DR. KACY WONDER
NPI 1851945497
Dentist - Oral and Maxillofacial Surgery in Charleston, SC

Q: What is Kacy Wonder's NPI number?

The NPI number for Kacy Wonder is 1851945497. It was assigned to this individual provider in the NPPES registry on August 1, 2019.

Q: What is Kacy Wonder's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: Is Kacy Wonder enrolled in Medicare?

No. Kacy Wonder has opted out of Medicare through October 22, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Kacy Wonder was last updated on August 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 August 01, 2019Opted out of Medicare · through Oct 22, 2027

173 ASHLEY AVENUE ROOM 453 MSC 507, CHARLESTON, SC 29425(843) 729-0791 Get Directions Write a Review

NPPES record last updated: August 1, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Dr. Kacy Wonder NPPES

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

DR. KACY WONDER (NPI 1851945497) is an individual oral and maxillofacial surgery provider in Charleston, South Carolina, licensed in South Carolina (9435) and active in the NPI registry since August 2019. She has opted out of Medicare through October 22, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1851945497

Entity TypeIndividualFemale

Primary Taxonomy1223S0112X

Provider Legal NameDR. KACY WONDER

Location Address173 ASHLEY AVENUE ROOM 453 MSC 507Charleston, SC 29425

Mailing Address10 Westedge Street Unit 302Charleston, SC 29403 · (610) 468-5862

Phone(843) 729-0791

Sole ProprietorYes

Enumeration DateAugust 1, 2019

✔ NPI 1851945497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in SC · 9435

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

173 ASHLEY AVENUE ROOM 453 MSC 507, Charleston, SC 29425

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Kacy Wonder has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 22, 2025 through October 22, 2027.

Opt-Out Effective DateOctober 22, 2025

Opt-Out In Effect ThroughOctober 22, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

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 Kacy Wonder's NPI number?

The NPI number for Kacy Wonder is 1851945497. It was assigned to this individual provider in the NPPES registry on August 1, 2019.

Where is Kacy Wonder located?

Kacy Wonder practices at 173 Ashley Avenue Room 453 Msc 507, Charleston, SC 29425. The listed phone number is (843) 729-0791.

What is Kacy Wonder's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Kacy Wonder enrolled in Medicare?

No. Kacy Wonder has opted out of Medicare through October 22, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Kacy Wonder was last updated on August 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.