KAITLYN TAYLOR MARTINO PA-C
NPI 1356932867
Physician Assistant in Myrtle Beach, SC

Q: What is Kaitlyn Martino's NPI number?

The NPI number for Kaitlyn Martino is 1356932867. It was assigned to this individual provider in the NPPES registry on January 27, 2021.

Q: What is Kaitlyn Martino's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kaitlyn Martino was last updated on June 26, 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.

Active since January 27, 2021PECOS EnrolledAccepts Medicare Assignment

920 DOUG WHITE DR STE 210, MYRTLE BEACH, SC 29572(843) 497-6348(843) 497-6351 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 26, 2024, Aug 11, 2023, Feb 8, 2022 and 2 more (5 updates tracked since 2021).

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About Kaitlyn Taylor Martino Pa-c NPPES

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

KAITLYN TAYLOR MARTINO PA-C (NPI 1356932867) is an individual physician assistant in Myrtle Beach, South Carolina, licensed in South Carolina (3879) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, is affiliated with Grand Strand Regional Medical Center, and maintains a secondary practice location in Dededo.

NPPES Registry Identity

NPI1356932867

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKAITLYN TAYLOR MARTINOCredential: PA-C

Location Address920 DOUG WHITE DR STE 210Myrtle Beach, SC 29572-4181

Mailing Address920 Doug White Dr Ste 210Myrtle Beach, SC 29572-4181 · (843) 497-6348 · Fax (843) 497-6351

Phone(843) 497-6348

Fax(843) 497-6351

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJanuary 27, 2021

Last NPPES UpdateJune 26, 20245 updates tracked since enumeration

NPPES CertifiedJune 26, 2024

✔ NPI 1356932867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in SC · 3879✔ Licensed in GU · 129

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

920 DOUG WHITE DR STE 210, Myrtle Beach, SC 29572

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Secondary Practice Location 1

Location 1655 Harmon Loop Rd Ste 108Dededo, GU 96929-6544 · Phone (671) 633-4447 · Fax (671) 633-4452

Accepted Insurance

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

Kaitlyn Taylor Martino Pa-c 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 ID1254740160

PECOS Enrollment IDI20210505002482

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 3

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.

31 services22 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.

30 services30 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.

Grand Strand Regional Medical Center

Acute Care Hospitals · Myrtle Beach, SC

3/5 CMS rating

OwnershipProprietary

CMS Certification Number420085

Location809 82nd ParkwayMyrtle Beach, SC 29572 · Horry County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29572 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

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ALEXANDER PETKOVSEK

Nurse Practitioner (Family)