Doctor profile · Federal record

Dr. Nathan Royal, M.D.

Anesthesiology Physician (CMS: Anesthesiology) · Surgery Physician · Charleston, SC

  • NPI 1134577992
  • Accepts Medicare
  • MIPS 82.4 / 100 · 2023
  • 10 yrs in practice
  • Licensed in 2 states
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
9263 Medical Plaza Dr Ste E
Charleston, SC 294067112
(843) 572-1228

Credentials & registration

NPPES · NUCC
NPI registered
June 2016 — 10 yrs on file
Profile last updated
August 2, 2021
Year of graduation
2016 — 10 yrs since
Specialty taxonomy
207L00000X — NUCC code
State licenses (2)
South Carolina #85732 · Georgia #008277

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1134577992. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
335
Distinct HCPCS
9
Medicare allowed
$34,652
HCPCS Description Services Patients Avg allowed
00811 Anesthesia for other procedure on large bowel using an endoscope 86 86 $102
00731 Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 77 75 $96
00813 Anesthesia for procedure on small and large bowel using an endoscope 69 69 $130
00812 Anesthesia for exam of colon using an endoscope 24 24 $83
00910 Anesthesia for other procedure on urinary system through urethra 24 24 $56
01230 Anesthesia for procedure on upper 2/3rd of thigh bone 16 16 $145
01922 Anesthesia for x-ray or radiation therapy 15 15 $81
00537 Anesthesia for procedure to assess heart electrical activity 12 12 $194
76942 Ultrasonic guidance for needle placement 12 12 $29

In context: peer comparison

Among 92 peers in Charleston Anesthesiology Physician, average services per provider: 40. This provider delivers 8.4× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$50
Transactions
2
Manufacturers
2
Payer (manufacturer) Industry Txns Amount
Abbott Laboratories 1 $32.02
Merck Sharp & Dohme LLC 1 $18.09

By nature of payment

Food and Beverage
$32
Education
$18

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Nathan Royal's medical specialty?
Dr. Nathan Royal practices Anesthesiology Physician in Charleston, SC.
Where does Dr. Nathan Royal practice?
Dr. Nathan Royal practices at 9263 Medical Plaza Dr Ste E, Charleston, SC 294067112. Office phone: 8435721228.
What is Dr. Nathan Royal's NPI?
Dr. Nathan Royal's National Provider Identifier (NPI) is 1134577992, issued by NPPES.
Does Dr. Nathan Royal accept Medicare assignment?
Yes. Dr. Nathan Royal accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Nathan Royal commonly perform?
Top Medicare-reported procedures in 2023: Anesthesia for other procedure on large bowel using an endoscope (HCPCS 00811); Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope (HCPCS 00731); Anesthesia for procedure on small and large bowel using an endoscope (HCPCS 00813). Source: CMS Medicare Physician & Other Practitioners file.