MICHAEL D PETERS, M.D. — NPI 1194775429 (Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology — Otolaryngology — Facial Plastic Surgery in LITTLE RIVER, SC)

CMS-1500 Box 24J / 33a • NPI

1194775429

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

207YX0905X (CMS 04)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology — Otolaryngology — Facial Plastic Surgery

Box 32 Service Location & ZIP+4

3806 SAWTELL RD, LITTLE RIVER, SC, 29566-7873

✓ 9-Digit EDI 837 ZIP+4 (29566-7873)

Practice Phone & Referral Fax

(843) 663-9090

Fax: (843) 663-9091

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1194775429 (MICHAEL D PETERS, M.D.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1194775429` (NPI-1 Individual Practitioner)
Provider / Legal Name	MICHAEL D PETERS, M.D.
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology — Otolaryngology — Facial Plastic Surgery NUCC Code: `207YX0905X` (Otolaryngology, Otolaryngology/Facial Plastic Surgery)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	3806 SAWTELL RD, LITTLE RIVER, SC, 29566-7873
Practice Telephone / Fax	Tel: (843) 663-9090 \| Fax: (843) 663-9091
Administrative Mailing Address	1859 HICKORY LN, LONGS, SC, 29568-6519
Enumeration & Last Sync	Enumerated: 2006-05-10 \| CMS Record Updated: 2024-07-30

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

3806 SAWTELL RD, LITTLE RIVER, SC, 29566-7873

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Plain-English Taxonomy & CMS Crosswalk (207YX0905X)

What Does Taxonomy Code 207YX0905X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207YX0905X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology — Otolaryngology — Facial Plastic Surgery"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 04 (Physician/Otolaryngology)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Otolaryngology, Otolaryngology/Facial Plastic Surgery for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (MICHAEL D PETERS, M.D.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207YS0123X` — Otolaryngology, Facial Plastic Surgery Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology — Facial Plastic Surgery	State: NC \| License: `2013-01576` \| Primary: Secondary
`207YX0905X` — Otolaryngology, Otolaryngology/Facial Plastic Surgery Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology — Otolaryngology — Facial Plastic Surgery	State: SC \| License: `MD28577` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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MICHAEL D PETERS, M.D. (NPI #1194775429)