASANT, SC 29464
Physical Therapist
1625 HOSPITAL DR
MT PLEASANT, SC 29464
Pain Medicine (Interventional Pain Medicine)
1625 HOSPITAL DR
MT PLEASANT, SC 29464
Pain Medicine (Interventional Pain Medicine)
1625 HOSPITAL DR
MT PLEASANT, SC 29464
Physical Therapy Assistant
1625 HOSPITAL DR
MOUNT PLEASANT, SC 29464
Neurological Surgery
1625 HOSPITAL DR
MT PLEASANT, SC 29464
Physician Assistant
1625 HOSPITAL DR
MT PLEASANT, SC 29464

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 Mark Netherton's NPI number?

The NPI number for Mark Netherton is 1437267473. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Mark Netherton located?

Mark Netherton practices at 1625 Hospital Dr, Mt Pleasant, SC 29464. The listed phone number is (843) 849-1551.

What is Mark Netherton's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Mark Netherton enrolled in Medicare?

Yes. Mark Netherton 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.

What insurance does Mark Netherton accept?

Health plans from Ambetter from Absolute Total Care and Ambetter of North Carolina list Mark Netherton 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.

When was this NPI record last updated?

The NPPES record for Mark Netherton was last updated on December 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.