Kayli Marie Clatterbuck, PA-C
NPI 1366796377ActiveIndividual· Physician Assistant· Myrtle Beach, SC
Physician Assistant (PA-C) in Myrtle Beach, South Carolina, licensed in SC, MO and IL, with an NPI issued in October 2012. Mostly services rather than prescriptions: Medicare paid $1,773 for 16 patients in 2024, with only 29 Part D claims.
Overview
| NPI | 1366796377 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Oct 30, 2012 |
| Last updated in NPPES | Mar 13, 2024 |
| Certified by provider | Mar 13, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA2357 | SC |
| Physician Assistant | 363A00000X | 2014017611 | MO |
| Physician Assistant | 363A00000X | 085004539 | IL |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 16 |
|---|---|
| Services billed | 53 across 22 procedure codes |
| Paid by Medicare | $1,773 |
Part D prescriptions in 2024
| Prescriptions (claims) | 29 · 29 30-day fills |
|---|---|
| Patients | 20 |
| Total drug cost | $218.14 |
| Generic share | 93% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other physician assistants in Myrtle Beach
- 1023443231
- 1033181193
- 1073862215
- 1083793293
- 1104121045
- 1144792656
- 1154511707
- 1194117705
- 1235195850
- 1235788753
- 1346851326
- 1356932867
All 90 physician assistants in Myrtle Beach · All physician assistants in South Carolina