KELLY TAYLOR EASTERGARD NP
NPI 1538628110
Nurse Practitioner - Family in Pageland, SC

Active since March 13, 2019PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
222 S VAN LINGLE MUNGO BLVD, PAGELAND, SC 29728(843) 675-5000(843) 675-5003 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 13, 2024, Mar 13, 2019 (2 updates tracked since 2019).

About Kelly Taylor Eastergard Np NPPES

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

KELLY TAYLOR EASTERGARD NP (NPI 1538628110) is an individual family provider in Pageland, South Carolina, licensed in South Carolina (23867) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Simpsonville, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1538628110
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY TAYLOR EASTERGARDCredential: NP
Location Address222 S VAN LINGLE MUNGO BLVDPageland, SC 29728-1950
Mailing Address222 S Van Lingle Mungo BlvdPageland, SC 29728-1950 · (843) 675-5000 · Fax (843) 675-5003
Fax(843) 675-5003
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 13, 2019
Last NPPES UpdateOctober 31, 20242 updates tracked since enumeration
NPPES CertifiedOctober 31, 2024
NPI 1538628110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in SC · 23867
Also ListedNurse PractitionerTaxonomy 363L00000X · License 23867 (SC), 511574 (NC)
222 S VAN LINGLE MUNGO BLVD, Pageland, SC 29728

Secondary Practice Location 1

Location 13930 Grandview Dr Ste BSimpsonville, SC 29680-3163 · Phone (864) 757-5059 · Fax (864) 757-5058

Accepted 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

Kelly Taylor Eastergard Np 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 ID345573713
PECOS Enrollment IDI20200430001890
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 4

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.
29 services29 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.
25 services24 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
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.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29728 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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$15.11 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 2

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

Nurse Practitioner (Family)
222 S VAN LINGLE MUNGO BLVD
PAGELAND, SC 29728
Nurse Practitioner (Family)
222 S VAN LINGLE MUNGO BLVD
PAGELAND, SC 29728

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 Kelly Eastergard's NPI number?

The NPI number for Kelly Eastergard is 1538628110. It was assigned to this individual provider in the NPPES registry on March 13, 2019.

Where is Kelly Eastergard located?

Kelly Eastergard practices at 222 S Van Lingle Mungo Blvd, Pageland, SC 29728. The listed phone number is (843) 675-5000.

What is Kelly Eastergard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kelly Eastergard enrolled in Medicare?

Yes. Kelly Eastergard 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 Kelly Eastergard accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Blue Cross and Blue Shield of NC, First Choice Next and Molina Healthcare list Kelly Eastergard 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.

When was this NPI record last updated?

The NPPES record for Kelly Eastergard was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.