MARK DOUGLAS NETHERTON MD
NPI 1437267473
Pain Medicine - Interventional Pain Medicine in Mt Pleasant, SC
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
Specialties & Licenses 3
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Mark Netherton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mt Pleasant, SC 29464
- Reassigned Medicare billing, South Carolina enrollment
- 13 clinicians in this Medicare group
Mt Pleasant, SC 29464
- Reassigned Medicare billing, South Carolina enrollment
- 24 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
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.
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.
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.
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.
MT PLEASANT, SC 29464
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.
Which organizations bill Medicare for Mark Netherton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Netherton reassigns Medicare benefits to 2 organizations: Southeastern Spine Institute,llc (Mt Pleasant, SC) and Novant Health Southeastern Spine Institute, LLC (Mt Pleasant, SC). 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 Mark Netherton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 22 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.
# Mark Douglas Netherton, MD · NPI 1437267473
Interventional Pain Medicine physician in Mt Pleasant, South Carolina. Individual provider, active in the CMS NPPES registry since August 29, 2006.
## Identity
- **NPI:** 1437267473 (Entity type: Individual)
- **Enumerated:** August 29, 2006
- **Primary specialty:** Pain Medicine - Interventional Pain Medicine · taxonomy 208VP0014X
- **State license:** 16147 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1625 HOSPITAL DR, Mt Pleasant, SC 29464-3698
- **Phone:** (843) 849-1551 · **Fax:** (843) 884-0629
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Southeastern Spine Institute,llc (NPI 1760534358, Mt Pleasant, SC); Novant Health Southeastern Spine Institute, LLC (NPI 1134943459, Mt Pleasant, SC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Medical University Of South Carolina College Of Medicine, class of 1991
## Record status
- **NPPES last updated:** December 23, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1437267473) · Data from the CMS NPPES public registry.