KATHLEEN DAVIS BUKOWSKY PA-C
NPI 1689944373
Physician Assistant - Medical in North Charleston, SC

Active since January 11, 2012PECOS EnrolledAccepts Medicare Assignment
2880 TRICOM ST, NORTH CHARLESTON, SC 29406(843) 797-5050(843) 797-3633 Get Directions Write a Review

NPPES record last updated: March 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kathleen Davis Bukowsky Pa-c NPPES

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

KATHLEEN DAVIS BUKOWSKY PA-C (NPI 1689944373) is an individual medical provider in North Charleston, South Carolina, licensed in South Carolina (1740) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1689944373
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKATHLEEN DAVIS BUKOWSKYCredential: PA-C
Location Address2880 TRICOM STNorth Charleston, SC 29406-9171
Mailing Address2880 Tricom StNorth Charleston, SC 29406-9171 · (843) 797-5050 · Fax (843) 797-3633
Fax(843) 797-3633
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJanuary 11, 2012
Last NPPES UpdateMarch 13, 2020
NPPES CertifiedMarch 13, 2020
NPI 1689944373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in SC · 1740
Also ListedPhysician AssistantTaxonomy 363A00000X · License 1740 (SC)
2880 TRICOM ST, North Charleston, SC 29406

Other Names 1

Former Name (1)Kathleen Lyne Davis Pa-c

Other Identifiers 3

OtherGP6337SC · Arcis Healthcare Group Medicaid Id #
Other46-2535418SC · Arcis Healthcare Group Tin #
OtherD043SC · Arcis Healthcare Group Medicare Ptan #

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

Kathleen Davis Bukowsky 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 ID7214194182
PECOS Enrollment IDI20120203000447
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 9

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.
693 services198 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
221 services92 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.
157 services99 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
32 services31 patients
Mri scan of lower spinal canal without contrast 72148
An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
30 services30 patients
Injection of trigger points, 3 or more muscles 20553
Trigger point injection therapy involves injecting medication into specific areas of your muscles, known as trigger points. These are areas that produce pain and discomfort. If you have three or more muscles affected, each will be treated individually.
19 services17 patients

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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%2,355 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
50%1,560 patients3/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
98%187 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
2880 TRICOM ST
NORTH CHARLESTON, SC 29406
Physician Assistant (Medical)
2880 TRICOM ST
N CHARLESTON, SC 29406
Physician Assistant (Surgical)
2880 TRICOM ST
NORTH CHARLESTON, SC 29406
Orthopaedic Surgery
2880 TRICOM ST
NORTH CHARLESTON, SC 29406
Occupational Therapist (Hand)
2880 TRICOM ST, SIUTE B
NORTH CHARLESTON, SC 29406
Orthopaedic Surgery
2880 TRICOM ST
NORTH CHARLESTON, SC 29406
Orthopaedic Surgery
2880 TRICOM ST
NORTH CHARLESTON, SC 29406
Physical Therapist
2880 TRICOM ST, SUITE B
NORTH CHARLESTON, SC 29406

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 Kathleen Bukowsky's NPI number?

The NPI number for Kathleen Bukowsky is 1689944373. It was assigned to this individual provider in the NPPES registry on January 11, 2012. The provider is also known as Kathleen Lyne Davis Pa-C.

Where is Kathleen Bukowsky located?

Kathleen Bukowsky practices at 2880 Tricom St, North Charleston, SC 29406. The listed phone number is (843) 797-5050.

What is Kathleen Bukowsky's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kathleen Bukowsky enrolled in Medicare?

Yes. Kathleen Bukowsky 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 Kathleen Bukowsky accept?

Health plans from BlueCross BlueShield of South Carolina and UnitedHealthcare list Kathleen Bukowsky 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 Kathleen Bukowsky was last updated on March 13, 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.