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ANDRE JOHNATHAN KENNEDY PA
NPI 1962900357
Physician Assistant in West Columbia, SC

Active since January 31, 2018PECOS EnrolledAccepts Medicare Assignment
98.3/100
CMS Quality Rating
111 W HOSPITAL DR, WEST COLUMBIA, SC 29169(803) 796-8515(803) 796-8515 Get Directions Write a Review

NPPES record last updated: May 26, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Andre Johnathan Kennedy Pa NPPES

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

ANDRE JOHNATHAN KENNEDY PA (NPI 1962900357) is an individual physician assistant in West Columbia, South Carolina, licensed in South Carolina (2832) and active in the NPI registry since January 2018. He is enrolled in Medicare PECOS, is affiliated with Lexington Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1962900357
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameANDRE JOHNATHAN KENNEDYCredential: PA
Location Address111 W HOSPITAL DRWest Columbia, SC 29169-3405
Mailing Address9735 Kincey Ave Ste 201Huntersville, NC 28078-9120 · (704) 414-2870
Phone(803) 796-8515
Fax(803) 796-8515
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 31, 2018
Last NPPES UpdateMay 26, 2021
NPPES CertifiedMay 26, 2021
✔ NPI 1962900357 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 · 2832
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.
111 W HOSPITAL DR, West Columbia, SC 29169
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Other Identifiers 1

Other2832SC · South Carolina Department Of Labor, Licensing And Regulation

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Andre Johnathan Kennedy 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 ID648531533
PECOS Enrollment IDI20180312001248
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
48 services31 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
40 services39 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
34 services28 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
18 services18 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Lexington Medical Center

Acute Care Hospitals · West Columbia, SC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420073
Location2720 Sunset BlvdWest Columbia, SC 29169 · Lexington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29169 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.

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.

98.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
4 suppliers21 claims5,390 services$6.16 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

KEITH ERIC BRIGHTBILL II M.D.
Urology
111 W HOSPITAL DR
WEST COLUMBIA, SC 29169
Lexington County (803) 796-8515
GRIFFIN T. MORRISSON MD
Urology
111 W HOSPITAL DR
WEST COLUMBIA, SC 29169
Lexington County (803) 796-8515
RACHEL LEWIS HANES DNP, APRN
Nurse Practitioner (Family)
111 W HOSPITAL DR
WEST COLUMBIA, SC 29169
Lexington County (803) 796-8515
MR. JAMES R LUCAS PA-C
Physician Assistant
111 W HOSPITAL DR
WEST COLUMBIA, SC 29169
Lexington County (803) 796-8515

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 Andre Kennedy's NPI number?

The NPI number for Andre Kennedy is 1962900357. It was assigned to this individual provider in the NPPES registry on January 31, 2018.

Where is Andre Kennedy located?

Andre Kennedy practices at 111 W Hospital Dr, West Columbia, SC 29169. The listed phone number is (803) 796-8515.

What is Andre Kennedy's specialty?

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

Is Andre Kennedy enrolled in Medicare?

Yes. Andre Kennedy 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 Andre Kennedy accept?

Health plans from UnitedHealthcare list Andre Kennedy 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 Andre Kennedy affiliated with any hospitals?

According to CMS data, Andre Kennedy is affiliated with Lexington Medical Center.

When was this NPI record last updated?

The NPPES record for Andre Kennedy was last updated on May 26, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.