Kassie Russom, PA-C
NPI 1194315572ActiveIndividual· Physician Assistant· Charleston, SC
Physician Assistant (PA-C) with Hospital Medicine Services of Tn LLC and 1 other group, practicing in Charleston, South Carolina. Medicare paid $21,979 for services to 200 patients in 2024. Boehringer Ingelheim Pharmaceuticals, Inc. reported $71.37 in payments in 2025, mostly food and beverage. Lists Tristar Hendersonville Medical Center as a hospital affiliation.
Overview
| NPI | 1194315572 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jan 20, 2021 |
| Last updated in NPPES | Jul 11, 2022 |
| Certified by provider | Jul 11, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 3982 | SC |
| Physician Assistant | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (SC); Practitioner - Physician Assistant (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 200 |
|---|---|
| Services billed | 263 across 7 procedure codes |
| Paid by Medicare | $21,979 |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical groups
- Hospital Medicine Services of Tn LLCNashville, TN · 275 clinicians
- Iris Medical GroupDallas, TX · 86 clinicians
Hospital affiliation
- Tristar Hendersonville Medical CenterHendersonville, TN
Other facilities
- Beacon Home Health BrentwoodHome health agency · Brentwood, TN
Industry payments (Open Payments)
- 2025$71.37 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Boehringer Ingelheim Pharmaceuticals, Inc. | $71.37 | 1 |
What the 2025 payments were for
- Food and Beverage$71.37 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 426 physician assistants in Charleston · All physician assistants in South Carolina