KEITH ALEX PETTIGREW III PA
NPI 1437799954
Physician Assistant in Florence, SC

Q: What is Keith Pettigrew's NPI number?

The NPI number for Keith Pettigrew is 1437799954. It was assigned to this individual provider in the NPPES registry on January 13, 2020.

Q: What is Keith Pettigrew'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 Keith Pettigrew was last updated on March 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 13, 2020PECOS EnrolledAccepts Medicare Assignment

1204 E CHEVES ST, FLORENCE, SC 29506(843) 673-0122 Get Directions Write a Review

NPPES record last updated: March 24, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 24, 2020, Jan 13, 2020 (2 updates tracked since 2020).

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About Keith Alex Pettigrew Iii Pa NPPES

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

KEITH ALEX PETTIGREW III PA (NPI 1437799954) is an individual physician assistant in Florence, South Carolina and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS, is affiliated with Mcleod Regional Medical Center-pee Dee, and is a graduate of Baylor College Of Medicine (2019).

NPPES Registry Identity

NPI1437799954

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameKEITH ALEX PETTIGREW IIICredential: PA

Location Address1204 E CHEVES STFlorence, SC 29506-2710

Mailing Address1204 E Cheves StFlorence, SC 29506-2710 · (843) 673-0122

Phone(843) 673-0122

Sole ProprietorNo

Medical School CMSBaylor College Of MedicineGraduated 2019

Enumeration DateJanuary 13, 2020

Last NPPES UpdateMarch 24, 20202 updates tracked since enumeration

NPPES CertifiedMarch 24, 2020

✔ NPI 1437799954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

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.

1204 E CHEVES ST, Florence, SC 29506

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Other Identifiers 1

Medicaid4093PASC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.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

Keith Alex Pettigrew Iii Pa 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 ID7113358839

PECOS Enrollment IDI20200513002688

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 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.

76 services67 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 services57 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.

45 services45 patients

Hospital Affiliations CMS Care Compare 4

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

Mcleod Regional Medical Center-Pee Dee

Acute Care Hospitals · Florence, SC

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420051

Location555 E Cheves St Box 8700Florence, SC 29506 · Florence County

Emergency services Birthing friendly

Mcleod Loris Hospital

Acute Care Hospitals · Loris, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420105

Location3655 Mitchell StreetLoris, SC 29569 · Horry County

Mcleod Health Cheraw

Acute Care Hospitals · Cheraw, SC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420107

Location711 Chesterfield HighwayCheraw, SC 29520 · Chesterfield County

Emergency services

Mcleod Health Clarendon

Acute Care Hospitals · Manning, SC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420109

Location10 East Hospital StreetManning, SC 29102 · Clarendon County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29506 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.

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