1. Home
  2. Directory
  3. South Carolina
  4. Mt Pleasant
  5. Physician Assistant
  6. NPI Profile

KENNEDY MARIE RUCKH PA-C
NPI 1740067107
Physician Assistant in Mt Pleasant, SC

Active since September 11, 2023PECOS EnrolledAccepts Medicare Assignment
180 WINGO WAY STE 306, MT PLEASANT, SC 29464(843) 884-1777(843) 606-8000 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kennedy Marie Ruckh Pa-c NPPES

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

KENNEDY MARIE RUCKH PA-C (NPI 1740067107) is an individual physician assistant in Mt Pleasant, South Carolina, licensed in South Carolina (5081) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS, is affiliated with Bon Secours-st Francis Xavier Hospital, and maintains a secondary practice location in Charleston.

NPPES Registry Identity

NPI1740067107
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKENNEDY MARIE RUCKHCredential: PA-C
Location Address180 WINGO WAY STE 306Mt Pleasant, SC 29464-1812
Mailing AddressPo Box 751649Charlotte, NC 28275-1649 · (888) 472-0043 · Fax (843) 724-2440
Phone(843) 884-1777
Fax(843) 606-8000
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2023
Enumeration DateSeptember 11, 2023
Last NPPES UpdateJanuary 21, 2025
NPPES CertifiedJanuary 21, 2025
✔ NPI 1740067107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in SC · 5081
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.
180 WINGO WAY STE 306, Mt Pleasant, SC 29464
Open in Google Maps ↗

Secondary Practice Location 1

Location 1316 Calhoun StCharleston, SC 29401-1113 · Phone (843) 724-2000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include First Choice Next.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

Kennedy Marie Ruckh 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 ID5698121408
PECOS Enrollment IDI20231031002342
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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
101 services101 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
92 services90 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
14 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Bon Secours-St Francis Xavier Hospital

Acute Care Hospitals · Charleston, SC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420065
Location2095 Henry Tecklenburg DriveCharleston, SC 29414 · Charleston County
Emergency services Birthing friendly

Roper Hospital

Acute Care Hospitals · Charleston, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420087
Location316 Calhoun StCharleston, SC 29401 · Charleston County
Emergency services

Mount Pleasant Hospital

Acute Care Hospitals · Mount Pleasant, SC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420104
Location3510 Highway 17 North Suite 140Mount Pleasant, SC 29466 · Charleston County
Emergency services

Roper St Francis Hospital-Berkeley Inc

Acute Care Hospitals · Summerville, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420110
Location300 Callen BlvdSummerville, SC 29486 · Dorchester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29464 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 11

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

DR. ROBIN MALIK M.D.
Family Medicine
180 WINGO WAY STE 306
MOUNT PLEASANT, SC 29464
Charleston County (843) 884-1777
TIFFANY DELLINGER NP
Nurse Practitioner
180 WINGO WAY STE 306
MOUNT PLEASANT, SC 29464
Charleston County (843) 884-1777
ROPER SAINT FRANCIS PHYSICIANS NETWORK
Internal Medicine
180 WINGO WAY STE 306
MT PLEASANT, SC 29464
Charleston County (843) 884-1777
ALAINA MOBLEY PAYNE MD
Family Medicine
180 WINGO WAY STE 306
MOUNT PLEASANT, SC 29464
Charleston County (843) 884-1777
ROPER SAINT FRANCIS PHYSICIANS NETWORK
Social Worker (Clinical)
180 WINGO WAY STE 306
MT PLEASANT, SC 29464
Charleston County (843) 884-1777
ALEXA LONGOBARDO CRANE PA-C
Physician Assistant
180 WINGO WAY STE 306
MOUNT PLEASANT, SC 29464
Charleston County (843) 884-1777
DR. JEFFREY CHASE YONCE MD
Family Medicine
180 WINGO WAY STE 306
MOUNT PLEASANT, SC 29464
Charleston County (843) 884-1777
ALESSANDRA GOETZ PA-C
Physician Assistant
180 WINGO WAY STE 306
MOUNT PLEASANT, SC 29464
Charleston County (843) 884-1777

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 Kennedy Ruckh's NPI number?

The NPI number for Kennedy Ruckh is 1740067107. It was assigned to this individual provider in the NPPES registry on September 11, 2023.

Where is Kennedy Ruckh located?

Kennedy Ruckh practices at 180 Wingo Way Ste 306, Mt Pleasant, SC 29464. The listed phone number is (843) 884-1777.

What is Kennedy Ruckh's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kennedy Ruckh enrolled in Medicare?

Yes. Kennedy Ruckh 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 Kennedy Ruckh accept?

Health plans from First Choice Next list Kennedy Ruckh 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 Kennedy Ruckh affiliated with any hospitals?

According to CMS data, Kennedy Ruckh is affiliated with Bon Secours-St Francis Xavier Hospital, Roper Hospital, Mount Pleasant Hospital and Roper St Francis Hospital-Berkeley Inc.

When was this NPI record last updated?

The NPPES record for Kennedy Ruckh was last updated on January 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.