KACIE JO COSTELLO MOODY PA
NPI 1841461373
Physician Assistant in Fort Mill, SC

Q: What is Kacie Moody's NPI number?

The NPI number for Kacie Moody is 1841461373. It was assigned to this individual provider in the NPPES registry on March 12, 2008. The provider is also known as Kacie Jo Costello PA.

Q: What is Kacie Moody's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kacie Moody was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 12, 2008PECOS EnrolledAccepts Medicare Assignment

704 GOLD HILL RD, SUITE 1200, FORT MILL, SC 29715(704) 667-3380(704) 667-3381 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Sep 19, 2017, Jan 5, 2017 (3 updates tracked since 2017).

On this page

About Kacie Jo Costello Moody Pa NPPES

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

KACIE JO COSTELLO MOODY PA (NPI 1841461373) is an individual physician assistant in Fort Mill, South Carolina, licensed in South Carolina (1295) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS, is affiliated with Trident Medical Center, and is a graduate of Medical University Of South Carolina College Of Medicine (2006).

NPPES Registry Identity

NPI1841461373

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKACIE JO COSTELLO MOODYCredential: PA

Location Address704 GOLD HILL RD, SUITE 1200Fort Mill, SC 29715-8906

Mailing AddressPo Box 602148Charlotte, NC 28260-2148 · (704) 667-3380 · Fax (704) 667-3381

Phone(704) 667-3380

Fax(704) 667-3381

Sole ProprietorNo

Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2006

Enumeration DateMarch 12, 2008

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1841461373 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 · 1295✔ Licensed in NC · 0010-00779

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.

704 GOLD HILL RD, Fort Mill, SC 29715

Open in Google Maps ↗

Other Names 1

Former Name (1)Kacie Jo Costello Pa

Other Identifiers 2

Medicaid0640PASC

Medicaid1841461373NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, First Choice Next, Molina Healthcare.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

Kacie Jo Costello Moody Pa 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 ID1456426139

PECOS Enrollment IDI20080814000236

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 20

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.

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

127 services109 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

126 services109 patients

Blood test, lipids (cholesterol and triglycerides) 80061

A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.

102 services92 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

71 services61 patients

Blood test, thyroid stimulating hormone (tsh) 84443

A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.

52 services44 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.

45 services44 patients

Cyanocobalamin (vitamin b-12) level 82607

A Cyanocobalamin (Vitamin B-12) level test is a blood test that checks the amount of Vitamin B-12 in your body. This vitamin is vital for nerve function and the creation of red blood cells. Low or high levels could indicate a potential health issue.

40 services37 patients

Folic acid level, serum 82746

A Folic Acid Level, Serum test measures the amount of folic acid, a type of B vitamin, in your blood. This vitamin is important for cell growth and development. It's crucial for your body to function well. If your levels are low, it may indicate a deficiency, which can lead to health issues.

39 services37 patients

Thyroxine (thyroid chemical), free 84439

The Thyroxine (thyroid chemical), free test is a blood test that measures the level of free T4 in your body. T4 is a hormone produced by your thyroid gland and is essential for growth and metabolism. If your T4 levels are too high or too low, it could indicate a thyroid disorder.

35 services28 patients

Iron level 83540

An iron level test measures the amount of iron in your blood. Iron is crucial for producing hemoglobin, a protein in red blood cells that carries oxygen throughout your body. This test helps identify iron deficiencies or excesses, which can lead to conditions like anemia or hemochromatosis.

31 services30 patients

Transferrin (iron binding protein) level 84466

A transferrin level test measures the amount of transferrin, a protein that carries iron, in your blood. This can help determine if your body has an iron deficiency or overload. It's a simple blood test and can provide valuable information about your overall health.

30 services29 patients

Prostate cancer screening; prostate specific antigen test (psa) G0103

Prostate cancer screening involves a simple blood test known as the Prostate Specific Antigen (PSA) test. This test measures the level of PSA in your blood. Higher than normal levels can be an early indication of prostate issues, including cancer. It's a key tool in early detection.

