Kacie Jo Costello Moody, PA
Physician Assistant · Fort Mill, SC
Kacie Jo Costello Moody, PA is a physician assistant with a practice address in Fort Mill, South Carolina, and NPI 1841461373, issued on Mar 12, 2008. Check the license (South Carolina 1295, as entered in NPPES) with the South Carolina board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Kacie Jo Costello Moody
- Credential
- PA
- Primary taxonomy
- Physician Assistant 363A00000X
- License numbers
- 1295 SC
0010-00779 NC
Self-reported in NPPES; status is on the state search - Practice location
- 704 Gold Hill RD, Fort Mill, SC 29715
- Phone
- (704) 667-3380
- Enumerated
- Mar 12, 2008
- Record last updated
- Jul 21, 2022
- Fax
- (704) 667-3381
- Medicaid IDs
- 0640PA SC
1841461373 NC - Medicare enrollment
- Enrolled (PECOS I20080814000236); accepts Medicare assignment
- Medical or professional school
- Medical University Of South Carolina College Of Medicine, 2006
- Entity
- Type 1 · individual
Also registered at 704 Gold Hill RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Benjamin Benzing, DOPediatrics Physician1437786167
- Lorryn Berlin, FNPFamily Nurse Practitioner1679083075
- David Brown, FNPFamily Nurse Practitioner1326424631
- Martin Cichon, MDFamily Medicine Physician1548469224
- Dexter Cook, MDPediatrics Physician1598780215
- Kimberly Correa, FNPFamily Nurse Practitioner1881194223
Verify Kacie Jo Costello Moody in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich South Carolina board licenses this profession
Search for license 1295Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
3.3 times the Medicare Part D claims of the average physician assistant in 2024
2,771 Medicare Part D claims for 430 beneficiaries, against an average of 830 among the 101,058 providers of this specialty who prescribed in Part D. 60 claims were for opioids.
Most prescribed
- Atorvastatin Calcium176 claims
- Levothyroxine Sodium115 claims
- Amlodipine Besylate104 claims
- Simvastatin102 claims
- Lisinopril88 claims
- Alprazolam81 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Industry payments in 2024: $1,729.16
81 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie Inc. The 64,719 providers of this specialty with any payment received $841.65 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through 2 group practices
- Liberty Doctors LLCCharleston, SC
- Premier Medical OF SC LLCCharleston, SC
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
14 physician assistant records list a practice address in Fort Mill
They are 14 of the 943 NPPES records with a practice address in Fort Mill, and 2,294 physician assistant records in South Carolina.
All 14 in Fort Mill → All 2,294 in South Carolina → Every provider in Fort Mill →
Other physician assistant records in South Carolina
- Linda Aanonsen, PAConway, SC1184822777
- Rana Abedini, PA-CGreenville, SC1780154807
- Michael Adam, PANorth Augusta, SC1699884957
- Taylor AdamCharleston, SC1902576929
- Amber AdamsMyrtle Beach, SC1447101092
- Chandler Adams, PA-CGreenwood, SC1205465820
- Kaylee Adams, PA-CSeneca, SC1942943246
- Nicholas AdamsonsN Charleston, SC1740929637
- Ashley AdasczikCharleston, SC1750265294
- Benjamin Addy, PA-CWest Columbia, SC1831520782
Common questions
What is Kacie Jo Costello Moody, PA's NPI number?
Kacie Jo Costello Moody, PA's National Provider Identifier (NPI) is 1841461373, issued on Mar 12, 2008. An NPI identifies a provider in billing; it is not a license.
Where is Kacie Jo Costello Moody, PA located?
The NPPES record lists a practice address at 704 Gold Hill RD, Fort Mill, SC, 29715. Phone: (704) 667-3380. Providers update this record themselves, so call before visiting.
How can I verify Kacie Jo Costello Moody, PA's license?
NPPES lists South Carolina license number 1295, as entered by the provider. Search the South Carolina board that licenses this profession; the NPPES record confirms identity only.
How much does Kacie Jo Costello Moody, PA prescribe under Medicare Part D?
In 2024, Kacie Jo Costello Moody, PA had 2,771 Medicare Part D claims for 430 beneficiaries; the average among physician assistant prescribers was 830. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.