JOHN LACY STURDIVANT MD
NPI 1700994662
Internal Medicine - Clinical Cardiac Electrophysiology in Myrtle Beach, SC

Active since August 29, 2006PECOS EnrolledAccepts Medicare Assignment
90.47/100
CMS Quality Rating
920 DOUG WHITE DR STE 510, MYRTLE BEACH, SC 29572(843) 497-7772(843) 848-7530 Get Directions Write a Review

NPPES record last updated: January 25, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 25, 2022, May 24, 2021, Oct 22, 2020 (3 updates tracked since 2020).

About John Lacy Sturdivant Md NPPES

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

JOHN LACY STURDIVANT MD (NPI 1700994662) is an individual clinical cardiac electrophysiology provider in Myrtle Beach, South Carolina, licensed in South Carolina (22001) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Tidelands Georgetown Memorial Hospital, and is a graduate of University Of Alabama School Of Medicine (1996).

NPPES Registry Identity

NPI1700994662
Entity TypeIndividualMale
Primary Taxonomy207RC0001X
Provider Legal NameJOHN LACY STURDIVANTCredential: MD
Location Address920 DOUG WHITE DR STE 510Myrtle Beach, SC 29572-4183
Mailing Address920 Doug White Dr Ste 510Myrtle Beach, SC 29572-4183 · (843) 497-7772 · Fax (843) 848-7530
Fax(843) 848-7530
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1996
Enumeration DateAugust 29, 2006
Last NPPES UpdateJanuary 25, 20223 updates tracked since enumeration
NPPES CertifiedMay 24, 2021
NPI 1700994662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RC0001X
License Licensed in SC · 22001
Definition

A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 22001 (SC)
920 DOUG WHITE DR STE 510, Myrtle Beach, SC 29572

Other Identifiers 1

Medicaid220013SC

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 and accepts Medicare assignment

John Lacy Sturdivant 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.

PECOS PAC ID143257592
PECOS Enrollment IDI20050718000982
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 30

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.

Evaluation of cardiac rhythm monitor system, remote up to 30 days 93298
This procedure involves remotely monitoring your heart rhythm for up to 30 days. A small device will record your heart's activity, which can be accessed by your healthcare team. This aids in diagnosing any irregularities or issues with your heart function.
510 services59 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
313 services272 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296
This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.
291 services91 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
238 services238 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294
This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.
172 services54 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.
165 services139 patients

Hospital Affiliations CMS Care Compare 3

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

Tidelands Georgetown Memorial Hospital

Acute Care Hospitals · Georgetown, SC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420020
Location606 Black River Rd Drawer 1718Georgetown, SC 29440 · Georgetown County
Emergency services

Grand Strand Regional Medical Center

Acute Care Hospitals · Myrtle Beach, SC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number420085
Location809 82nd ParkwayMyrtle Beach, SC 29572 · Horry County
Emergency services Birthing friendly

Tidelands Waccamaw Community Hospital

Acute Care Hospitals · Murrells Inlet, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420098
Location4070 Hwy 17Murrells Inlet, SC 29576 · Horry County
Emergency services Birthing friendly

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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
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.

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.

90.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality88.79
Improvement Activities40

Reported Quality Measures

Controlling High Blood Pressure
75%388 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
95%882 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
100%612 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
52%787 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
25%621 patients2/55-star benchmark: 61%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
83%386 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 633 patients
Patients totalRate: 0% · 633 patients
0%633 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Physician Assistant
920 DOUG WHITE DR STE 510
MYRTLE BEACH, SC 29572
Physician Assistant (Surgical)
920 DOUG WHITE DR STE 510
MYRTLE BEACH, SC 29572
Nurse Practitioner (Family)
920 DOUG WHITE DR STE 510
MYRTLE BEACH, SC 29572
Physician Assistant
920 DOUG WHITE DR STE 510
MYRTLE BEACH, SC 29572
Internal Medicine (Interventional Cardiology)
920 DOUG WHITE DR STE 510
MYRTLE BEACH, SC 29572
Internal Medicine (Interventional Cardiology)
920 DOUG WHITE DR STE 510
MYRTLE BEACH, SC 29572
Internal Medicine (Interventional Cardiology)
920 DOUG WHITE DR STE 510
MYRTLE BEACH, SC 29572
Internal Medicine (Interventional Cardiology)
920 DOUG WHITE DR STE 510
MYRTLE BEACH, SC 29572

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 John Sturdivant's NPI number?

The NPI number for John Sturdivant is 1700994662. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is John Sturdivant located?

John Sturdivant practices at 920 Doug White Dr Ste 510, Myrtle Beach, SC 29572. The listed phone number is (843) 497-7772.

What is John Sturdivant's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Is John Sturdivant enrolled in Medicare?

Yes. John Sturdivant 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 John Sturdivant accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare and 1 other insurer list John Sturdivant 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 John Sturdivant affiliated with any hospitals?

According to CMS data, John Sturdivant is affiliated with Tidelands Georgetown Memorial Hospital, Grand Strand Regional Medical Center and Tidelands Waccamaw Community Hospital.

When was this NPI record last updated?

The NPPES record for John Sturdivant was last updated on January 25, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.