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STEPHEN ANDREW PENTHEROS NP
NPI 1578840393
Nurse Practitioner - Adult Health in Myrtle Beach, SC

Active since November 08, 2011PECOS EnrolledAccepts Medicare Assignment
8121 ROURK ST, MYRTLE BEACH, SC 29572(843) 692-5000(843) 692-5010 Get Directions Write a Review

NPPES record last updated: May 27, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 27, 2026, Oct 14, 2021, Sep 13, 2021 (3 updates tracked since 2021).

About Stephen Andrew Pentheros Np NPPES

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

STEPHEN ANDREW PENTHEROS NP (NPI 1578840393) is an individual adult health provider in Myrtle Beach, South Carolina, licensed in South Carolina (32014) and active in the NPI registry since November 2011. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1578840393
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameSTEPHEN ANDREW PENTHEROSCredential: NP
Location Address8121 ROURK STMyrtle Beach, SC 29572-4128
Mailing Address8121 Rourk StMyrtle Beach, SC 29572-4128 · (843) 692-5000 · Fax (843) 692-5010
Phone(843) 692-5000
Fax(843) 692-5010
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 8, 2011
Last NPPES UpdateMay 27, 20263 updates tracked since enumeration
NPPES CertifiedMay 27, 2026
✔ NPI 1578840393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses✔ Licensed in SC · 32014✔ Licensed in NY · 310357
Also ListedLicensed Practical NurseTaxonomy 164W00000X · License 306726-1 (NY)
8121 ROURK ST, Myrtle Beach, SC 29572
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1817 Farrar DrConway, SC 29526-8747 · Phone (843) 234-1660 · Fax (843) 234-1661
Location 24620 Highway 17Murrells Inlet, SC 29576-5016 · Phone (843) 357-7357 · Fax (843) 357-7358
Location 33008 Bayboro StLoris, SC 29569-2714 · Phone (843) 756-0932 · Fax (843) 756-0508

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, Molina Healthcare.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

Stephen Andrew Pentheros Np 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 ID446638258
PECOS Enrollment IDI20220607003247, I20260616003100
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Stephen Pentheros reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Coastal Cancer Center LLC
12 mi
Hematology & Oncology
817 FARRAR DR
Conway, SC 29526
  • Reassigned Medicare billing, South Carolina enrollment
  • 20 clinicians in this Medicare group
NPI 1063432391 (843) 234-1660
North Shore Hematology Oncology Associates PC
586 mi
Specialist
49 NESCONSET HWY
Port Jefferson Station, NY 11776
  • Reassigned Medicare billing, New York enrollment
  • 636 clinicians in this Medicare group
NPI 1396794574 (631) 751-3000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
$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.

Other Providers at the Same Location NPPES 19

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

MARY TAYLOR BRITT JACKSON FNP
Nurse Practitioner (Family)
8121 ROURK ST
MYRTLE BEACH, SC 29572
Horry County (843) 692-5000
JORDAN ANDREW HENDERSON D.O.
Internal Medicine (Hematology & Oncology)
8121 ROURK ST
MYRTLE BEACH, SC 29572
Horry County (843) 692-5000
DR. EMILY ZARUHI TOULOUKIAN D.O.
Internal Medicine (Hematology & Oncology)
8121 ROURK ST
MYRTLE BEACH, SC 29572
Horry County (843) 692-5000
TANYA C BRALLEY P.A.
Physician Assistant (Medical)
8121 ROURK ST
MYRTLE BEACH, SC 29572
Horry County (843) 692-5000
DR. DAVID OLIVER DO
Internal Medicine (Hematology & Oncology)
8121 ROURK ST
MYRTLE BEACH, SC 29572
Horry County (843) 692-5000
LAURA MARIEL SEIPT NP
Nurse Practitioner (Acute Care)
8121 ROURK ST
MYRTLE BEACH, SC 29572
Horry County (843) 692-5000
REBECCA DIANE CODY MD
Internal Medicine (Hematology & Oncology)
8121 ROURK ST
MYRTLE BEACH, SC 29572
Horry County (843) 692-5000
COASTAL CANCER CENTER LLC
Pharmacy (Community/Retail Pharmacy)
8121 ROURK ST
MYRTLE BEACH, SC 29572
Horry County (843) 692-5000

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 Stephen Pentheros's NPI number?

The NPI number for Stephen Pentheros is 1578840393. It was assigned to this individual provider in the NPPES registry on November 8, 2011.

Where is Stephen Pentheros located?

Stephen Pentheros practices at 8121 Rourk St, Myrtle Beach, SC 29572. The listed phone number is (843) 692-5000.

What is Stephen Pentheros's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Stephen Pentheros enrolled in Medicare?

Yes. Stephen Pentheros 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 Stephen Pentheros's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Pentheros reassigns Medicare benefits to 2 organizations: Coastal Cancer Center LLC (Conway, SC) and North Shore Hematology Oncology Associates PC (Port Jefferson Station, NY). 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 Stephen Pentheros's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephen Pentheros accept?

Health plans from BlueCross BlueShield of South Carolina and Molina Healthcare list Stephen Pentheros 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 Stephen Pentheros was last updated on May 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.