Individual provider Active NPI

Kevin Lefkovic, PA-C

  • Physician Assistant
  • Charleston, SC
National Provider Identifier
1083199731
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
9300 Medical Plaza Dr Ste B
Charleston, SC 29406-9334
Phone
(843) 764-1730
Fax
(843) 764-1731
NPI assigned
Sep 28, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

9300 Medical Plaza Dr Ste B
Charleston, SC 29406-9334

Mailing address

PO Box 741620
Atlanta, GA 30374-1620
Phone (843) 764-1730

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address KEVIN.LEFKOVIC@hca5.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190109001732 SC Practitioner - Physician Assistant 1254677479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-County Surgical Specialists LLCGroup PAC ID 1658540505, 31 clinicians

Practice addresses (Care Compare)

295 Midland Pkwy
Summerville, SC 29485-8104
Phone (843) 832-5000

9291 Medical Plaza Dr
Charleston, SC 29406-9126
Phone (843) 764-1730

9313 Medical Plaza Dr
Suite 204
Charleston, SC 29406-9176
Phone (843) 797-5151

9330 Medical Plaza Dr
Charleston, SC 29406-9104
Phone (843) 847-4000

Hospital & facility affiliations

  • Trident Medical Center Hospital, Charleston, SC, CCN 420079
  • Roper St Francis Hospital-Berkeley Inc Hospital, Summerville, SC, CCN 420110

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3116SCMDCounselor

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1538092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1083199731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741620",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303741620",
            "telephone_number": "843-764-1730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 MEDICAL PLAZA DR STE B",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294069334",
            "telephone_number": "843-764-1730",
            "fax_number": "843-764-1731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFKOVIC",
        "first_name": "KEVIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-28",
        "last_updated": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KEVIN.LEFKOVIC@hca5.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "9300 Medical Plaza Dr Ste B",
            "city": "Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294069334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.