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

Q: 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.

Q: What is Stephen Pentheros's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stephen Pentheros was last updated on May 27, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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: July 26, 2026.

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

On this page

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 State University Of New York At Stony Brook, School Of Medicine (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 CMSState University Of New York At Stony Brook, School Of MedicineGraduated 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

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

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

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.

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.

Leave this field empty

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.

MARY TAYLOR BRITT JACKSON FNP

Nurse Practitioner (Family)