KIMBERLY LYNN RUSSELL PA-C
NPI 1649746025
Physician Assistant in Charleston, SC

Active since October 23, 2018PECOS Enrolled
74.51/100
CMS Quality Rating
171 ASHLEY AVE, CHARLESTON, SC 29425(843) 792-1414 Get Directions Write a Review

NPPES record last updated: March 21, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kimberly Lynn Russell Pa-c NPPES

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

KIMBERLY LYNN RUSSELL PA-C (NPI 1649746025) is an individual physician assistant in Charleston, South Carolina, licensed in South Carolina (MPA.3061) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649746025
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKIMBERLY LYNN RUSSELLCredential: PA-C
Location Address171 ASHLEY AVECharleston, SC 29425-9148
Mailing AddressPo Box 751461Charlotte, NC 28275-1461
Sole ProprietorNo
Enumeration DateOctober 23, 2018
Last NPPES UpdateMarch 21, 2024
NPPES CertifiedMarch 21, 2024
NPI 1649746025 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 · MPA.3061 Licensed in SC · 3061
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.

171 ASHLEY AVE, Charleston, SC 29425

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 (PECOS)

Kimberly Lynn Russell 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Follow-up hospital inpatient care per day, typically 35 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
35 services25 patients
Hospital observation care on day of discharge 99217
Hospital observation care on the day of discharge involves monitoring your health status to ensure stability before you leave. This includes assessing vital signs, response to treatment, and readiness for home care or rehabilitation.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29425 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.

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.

74.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.03
Promoting Interoperability100
Improvement Activities40
Cost19.35

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.

Physician Assistant
171 ASHLEY AVE
CHARLESTON, SC 29425
Emergency Medicine
171 ASHLEY AVE, EMERGENCY MEDICINE
CHARLESTON, SC 29425
Radiology (Diagnostic Radiology)
171 ASHLEY AVE
CHARLESTON, SC 29425
Otolaryngology
171 ASHLEY AVE
CHARLESTON, SC 29425
Neurological Surgery
171 ASHLEY AVE
CHARLESTON, SC 29425
Radiology (Neuroradiology)
171 ASHLEY AVE
CHARLESTON, SC 29425
Pharmacist (Pharmacotherapy)
171 ASHLEY AVE
CHARLESTON, SC 29425
Nurse Anesthetist, Certified Registered
171 ASHLEY AVE
CHARLESTON, SC 29425

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649746025, enumerated as an "individual" on October 23, 2018.

The provider is located at 171 ASHLEY AVE CHARLESTON, SC 29425 and the phone number is (843) 792-1414.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: BlueCross BlueShield of South Carolina. Please consult your insurance carrier or call the provider to verify.