Jacquelyn F. Van Dam, MD
NPI 1477703940ActiveIndividual· Physical Medicine & Rehabilitation· West Columbia, SC
Physical Medicine & Rehabilitation (MD) in West Columbia, South Carolina, trained at Georgetown University School of Medicine (class of 1995). 497 Medicare patients in 2024, $131,612 paid; nearly all of their 361 Part D prescriptions were generic (99%). Forte Bio-Pharma LLC reported $13.20 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1477703940 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Sep 22, 2008 |
| Last updated in NPPES | Apr 29, 2026 |
| Certified by provider | Apr 29, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Medicine & Rehabilitation Primary | 208100000X | 22508 | SC |
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 - Physical Medicine and Rehabilitation (SC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 497 |
|---|---|
| Services billed | 11,987 across 46 procedure codes |
| Paid by Medicare | $131,612 |
Part D prescriptions in 2024
| Prescriptions (claims) | 361 · 392 30-day fills |
|---|---|
| Patients | 140 |
| Total drug cost | $3,017 |
| Generic share | 99% of claims |
Education and affiliations
| Medical school | Georgetown University School of Medicine |
|---|---|
| Graduation year | 1995 |
| Medicare specialty | Physical Medicine And Rehabilitation |
Medical groups
- Select Physical Therapy Holdings IncClarksville, TN · 2,024 clinicians
- Lexington Health IncWest Columbia, SC · 904 clinicians
- Palmetto Bone and JointIrmo, SC · 12 clinicians
Hospital affiliation
- Lexington Medical CenterWest Columbia, SC
Industry payments (Open Payments)
- 2024$13.20 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Forte Bio-Pharma LLC | $13.20 | 1 |
What the 2024 payments were for
- Food and Beverage$13.20 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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