KALLEY RAE HEADLEY PA-C
NPI 1659843803
Physician Assistant - Surgical in Charleston, SC

Active since December 28, 2018PECOS EnrolledAccepts Medicare Assignment
84.45/100
CMS Quality Rating
9295 MEDICAL PLAZA DR UNIT A-B, CHARLESTON, SC 29406(215) 692-2403 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 24, 2026, Jul 19, 2022, Dec 28, 2018 (3 updates tracked since 2018).

About Kalley Rae Headley Pa-c NPPES

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

KALLEY RAE HEADLEY PA-C (NPI 1659843803) is an individual surgical provider in Charleston, South Carolina and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS, is affiliated with Trident Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1659843803
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameKALLEY RAE HEADLEYCredential: PA-C
Location Address9295 MEDICAL PLAZA DR UNIT A-BCharleston, SC 29406-9137
Mailing Address9295 Medical Plaza Dr Unit A-bCharleston, SC 29406-9137 · (215) 692-2403
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 28, 2018
Last NPPES UpdateMarch 24, 20263 updates tracked since enumeration
NPPES CertifiedMarch 24, 2026
NPI 1659843803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
9295 MEDICAL PLAZA DR UNIT A-B, Charleston, SC 29406

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

Kalley Rae Headley 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 ID1850631987
PECOS Enrollment IDI20221206002958
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 27

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
1,251 services245 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.
856 services596 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
454 services336 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
334 services288 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
142 services134 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.
136 services136 patients

Hospital Affiliations CMS Care Compare

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

Trident Medical Center

Acute Care Hospitals · Charleston, SC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number420079
Location9330 Medical Plaza DrCharleston, SC 29406 · Charleston County
Emergency services Birthing friendly

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.

84.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.83
Promoting Interoperability96
Improvement Activities40
Cost64.69

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 Kalley Headley's NPI number?

The NPI number for Kalley Headley is 1659843803. It was assigned to this individual provider in the NPPES registry on December 28, 2018.

Where is Kalley Headley located?

Kalley Headley practices at 9295 Medical Plaza Dr Unit A-B, Charleston, SC 29406. The listed phone number is (215) 692-2403.

What is Kalley Headley's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Kalley Headley enrolled in Medicare?

Yes. Kalley Headley 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 Kalley Headley accept?

Health plans from BlueCross BlueShield of South Carolina list Kalley Headley 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.

Is Kalley Headley affiliated with any hospitals?

According to CMS data, Kalley Headley is affiliated with Trident Medical Center.

When was this NPI record last updated?

The NPPES record for Kalley Headley was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.