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DR. KAYLEE ANNE VANDOMMELEN MD MPH
NPI 1063972180
Obstetrics & Gynecology in Matthews, NC

Active since March 24, 2019PECOS EnrolledAccepts Medicare Assignment
1450 MATTHEWS TOWNSHIP PKWY STE 200, MATTHEWS, NC 28105(704) 246-1846(704) 246-1462 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 28, 2023, Mar 24, 2019 (2 updates tracked since 2019).

About Dr. Kaylee Anne Vandommelen Md Mph NPPES

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

DR. KAYLEE ANNE VANDOMMELEN MD MPH (NPI 1063972180) is an individual obstetrics & gynecology provider in Matthews, North Carolina, licensed in North Carolina (250401) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Novant Health Presbyterian Medical Center, and maintains a secondary practice location in Charlotte.

NPPES Registry Identity

NPI1063972180
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. KAYLEE ANNE VANDOMMELENCredential: MD MPH
Location Address1450 MATTHEWS TOWNSHIP PKWY STE 200Matthews, NC 28105-2388
Mailing AddressPo Box 60447Charlotte, NC 28260-0447
Phone(704) 246-1846
Fax(704) 246-1462
Sole ProprietorYes
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2019
Enumeration DateMarch 24, 2019
Last NPPES UpdateAugust 28, 20232 updates tracked since enumeration
NPPES CertifiedAugust 28, 2023
✔ NPI 1063972180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NC · 250401
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1450 MATTHEWS TOWNSHIP PKWY STE 200, Matthews, NC 28105
Open in Google Maps ↗

Secondary Practice Location 1

Location 11350 S Kings DrCharlotte, NC 28207-2134 · Phone (704) 446-1544 · Fax (704) 446-1551

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kaylee Anne Vandommelen Md Mph 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 ID3678800174
PECOS Enrollment IDI20230801003416
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.

Medicare Billing Reassignment

Medicare enrollment records show Kaylee Vandommelen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Novant Medical Group, Inc.
Same address
Maternal & Fetal Medicine
1450 MATTHEWS TOWNSHIP PKWY, SUITE 410
Matthews, NC 28105
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Novant Health Medical Group, LLC
  • Also billed through NPI 1699095331 (North Carolina)
  • 2,998 clinicians in this Medicare group
NPI 1033566526 (704) 384-7680

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

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.
23 services19 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Novant Health Presbyterian Medical Center

Acute Care Hospitals · Charlotte, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340053
Location200 Hawthorne Lane Box 33549Charlotte, NC 28233 · Mecklenburg County
Emergency services Birthing friendly

Novant Health Matthews Medical Center

Acute Care Hospitals · Matthews, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340171
Location1500 Matthews Twnshp Prkwy Box 3310Matthews, NC 28106 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28105 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

ALEXANDRA HELEN BOSTER
Obstetrics & Gynecology
1450 MATTHEWS TOWNSHIP PKWY STE 200
MATTHEWS, NC 28105
Mecklenburg County (704) 246-1846
JHEEL VIJAY SHAH
Obstetrics & Gynecology
1450 MATTHEWS TOWNSHIP PKWY STE 200
MATTHEWS, NC 28105
Mecklenburg County (704) 246-1846
LISA ELIZABETH DUNTON CNM
Advanced Practice Midwife
1450 MATTHEWS TOWNSHIP PKWY STE 200
MATTHEWS, NC 28105
Mecklenburg County (704) 246-1846
ANA CARTER RAINEY CNM
Advanced Practice Midwife
1450 MATTHEWS TOWNSHIP PKWY STE 200
MATTHEWS, NC 28105
Mecklenburg County (704) 246-1846
MRS. YUKINO YAMADA SHOPE CNM
Advanced Practice Midwife
1450 MATTHEWS TOWNSHIP PKWY STE 200
MATTHEWS, NC 28105
Mecklenburg County (704) 246-1846
LABORATORY CORPORATION OF AMERICA HOLDINGS
Clinical Medical Laboratory
1450 MATTHEWS TOWNSHIP PKWY STE 200
MATTHEWS, NC 28105
Mecklenburg County (704) 771-1603

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 Kaylee Vandommelen's NPI number?

The NPI number for Kaylee Vandommelen is 1063972180. It was assigned to this individual provider in the NPPES registry on March 24, 2019.

Where is Kaylee Vandommelen located?

Kaylee Vandommelen practices at 1450 Matthews Township Pkwy Ste 200, Matthews, NC 28105. The listed phone number is (704) 246-1846.

What is Kaylee Vandommelen's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Kaylee Vandommelen enrolled in Medicare?

Yes. Kaylee Vandommelen 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.

Which organization bills Medicare for Kaylee Vandommelen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaylee Vandommelen reassigns Medicare benefits to Novant Medical Group, Inc. (Matthews, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kaylee Vandommelen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kaylee Vandommelen accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Kaylee Vandommelen 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 Kaylee Vandommelen affiliated with any hospitals?

According to CMS data, Kaylee Vandommelen is affiliated with Novant Health Presbyterian Medical Center and Novant Health Matthews Medical Center.

When was this NPI record last updated?

The NPPES record for Kaylee Vandommelen was last updated on August 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.