DR. WILLIAM RAYBURN MD, MBA
NPI 1922015999
Psychiatry & Neurology - Child & Adolescent Psychiatry in Isle Of Palms, SC
NPI Status: Active since August 02, 2006
Contact Information
103 PALM BLVD STE 2A
ISLE OF PALMS, SC
ZIP 29451
Phone: (843) 800-1303
Fax: (888) 316-7716
- Individual
- Male
- Years of Experience 51
- Psychiatry & Neurology
- Child & Adolescent Psychiatry
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About WILLIAM RAYBURN
This page provides the complete NPI Profile along with additional information for William Rayburn, a provider established in Isle Of Palms, South Carolina with a medical specialization in Psychiatry & Neurology, focusing in child & adolescent psychiatry and more than 51 years of experience. He graduated from University Of Kentucky College Of Medicine in 1975. The healthcare provider is registered in the NPI registry with number 1922015999 assigned on August 2006. The practitioner's primary taxonomy code is 2084P0804X with license number MD83276 (SC). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1922015999
- Provider Name
- DR. WILLIAM RAYBURN MD, MBA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 103 PALM BLVD STE 2A ISLE OF PALMS, SC 29451
- Location Phone
- (843) 800-1303
- Location Fax
- (888) 316-7716
- Mailing Address
- 710 JOHNNIE DODDS BLVD STE 200 MOUNT PLEASANT, SC 29464
- Mailing Phone
- (843) 800-1303
- Mailing Fax
- (888) 316-7716
- Medical School Name
- UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
- Graduation Year
- 1975
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-02-2006
- Last Update Date
- 06-02-2021
- Code Navigator
Location Map
Secondary Locations
- 710 Johnnie Dodds Blvd Ste 200
Mount Pleasant, SC 29464
(843) 800-1303
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Child & Adolescent Psychiatry
- Taxonomy Code
- 2084P0804X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD83276
- License State
- SC
- Taxonomy Description
- Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 99-106 (NM) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- UHC Bronze Copay Focus $0 Indiv Med Ded - HMO
- UHC Bronze Copay Focus+ $0 Indiv Med Ded (Dental + Vision) - HMO
- UHC Bronze Essential - HMO
- UHC Bronze Essential- - HMO
- UHC Bronze Standard - HMO
- UHC Bronze Standard Plus Chiro - HMO
- UHC Gold Advantage - HMO
- UHC Gold Advantage+ (Dental + Vision) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded - HMO
- UHC Gold Standard - HMO
- UHC Gold Standard Plus Chiro - HMO
- UHC Silver Advantage - HMO
- UHC Silver Advantage+ (Dental + Vision) - HMO
- UHC Silver Copay Focus $0 Indiv Med Ded - HMO
- UHC Silver Standard - HMO
- UHC Silver Standard- - HMO
- UHC Silver Standard Plus Chiro - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
William Rayburn is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
William Rayburn is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 1355432535
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20200914001599
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
| Quality Measure | Performance | Number of Patients |
|---|
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1922015999, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922015999, enumerated as an "individual" on August 02, 2006.
The provider is located at 103 PALM BLVD STE 2A ISLE OF PALMS, SC 29451 and the phone number is (843) 800-1303.
Psychiatry & Neurology with taxonomy code 2084P0804X and a focus in Child & Adolescent Psychiatry.
The provider might be accepting Accepts: UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.
