Thomas Clark Kellam
NPI 1043745375ActiveIndividual· Family Medicine, Sports Medicine· Winston Salem, NC
Family Medicine, Sports Medicine with Novant Health Medical Group, LLC, practicing in Winston Salem, North Carolina. 245 Medicare patients in 2024, $64,579 paid; all of their 420 Part D prescriptions were generic. Lists Novant Health Forsyth Medical Center as a hospital affiliation.
Overview
| NPI | 1043745375 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Apr 24, 2017 |
| Last updated in NPPES | Aug 22, 2025 |
| Certified by provider | Aug 22, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine, Sports Medicine Primary | 207QS0010X | 2025-02829 | NC |
| Family Medicine | 207Q00000X | 2025-02829 | NC |
| Family Medicine, Sports Medicine | 207QS0010X | 35.143319 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (NC); Practitioner - Sports Medicine (OH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 245 |
|---|---|
| Services billed | 4,762 across 21 procedure codes |
| Paid by Medicare | $64,579 |
Part D prescriptions in 2024
| Prescriptions (claims) | 420 · 430 30-day fills |
|---|---|
| Patients | 170 |
| Total drug cost | $2,943 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Family Practice |
| Secondary specialties | Sports Medicine |
Medical group
- Novant Health Medical Group, LLCWinston Salem, NC · 2,430 clinicians
Hospital affiliation
- Novant Health Forsyth Medical CenterWinston-Salem, NC
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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