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DR. DEREK DAVID KESTILA DO
NPI 1154761252
Family Medicine in Myrtle Beach, SC

Active since July 03, 2013PECOS EnrolledAccepts Medicare Assignment
72.72/100
CMS Quality Rating
6010 HIGHWAY 707, STE 100, MYRTLE BEACH, SC 29588(843) 234-8939(843) 234-8959 Get Directions Write a Review

NPPES record last updated: May 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 10, 2024, Jan 19, 2023, Jun 8, 2021 (3 updates tracked since 2021).

About Dr. Derek David Kestila Do NPPES

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

DR. DEREK DAVID KESTILA DO (NPI 1154761252) is an individual family medicine provider in Myrtle Beach, South Carolina, licensed in South Carolina (83469) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, is affiliated with Conway Medical Center, and maintains a secondary practice location in Conway.

NPPES Registry Identity

NPI1154761252
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DEREK DAVID KESTILACredential: DO
Location Address6010 HIGHWAY 707, STE 100Myrtle Beach, SC 29588-7321
Mailing Address300 Singleton Ridge Road, Attention Pns CredentialingConway, SC 29526-9142 · (843) 234-6946
Phone(843) 234-8939
Fax(843) 234-8959
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 3, 2013
Last NPPES UpdateMay 10, 20243 updates tracked since enumeration
NPPES CertifiedMay 10, 2024
✔ NPI 1154761252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in SC · 83469
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6010 HIGHWAY 707, Myrtle Beach, SC 29588
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Secondary Practice Location 1

Location 11301 Creel StreetConway, SC 29527-5018 · Phone (843) 248-4414 · Fax (843) 248-3781

Other Identifiers 1

Medicaid834690SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, First Choice Next, Molina Healthcare.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

Dr. Derek David Kestila Do 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 ID9234423476
PECOS Enrollment IDI20210614000572
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 7

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.

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.
329 services250 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.
212 services174 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.
64 services62 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.
36 services34 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.
22 services22 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.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Conway Medical Center

Acute Care Hospitals · Conway, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420049
Location300 Singleton Ridge RoadConway, SC 29526 · Horry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29588 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
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.

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.

72.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.98
Promoting Interoperability100
Improvement Activities40
Cost48.1

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers11 claims29 services$4.57 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 suppliers13 claims13 services$97.54 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 5

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

ABBY LEE REWOLDT MD
Obstetrics & Gynecology
6010 HIGHWAY 707, STE 300
MYRTLE BEACH, SC 29588
Horry County (843) 347-7216
DONALD WAIN MORANDO DO
Family Medicine
6010 HIGHWAY 707, STE 100
MYRTLE BEACH, SC 29588
Horry County (843) 234-8939
REBECCA S EGLEN MD
Pediatrics
6010 HIGHWAY 707, STE 300
MYRTLE BEACH, SC 29588
Horry County (843) 293-1005
KALAH AINSWORTH DO
Family Medicine
6010 HIGHWAY 707, STE 100
MYRTLE BEACH, SC 29588
Horry County (843) 234-8939
CONWAY HOSPITAL, INC.
Pediatrics
6010 HIGHWAY 707, STE 300
MYRTLE BEACH, SC 29588
Horry County (843) 293-1005

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 Derek Kestila's NPI number?

The NPI number for Derek Kestila is 1154761252. It was assigned to this individual provider in the NPPES registry on July 3, 2013.

Where is Derek Kestila located?

Derek Kestila practices at 6010 Highway 707 Ste 100, Myrtle Beach, SC 29588. The listed phone number is (843) 234-8939.

What is Derek Kestila's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Derek Kestila enrolled in Medicare?

Yes. Derek Kestila 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 Derek Kestila accept?

Health plans from BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare list Derek Kestila 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 Derek Kestila affiliated with any hospitals?

According to CMS data, Derek Kestila is affiliated with Conway Medical Center.

When was this NPI record last updated?

The NPPES record for Derek Kestila was last updated on May 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.