MRS. KAYLI MARIE CLATTERBUCK PA-C
NPI 1366796377
Physician Assistant in Myrtle Beach, SC

Q: What is Kayli Clatterbuck's NPI number?

The NPI number for Kayli Clatterbuck is 1366796377. It was assigned to this individual provider in the NPPES registry on October 30, 2012. The provider is also known as Kayli Marie Pollitte Pa-C.

Q: What is Kayli Clatterbuck'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 Kayli Clatterbuck was last updated on March 13, 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 October 30, 2012PECOS Enrolled

809 82ND PKWY, MYRTLE BEACH, SC 29572(843) 692-1000 Get Directions Write a Review

NPPES record last updated: March 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 5, 2024, Dec 15, 2023 (2 updates tracked since 2023).

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About Mrs. Kayli Marie Clatterbuck Pa-c NPPES

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

MRS. KAYLI MARIE CLATTERBUCK PA-C (NPI 1366796377) is an individual physician assistant in Myrtle Beach, South Carolina, licensed in South Carolina (PA2357) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366796377

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMRS. KAYLI MARIE CLATTERBUCKCredential: PA-C

Location Address809 82ND PKWYMyrtle Beach, SC 29572-4607

Mailing Address6450 Somerset DrMyrtle Beach, SC 29572-3261 · (606) 776-3247

Phone(843) 692-1000

Sole ProprietorNo

Enumeration DateOctober 30, 2012

Last NPPES UpdateMarch 13, 20242 updates tracked since enumeration

NPPES CertifiedMarch 13, 2024

✔ NPI 1366796377 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 · PA2357✔ Licensed in MO · 2014017611✔ Licensed in IL · 085004539

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.

809 82ND PKWY, Myrtle Beach, SC 29572

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Other Names 1

Former Name (1)Kayli Marie Pollitte Pa-c

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kayli Marie Clatterbuck Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

SOUTHEASTERN HOSPITALIST SERVICES PC

Hospitalist