ROBERTO JOSE PEREYO MD
NPI 1831146810
Obstetrics & Gynecology - Obstetrics in Spartanburg, SC

Active since May 27, 2006PECOS EnrolledAccepts Medicare Assignment
96.08/100
CMS Quality Rating
475 HEYWOOD AVE, SPARTANBURG, SC 29307(864) 699-5020(864) 699-5050 Get Directions Write a Review

NPPES record last updated: December 2, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 2, 2020, Jan 19, 2018 (2 updates tracked since 2018).

About Roberto Jose Pereyo Md NPPES

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

ROBERTO JOSE PEREYO MD (NPI 1831146810) is an individual obstetrics provider in Spartanburg, South Carolina, licensed in South Carolina (26056) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Spartanburg Medical Center, and is a graduate of Medical University Of South Carolina College Of Medicine (2001).

NPPES Registry Identity

NPI1831146810
Entity TypeIndividualMale
Primary Taxonomy207VX0000X
Provider Legal NameROBERTO JOSE PEREYOCredential: MD
Location Address475 HEYWOOD AVESpartanburg, SC 29307
Mailing Address475 Heywood AveSpartanburg, SC 29307-1726 · (864) 699-5020 · Fax (864) 699-5050
Fax(864) 699-5050
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2001
Enumeration DateMay 27, 2006
Last NPPES UpdateDecember 2, 20202 updates tracked since enumeration
NPPES CertifiedDecember 2, 2020
NPI 1831146810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & Gynecology · ObstetricsAllopathic & Osteopathic Physicians
Taxonomy Code207VX0000X
License Licensed in SC · 26056
Definition
A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee
475 HEYWOOD AVE, Spartanburg, SC 29307

Other Identifiers 3

OtherAA08724710SC · Medicare Pin
Medicaid260568SC
OtherAA08723365SC · Medicare Pin

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

Roberto Jose Pereyo 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 ID1759325293
PECOS Enrollment IDI20050615000322
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 5

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
46 services46 patients
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.
37 services33 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
37 services37 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.
26 services22 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

Spartanburg Medical Center

Acute Care Hospitals · Spartanburg, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420007
Location101 E Wood StSpartanburg, SC 29303 · Spartanburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29307 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
$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.

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.

96.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality92.17
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 11

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

Obstetrics & Gynecology (Obstetrics)
475 HEYWOOD AVE
SPARTANBURG, SC 29307
Obstetrics & Gynecology (Obstetrics)
475 HEYWOOD AVE
SPARTANBURG, SC 29307
Obstetrics & Gynecology
475 HEYWOOD AVE
SPARTANBURG, SC 29307
Obstetrics & Gynecology (Obstetrics)
475 HEYWOOD AVE
SPARTANBURG, SC 29307
Obstetrics & Gynecology
475 HEYWOOD AVE
SPARTANBURG, SC 29307
Obstetrics & Gynecology (Obstetrics)
475 HEYWOOD AVE
SPARTANBURG, SC 29307
Obstetrics & Gynecology (Obstetrics)
475 HEYWOOD AVE
SPARTANBURG, SC 29307
Obstetrics & Gynecology (Obstetrics)
475 HEYWOOD AVE
SPARTANBURG, SC 29307

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 Roberto Pereyo's NPI number?

The NPI number for Roberto Pereyo is 1831146810. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Where is Roberto Pereyo located?

Roberto Pereyo practices at 475 Heywood Ave, Spartanburg, SC 29307. The listed phone number is (864) 699-5020.

What is Roberto Pereyo's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Obstetrics, with taxonomy code 207VX0000X.

Is Roberto Pereyo enrolled in Medicare?

Yes. Roberto Pereyo 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 Roberto Pereyo accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and InStil Health and 2 other insurers list Roberto Pereyo 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 Roberto Pereyo affiliated with any hospitals?

According to CMS data, Roberto Pereyo is affiliated with Spartanburg Medical Center.

When was this NPI record last updated?

The NPPES record for Roberto Pereyo was last updated on December 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.