30 services30 patients

Blood test, basic group of blood chemicals (calcium, total) 80048

A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.

29 services29 patients

Ferritin (blood protein) level 82728

A Ferritin level test measures the amount of ferritin, a protein that stores iron, in your blood. It helps determine how much iron your body is storing. If levels are low, it may indicate iron deficiency, while high levels could signify conditions like iron overload.

28 services27 patients

Vitamin d-3 level 82306

A Vitamin D-3 level test measures the amount of Vitamin D-3, a crucial nutrient, in your body. This test helps identify if your levels are too low or too high. Low levels may lead to bone weakness, while high levels could harm your kidneys. It's a simple blood test.

19 services17 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

17 services17 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.

16 services16 patients

Urine microalbumin (protein) level 82043

The urine microalbumin level test measures the amount of a protein called albumin in your urine. This test helps to detect early signs of kidney damage. High levels of albumin may suggest your kidneys aren't functioning properly. It's a simple, non-invasive test that involves providing a urine sample.

15 services14 patients

Creatinine level to test for kidney function or muscle injury 82570

A creatinine level test measures the amount of creatinine in your blood. This substance is a waste product from normal muscle use. Higher levels can indicate possible kidney dysfunction or muscle injury. This test helps monitor kidney health.

15 services14 patients

Stool analysis for blood, by fecal hemoglobin determination by immunoassay 82274

A stool analysis for blood, or fecal hemoglobin determination by immunoassay, is a test that checks for hidden blood in your stool. This test helps identify potential issues in your digestive system. It involves collecting a small stool sample which is then analyzed in a lab for the presence of blood.

13 services13 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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29715 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.

Leave this field empty

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.

PATRICIA TONKOWICZ MD

Pediatrics

704 GOLD HILL RD, SUITE 207
FORT MILL, SC 29715

York County (803) 802-5900

KAYLA KIPP MOSSER NP

Nurse Practitioner

704 GOLD HILL RD, STE 207
FORT MILL, SC 29715

York County (803) 802-5900

SHARON OLANG DO

Family Medicine

704 GOLD HILL RD
FORT MILL, SC 29715

York County (803) 835-0420

MEGHAN BYNUM FIELDS FNP

Nurse Practitioner (Family)

704 GOLD HILL RD, STE 1200
FORT MILL, SC 29715

York County (704) 667-3380

INNA SLISZ DO

Family Medicine

704 GOLD HILL RD
FORT MILL, SC 29715

York County (803) 835-0420

KELLY TAYLOR WILLIAMSON FNP

Nurse Practitioner

704 GOLD HILL RD
FORT MILL, SC 29715

York County (803) 835-0420

LAURA ANN PAGNOTTA DO

Pediatrics

704 GOLD HILL RD, STE 207
FORT MILL, SC 29715

York County (803) 802-5900

NIKITA W. LINDSAY MD

Pediatrics

704 GOLD HILL RD, STE 207
FORT MILL, SC 29715

York County (803) 802-5900

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 Kacie Moody's NPI number?

The NPI number for Kacie Moody is 1841461373. It was assigned to this individual provider in the NPPES registry on March 12, 2008. The provider is also known as Kacie Jo Costello PA.

Where is Kacie Moody located?

Kacie Moody practices at 704 Gold Hill Rd Suite 1200, Fort Mill, SC 29715. The listed phone number is (704) 667-3380.

What is Kacie Moody's specialty?

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

Is Kacie Moody enrolled in Medicare?

Yes. Kacie Moody 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 Kacie Moody accept?

Health plans from BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare list Kacie Moody 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 Kacie Moody affiliated with any hospitals?

According to CMS data, Kacie Moody is affiliated with Trident Medical Center.

When was this NPI record last updated?

The NPPES record for Kacie Moody was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.