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THOMAS CLARK KELLAM
NPI 1043745375
Family Medicine - Sports Medicine in Winston Salem, NC

Active since April 24, 2017PECOS EnrolledAccepts Medicare Assignment
83.28/100
CMS Quality Rating
200 ROBINHOOD MEDICAL PLZ, WINSTON SALEM, NC 27106(336) 718-7950(336) 718-7989 Get Directions Write a Review

NPPES record last updated: August 22, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 15, 2025, Sep 23, 2021, Apr 24, 2017 (3 updates tracked since 2017).

About Thomas Clark Kellam NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THOMAS CLARK KELLAM (NPI 1043745375) is an individual sports medicine provider in Winston Salem, North Carolina, licensed in North Carolina (2025-02829) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Novant Health Forsyth Medical Center, and maintains a secondary practice location in Chillicothe.

NPPES Registry Identity

NPI1043745375
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameTHOMAS CLARK KELLAM
Location Address200 ROBINHOOD MEDICAL PLZWinston Salem, NC 27106-5471
Mailing AddressPo Box 60447Charlotte, NC 28260-0447
Phone(336) 718-7950
Fax(336) 718-7989
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 24, 2017
Last NPPES UpdateAugust 22, 20253 updates tracked since enumeration
NPPES CertifiedAugust 22, 2025
✔ NPI 1043745375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
Licenses✔ Licensed in NC · 2025-02829✔ Licensed in OH · 35.143319
Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 2025-02829 (NC)
200 ROBINHOOD MEDICAL PLZ, Winston Salem, NC 27106
Open in Google Maps ↗

Secondary Practice Location 1

Location 1272 Hospital RdChillicothe, OH 45601-9031 · Phone (740) 779-4598 · Fax (740) 779-4599

Other Identifiers 1

Medicaid0459528OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., Blue Cross and Blue Shield of NC, CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Thomas Clark Kellam is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799057170
PECOS Enrollment IDI20210927001053, I20251001003423
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg J7318
Hyaluronan or derivative, Durolane, is a treatment injected directly into the joint to relieve pain and improve mobility. It's often used for arthritis in the knee. The substance works by supplementing your body's natural joint fluid to help lubricate and cushion the joint.
1,380 services15 patients
Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg J3304
Triamcinolone acetonide is a long-lasting, preservative-free steroid injection. It's delivered in tiny, slow-releasing particles (microspheres) to manage inflammation or related conditions. The dose given is 1 mg. It's generally safe with few side effects.
1,024 services18 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
212 services35 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
206 services120 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
148 services94 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
139 services88 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Novant Health Forsyth Medical Center

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340014
Location3333 Silas Creek ParkwayWinston-Salem, NC 27103 · Forsyth County
Emergency services Birthing friendly

Adena Regional Medical Center

Acute Care Hospitals · Chillicothe, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360159
Location272 Hospital RoadChillicothe, OH 45601 · Ross County
Emergency services Birthing friendly

Adena Pike Medical Center

Critical Access Hospitals · Waverly, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361334
Location100 Dawn LaneWaverly, OH 45690 · Pike County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality58.73
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ZACHARY W SANDBULTE MD
Family Medicine (Sports Medicine)
200 ROBINHOOD MEDICAL PLZ
WINSTON SALEM, NC 27106
Forsyth County (336) 718-7950
KATHRYN LEE BATTLE PA-C
Physician Assistant
200 ROBINHOOD MEDICAL PLZ
WINSTON SALEM, NC 27106
Forsyth County (336) 718-7950
BRADLEY STEVEN TAYLOR PA-C
Physician Assistant
200 ROBINHOOD MEDICAL PLZ
WINSTON SALEM, NC 27106
Forsyth County (336) 718-7950
RICHARD KOHLSTADT GODINE PA-C
Physician Assistant
200 ROBINHOOD MEDICAL PLZ
WINSTON SALEM, NC 27106
Forsyth County (336) 718-7950
BRETT MATTHEW ANDERSON PA-C
Physician Assistant
200 ROBINHOOD MEDICAL PLZ
WINSTON-SALEM, NC 27106
Forsyth County (336) 718-7950
PHILLIP ROSS MASON M.D.
Orthopaedic Surgery
200 ROBINHOOD MEDICAL PLZ, 4204 DOCTORS OFFICE TOWER
WINSTON SALEM, NC 27106
Forsyth County (336) 718-7950
TARA ELIZABETH MCKENZIE PA-C
Physician Assistant
200 ROBINHOOD MEDICAL PLZ
WINSTON SALEM, NC 27106
Forsyth County (336) 718-7950
KRISTEN MCKINNEY CLARK
Physician Assistant
200 ROBINHOOD MEDICAL PLZ
WINSTON SALEM, NC 27106
Forsyth County (336) 718-7950

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Kellam's NPI number?

The NPI number for Thomas Kellam is 1043745375. It was assigned to this individual provider in the NPPES registry on April 24, 2017.

Where is Thomas Kellam located?

Thomas Kellam practices at 200 Robinhood Medical Plz, Winston Salem, NC 27106. The listed phone number is (336) 718-7950.

What is Thomas Kellam's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Thomas Kellam enrolled in Medicare?

Yes. Thomas Kellam is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Thomas Kellam accept?

Health plans from Antidote Health Plan of Ohio, Inc., Blue Cross and Blue Shield of NC and CareSource list Thomas Kellam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Thomas Kellam affiliated with any hospitals?

According to CMS data, Thomas Kellam is affiliated with Novant Health Forsyth Medical Center, Adena Regional Medical Center and Adena Pike Medical Center.

When was this NPI record last updated?

The NPPES record for Thomas Kellam was last updated on August 22, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.