Kelly Marie Van Fossen, D.O.
NPI 1396957429ActiveIndividual· Surgery· Fayetteville, NC
Surgery (D.O.) in Fayetteville, North Carolina, trained at At Still University of Health Sciences, College of Osteo Med, Kirksville (class of 2004). 161 Medicare patients in 2024, $53,317 paid; nearly all of their 115 Part D prescriptions were generic (97%). Ethicon US, LLC reported $40.30 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1396957429 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | Yes |
| NPI issued | May 3, 2007 |
| Last updated in NPPES | Apr 17, 2026 |
| Certified by provider | Apr 17, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | 2009-00374 | NC |
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 - General Surgery (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 161 |
|---|---|
| Services billed | 400 across 63 procedure codes |
| Paid by Medicare | $53,317 |
Part D prescriptions in 2024
| Prescriptions (claims) | 115 · 121 30-day fills |
|---|---|
| Patients | 57 |
| Total drug cost | $1,729 |
| Generic share | 97% of claims |
Education and affiliations
| Medical school | At Still University of Health Sciences, College of Osteo Med, Kirksville |
|---|---|
| Graduation year | 2004 |
| Medicare specialty | General Surgery |
Medical groups
- Cumberland County Hospital System IncFayetteville, NC · 574 clinicians
- Cape Fear Valley Health Medical Group LLCFayetteville, NC · 376 clinicians
Hospital affiliation
- Cape Fear Valley Medical CenterFayetteville, NC
Industry payments (Open Payments)
- 2025$40.30 · 1 payment from 1 company
- 2024$257.62 · 6 payments from 5 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Ethicon US, LLC | $40.30 | 1 |
What the 2025 payments were for
- Food and Beverage$40.30 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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