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Kelly E. Van Wagner, M.D.

NPI 1306035571ActiveIndividual· Internal Medicine· N. Las Vegas, NV

Internal Medicine (M.D.) in N. Las Vegas, Nevada, licensed in NV, with an NPI issued in October 2007. Their prescriptions cost Medicare Part D more than their services did: $14,389 for 111 claims, against $1,900 paid for services in 2024. Medtronic, Inc. reported $20.20 in payments in 2025, mostly food and beverage.

Overview

NPI1306035571
StatusActive
Entity typeIndividual
CredentialM.D.
Sole proprietorYes
NPI issuedOct 23, 2007
Last updated in NPPESFeb 13, 2023
Certified by providerFeb 6, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Internal Medicine Primary207R00000X9533NV

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Internal Medicine (NV)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients19
Services billed29 across 13 procedure codes
Paid by Medicare$1,900

Part D prescriptions in 2024

Prescriptions (claims)111 · 278 30-day fills
Patients58
Total drug cost$14,389
Generic share86% of claims

Medicare sources and data years

Industry payments (Open Payments)

  • 2025$20.20 · 1 payment from 1 company

Top paying companies in 2025

CompanyAmountPayments
Medtronic, Inc.$20.201

What the 2025 payments were for

  • Food and Beverage$20.20 · 1 payment

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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