DR. CARLOS A CORDERO M.D.
NPI 1952350530
Internal Medicine in Hilton Head Island, SC

Q: What is Carlos Cordero's NPI number?

The NPI number for Carlos Cordero is 1952350530. It was assigned to this individual provider in the NPPES registry on May 9, 2006.

Q: What is Carlos Cordero's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Carlos Cordero was last updated on August 31, 2021. 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.

Active since May 09, 2006PECOS EnrolledAccepts Medicare Assignment

25 HOSPITAL CENTER BLVD, HILTON HEAD ISLAND, SC 29926(843) 689-8141(843) 689-8112 Get Directions Write a Review

NPPES record last updated: August 31, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Carlos A Cordero M.d. NPPES

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

DR. CARLOS A CORDERO M.D. (NPI 1952350530) is an individual internal medicine provider in Hilton Head Island, South Carolina, licensed in South Carolina (23301) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Candler Hospital, and maintains a secondary practice location in Hardeeville.

NPPES Registry Identity

NPI1952350530

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. CARLOS A CORDEROCredential: M.D.

Location Address25 HOSPITAL CENTER BLVDHilton Head Island, SC 29926-2738

Mailing Address595 W Carolina Ave, Po Box 988Varnville, SC 29944-4735 · (803) 943-1277 · Fax (803) 943-7601

Phone(843) 689-8141

Fax(843) 689-8112

Sole ProprietorNo

Medical School CMSOtherGraduated 1994

Enumeration DateMay 9, 2006

Last NPPES UpdateAugust 31, 2021

NPPES CertifiedAugust 31, 2021

✔ NPI 1952350530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in SC · 23301

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

25 HOSPITAL CENTER BLVD, Hilton Head Island, SC 29926

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Secondary Practice Location 1

Location 11000 Medical Center DrHardeeville, SC 29927-3446 · Phone (843) 784-8224 · Fax (843) 784-8006

Other Identifiers 2

OtherP00057121SC · Railroad Medicare Id

MedicaidT73774SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, First Choice Next, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Carlos A Cordero M.d. 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 ID4284525122

PECOS Enrollment IDI20040322000992, I20240417001847

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.

Medicare Billing Reassignments

Medicare enrollment records show Carlos Cordero reassigns Medicare billing to 13 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hilton Head Regional Physician Group LLC

Same address

Neurology

25 HOSPITAL CENTER BLVD
Hilton Head, SC 29926

Reassigned Medicare billing, South Carolina enrollment
157 clinicians in this Medicare group

NPI 1639930787 (843) 784-8224

Hampton Regional Medical Center

48 mi

Rural

595 CAROLINA AVE WEST
Varnville, SC 29944

Reassigned Medicare billing, South Carolina enrollment
49 clinicians in this Medicare group

NPI 1487651949 (803) 943-1217

South Carolina Group Services, LLC

64 mi

Hospitalist

2000 HOSPITAL DR
Mount Pleasant, SC 29464

Reassigned Medicare billing, South Carolina enrollment
61 clinicians in this Medicare group

NPI 1609212232 (770) 874-5439

Coastal Inpatient Physicians, LLC

64 mi

Internal Medicine

9330 MEDICAL PLAZA DR
Charleston, SC 29406

Reassigned Medicare billing, South Carolina enrollment
17 clinicians in this Medicare group

NPI 1215043872 (843) 847-3225

Your Health Primary Care Of Sc, LLC

123 mi

Family Medicine

1053 CENTER ST
West Columbia, SC 29169

Reassigned Medicare billing, South Carolina enrollment
29 clinicians in this Medicare group

NPI 1710875141 (803) 457-5129

Sc House Calls Inc

126 mi

Family Medicine

111 DOCTOR CIR
Columbia, SC 29203

Reassigned Medicare billing, South Carolina enrollment
631 clinicians in this Medicare group

NPI 1518048859 (800) 491-0909

Southeastern Hospitalist Services PC

153 mi

Hospitalist

809 82ND PKWY
Myrtle Beach, SC 29572

Reassigned Medicare billing, South Carolina enrollment
529 clinicians in this Medicare group

NPI 1003280108 (843) 692-1000

Carle Health Medical Group

686 mi

Internal Medicine

611 W PARK ST
Urbana, IL 61801

Reassigned Medicare billing, South Carolina enrollment
Medicare enrollment name: Carle Health Care Incorporated
4 clinicians in this Medicare group

NPI 1154653947 (217) 383-8300

Methodist Medical Center Of Illinois

765 mi

Family Medicine

120 NE GLEN OAK AVE, SUITE 101
Peoria, IL 61603

Reassigned Medicare billing, South Carolina enrollment
3 clinicians in this Medicare group

NPI 1184670663 (309) 671-8230

Fairview Health Services

1,097 mi

General Acute Care Hospital

201 E NICOLLET BLVD, OUTREACH LAB DEPARTMENT
Burnsville, MN 55337

Reassigned Medicare billing, Minnesota enrollment
4,038 clinicians in this Medicare group

NPI 1225199128 (952) 892-2085

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 18

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.

Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month 99489

Complex chronic care management is a service for patients with multiple chronic conditions. It involves an additional 60 minutes per month of clinical staff time directed by a healthcare professional. This service assists in managing your health conditions effectively.

1,617 services153 patients

Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month 99487

Complex chronic care management is a service for patients with two or more long-term health conditions. It involves a healthcare professional directing clinical staff in providing care for the first 60 minutes each month. This helps manage your health conditions effectively.

482 services171 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.

355 services158 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

252 services107 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

155 services91 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

103 services62 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.

95 services59 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.

82 services82 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

59 services54 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

50 services28 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

36 services25 patients

Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional 99484

Care management for behavioral health involves a healthcare professional directing clinical staff to provide you with support for 20 minutes or more. This service can include planning your care, coordinating services, and managing your health conditions to improve your overall well-being.

32 services16 patients

Advance care planning, first 30 minutes 99497

25 services24 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

19 services19 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

19 services19 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

16 services16 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.

14 services12 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.

13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Candler Hospital

Acute Care Hospitals · Savannah, GA

1/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number110024

Location5353 Reynolds StreetSavannah, GA 31412 · Chatham County

Emergency services Birthing friendly

Beaufort County Memorial Hospital

Acute Care Hospitals · Beaufort, SC

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number420067

Location955 Ribaut RdBeaufort, SC 29902 · Beaufort County

Emergency services Birthing friendly

Hilton Head Regional Medical Center

Acute Care Hospitals · Hilton Head Island, SC

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number420080

Location25 Hospital Center BlvdHilton Head Island, SC 29925 · Beaufort County

Emergency services Birthing friendly

Coastal Carolina Hospital

Acute Care Hospitals · Hardeeville, SC

2/5 CMS rating

OwnershipProprietary

CMS Certification Number420101

Location1000 Medical Center DriveHardeeville, SC 29927 · Jasper County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29926 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers18 claims18 services$15.70 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers25 claims25 services$82.09 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JAMES SCHUMAN

Physician Assistant

25 HOSPITAL CENTER BLVD
HILTON HEAD ISLAND, SC 29926

Beaufort County (843) 681-6122

HILTON HEAD REGIONAL PHYSICIAN GROUP LLC

Hospitalist

25 HOSPITAL CENTER BLVD
HILTON HEAD, SC 29926

Beaufort County (843) 689-8149

DR. BENJAMIN J KESSLER DO

Emergency Medicine

25 HOSPITAL CENTER BLVD
HILTON HEAD ISLAND, SC 29926

Beaufort County (843) 689-8141

HILTON HEAD REGIONAL PHYSICIAN GROUP LLC

Hospitalist

25 HOSPITAL CENTER BLVD
HILTON HEAD ISLAND, SC 29926

Beaufort County (980) 217-2025

NH DIGITAL HEALTH SERVICES, LLC

Hospitalist

25 HOSPITAL CENTER BLVD
HILTON HEAD ISLAND, SC 29926

Beaufort County (980) 217-2025

TOTAL RENAL CARE INC

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)

25 HOSPITAL CENTER BLVD, SUITE 104A
HILTON HEAD, SC 29926

Beaufort County (843) 342-7300

JENNA MARIE GREENE OTR/L

Occupational Therapist

25 HOSPITAL CENTER BLVD
HILTON HEAD ISLAND, SC 29926

Beaufort County (843) 682-7301

MRS. SHANNON MARIA KEITH

Nurse Practitioner

25 HOSPITAL CENTER BLVD
HILTON HEAD, SC 29926

Beaufort County (843) 681-6122

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 Carlos Cordero's NPI number?

The NPI number for Carlos Cordero is 1952350530. It was assigned to this individual provider in the NPPES registry on May 9, 2006.

Where is Carlos Cordero located?

Carlos Cordero practices at 25 Hospital Center Blvd, Hilton Head Island, SC 29926. The listed phone number is (843) 689-8141.

What is Carlos Cordero's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Carlos Cordero enrolled in Medicare?

Yes. Carlos Cordero 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.

Which organizations bill Medicare for Carlos Cordero's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Cordero reassigns Medicare benefits to 13 organizations: Hilton Head Regional Physician Group LLC (Hilton Head, SC), Hampton Regional Medical Center (Varnville, SC), South Carolina Group Services, LLC (Mount Pleasant, SC), Coastal Inpatient Physicians, LLC (Charleston, SC), Your Health Primary Care Of Sc, LLC (West Columbia, SC) and 8 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carlos Cordero's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carlos Cordero accept?

Health plans from BlueCross BlueShield of South Carolina, First Choice Next and Sanford Health Plan list Carlos Cordero 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 Carlos Cordero affiliated with any hospitals?

According to CMS data, Carlos Cordero is affiliated with Candler Hospital, Beaufort County Memorial Hospital, Hilton Head Regional Medical Center and Coastal Carolina Hospital.

When was this NPI record last updated?

The NPPES record for Carlos Cordero was last updated on August 31, 2021. 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.