PHILLIP SUSSMAN DO
NPI 1619325644
Orthopaedic Surgery - Sports Medicine in Conway, SC

Q: What is Phillip Sussman's NPI number?

The NPI number for Phillip Sussman is 1619325644. It was assigned to this individual provider in the NPPES registry on May 31, 2016.

Q: What is Phillip Sussman's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Q: When was this NPI record last updated?

The NPPES record for Phillip Sussman was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since May 31, 2016PECOS EnrolledAccepts Medicare Assignment

8004 MYRTLE TRACE DR, STE 200, CONWAY, SC 29526(843) 347-8041(843) 347-8042 Get Directions Write a Review

NPPES record last updated: November 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 21, 2025, Dec 31, 2024, Jul 6, 2022 (3 updates tracked since 2022).

On this page

About Phillip Sussman Do NPPES

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

PHILLIP SUSSMAN DO (NPI 1619325644) is an individual sports medicine provider in Conway, South Carolina, licensed in South Carolina (92685) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Conway Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1619325644

Entity TypeIndividualMale

Primary Taxonomy207XX0005X

Provider Legal NamePHILLIP SUSSMANCredential: DO

Location Address8004 MYRTLE TRACE DR, STE 200Conway, SC 29526-8945

Mailing Address300 Singleton Ridge Rd, Attn CredentialingConway, SC 29526-9142

Phone(843) 347-8041

Fax(843) 347-8042

Sole ProprietorNo

Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2016

Enumeration DateMay 31, 2016

Last NPPES UpdateNovember 21, 20253 updates tracked since enumeration

NPPES CertifiedNovember 21, 2025

✔ NPI 1619325644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

License✔ Licensed in SC · 92685

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

8004 MYRTLE TRACE DR, Conway, SC 29526

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Secondary Practice Locations 3

Location 11100 62nd Ave NMyrtle Beach, SC 29572-7202 · Phone (843) 347-8041 · Fax (843) 347-8042

Location 21413 Highway 17 NSurfside Beach, SC 29575-6012 · Phone (843) 347-8041 · Fax (843) 347-8042

Location 36010 Highway 707, Ste 300Myrtle Beach, SC 29588-7321 · Phone (843) 347-8041 · Fax (843) 347-8042

Other Identifiers 1

Medicaid926859SC

Accepted Insurance

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

Phillip Sussman Do 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 ID244613578

PECOS Enrollment IDI20250108000422

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 15

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.

270 services158 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

122 services68 patients

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702

This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.

113 services69 patients

Injection, ropivacaine hydrochloride, 1 mg J2795

Ropivacaine hydrochloride is a local anesthetic used to numb specific areas of your body during minor surgical procedures or to relieve pain. The medicine is injected into the area requiring anesthesia.

112 services27 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

60 services36 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

40 services40 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

33 services32 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

25 services24 patients

X-ray of wrist, minimum of 3 views 73110

An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.

24 services14 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

23 services16 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

21 services21 patients

X-ray of hand, minimum of 3 views 73130

An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.

20 services16 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

17 services13 patients

Release of wrist ligament using an endoscope 29848

This procedure involves using a small camera, called an endoscope, to view and treat a tight wrist ligament. The endoscope is inserted through a tiny incision, reducing recovery time and scarring. It helps to relieve pain and improve wrist function.

14 services11 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

13 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Conway Medical Center

Acute Care Hospitals · Conway, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420049

Location300 Singleton Ridge RoadConway, SC 29526 · 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

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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.

CONWAY HOSPITAL COMMUNITY SERVICES

Obstetrics & Gynecology

8004 MYRTLE TRACE DR
CONWAY, SC 29526

Horry County (843) 347-7216

DR. ERICA UMPIERREZ M.D.

Orthopaedic Surgery (Hand Surgery)

8004 MYRTLE TRACE DR, SUITE 200
CONWAY, SC 29526

Horry County (843) 347-8041

DAVID M BECK MD

Orthopaedic Surgery (Foot and Ankle Surgery)

8004 MYRTLE TRACE DR, SUITE 200
CONWAY, SC 29526

Horry County (843) 347-8041

CATHERINE A SCHAEFER MD

Family Medicine

8004 MYRTLE TRACE DR
CONWAY, SC 29526

Horry County (843) 234-8939

CONWAY HOSPITAL, INC.

Family Medicine

8004 MYRTLE TRACE DR
CONWAY, SC 29526

Horry County (843) 234-8939

HILARY MARGARET WELTER PA

Physician Assistant (Medical)

8004 MYRTLE TRACE DR
CONWAY, SC 29526

Horry County (843) 347-8041

MICHAEL ZACKERY ZDUNICH PA-C

Physician Assistant (Medical)

8004 MYRTLE TRACE DR
CONWAY, SC 29526

Horry County (843) 347-8041

WOMAN'S MEDICAL CENTER P.A.

Obstetrics & Gynecology

8004 MYRTLE TRACE DR
CONWAY, SC 29526

Horry County (843) 347-7216

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 Phillip Sussman's NPI number?

The NPI number for Phillip Sussman is 1619325644. It was assigned to this individual provider in the NPPES registry on May 31, 2016.

Where is Phillip Sussman located?

Phillip Sussman practices at 8004 Myrtle Trace Dr Ste 200, Conway, SC 29526. The listed phone number is (843) 347-8041.

What is Phillip Sussman's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Phillip Sussman enrolled in Medicare?

Yes. Phillip Sussman 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 Phillip Sussman accept?

Health plans from BlueCross BlueShield of South Carolina, First Choice Next, Molina Healthcare and UnitedHealthcare list Phillip Sussman 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.

Is Phillip Sussman affiliated with any hospitals?

According to CMS data, Phillip Sussman is affiliated with Conway Medical Center and Mcleod Loris Hospital.

When was this NPI record last updated?

The NPPES record for Phillip Sussman was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.