Kellyann Vandendool, MD
NPI 1366797615ActiveIndividual· Surgery· Ludington, MI
Surgery (MD) with Memorial Medical Center of West Michigan, practicing in Ludington, Michigan. 133 Medicare patients in 2024, $34,903 paid; nearly all of their 276 Part D prescriptions were generic (92%). Lists Corewell Health Ludington Hospital as a hospital affiliation.
Overview
| NPI | 1366797615 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jul 23, 2012 |
| Last updated in NPPES | Feb 16, 2021 |
| Certified by provider | Feb 16, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | 4301111681 | MI |
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 - General Surgery (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 133 |
|---|---|
| Services billed | 219 across 38 procedure codes |
| Paid by Medicare | $34,903 |
Part D prescriptions in 2024
| Prescriptions (claims) | 276 · 411 30-day fills |
|---|---|
| Patients | 122 |
| Total drug cost | $5,396 |
| Generic share | 92% of claims |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | General Surgery |
Medical group
- Memorial Medical Center of West MichiganLudington, MI · 62 clinicians
Hospital affiliation
- Corewell Health Ludington HospitalLudington, MI
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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