Skerdilaid Licaj, P.A.
NPI 1023212842ActiveIndividual· Physician Assistant· North Myrtle Beach, SC
Physician Assistant (P.A.) with Musc Community Physicians, practicing in North Myrtle Beach, South Carolina. 659 Medicare patients in 2024, $60,902 paid; nearly all of their 1,064 Part D prescriptions were generic (95%). Lists McLeod Loris Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1023212842 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.A. |
| Sole proprietor | No |
| NPI issued | Jun 14, 2007 |
| Last updated in NPPES | Mar 31, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 1212 | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (NC); Practitioner - Physician Assistant (SC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 659 |
|---|---|
| Services billed | 728 across 23 procedure codes |
| Paid by Medicare | $60,902 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,064 · 1,074 30-day fills |
|---|---|
| Patients | 581 |
| Total drug cost | $9,155 |
| Generic share | 95% of claims |
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Musc Community PhysiciansCentennial, CO · 1,544 clinicians
Hospital affiliations
- McLeod Loris HospitalLoris, SC
- Musc Health Florence Medical CenterFlorence, SC
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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