MARISSA ANNE MAYOR MD
NPI 1669738597
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Charleston, SC

Active since April 04, 2012PECOS Enrolled
30 COURTENAY DRIVE MSC 613, CHARLESTON, SC 29425(843) 792-1414 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Marissa Anne Mayor Md NPPES

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

MARISSA ANNE MAYOR MD (NPI 1669738597) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Charleston, South Carolina, licensed in South Carolina (MMD.94651) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669738597
Entity TypeIndividualFemale
Primary Taxonomy208G00000X
Provider Legal NameMARISSA ANNE MAYORCredential: MD
Location Address30 COURTENAY DRIVE MSC 613Charleston, SC 29425-3821
Mailing AddressPo Box 751461Charlotte, NC 28275-1461 · (843) 792-1414
Sole ProprietorNo
Enumeration DateApril 4, 2012
Last NPPES UpdateSeptember 19, 2025
NPPES CertifiedSeptember 19, 2025
NPI 1669738597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License Licensed in SC · MMD.94651
Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Also ListedSurgeryTaxonomy 208600000X · License MMD.94651 (SC)
30 COURTENAY DRIVE MSC 613, Charleston, SC 29425

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 (PECOS)

Marissa Anne Mayor Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 29425 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
$163.84 typical visit price
range $53.57 – $163.84
Typical copayment $40.96 (range $13.39 – $40.96)
Most-billed visit code 99205
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
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

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

Surgery (Vascular Surgery)
30 COURTENAY DRIVE MSC 613
CHARLESTON, SC 29425

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669738597, enumerated as an "individual" on April 04, 2012.

The provider is located at 30 COURTENAY DRIVE MSC 613 CHARLESTON, SC 29425 and the phone number is (843) 792-1414.

Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

The provider might be accepting Accepts: BlueCross BlueShield of South Carolina. Please consult your insurance carrier or call the provider to verify.