SIERRA DAWN VANDERKELEN MD
NPI 1104388065
Family Medicine in Greenville, SC

Q: What is Sierra Vanderkelen's NPI number?

The NPI number for Sierra Vanderkelen is 1104388065. It was assigned to this individual provider in the NPPES registry on April 1, 2019.

Q: What is Sierra Vanderkelen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since April 01, 2019PECOS EnrolledAccepts Medicare Assignment

215 HALTON RD, GREENVILLE, SC 29607(864) 454-2700(864) 288-5082 Get Directions Write a Review

NPPES record last updated: August 22, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 22, 2023, Jul 25, 2023, Jun 17, 2019 and 1 more (4 updates tracked since 2019).

On this page

About Sierra Dawn Vanderkelen Md NPPES

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

SIERRA DAWN VANDERKELEN MD (NPI 1104388065) is an individual family medicine provider in Greenville, South Carolina, licensed in South Carolina (90637) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Prisma Health Greer Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104388065

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameSIERRA DAWN VANDERKELENCredential: MD

Location Address215 HALTON RDGreenville, SC 29607-3509

Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-8603

Phone(864) 454-2700

Fax(864) 288-5082

Sole ProprietorNo

Medical School CMSNew York Medical CollegeGraduated 2019

Enumeration DateApril 1, 2019

Last NPPES UpdateAugust 22, 20234 updates tracked since enumeration

NPPES CertifiedAugust 22, 2023

✔ NPI 1104388065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in SC · 90637✔ Licensed in IL · 125075043✔ Licensed in IL · 036.160037

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

215 HALTON RD, Greenville, SC 29607

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1750 N Orleans St Ste 101Chicago, IL 60654-5051 · Phone (312) 566-4210

Location 21775 Ballard RdPark Ridge, IL 60068-1005 · Phone (847) 318-6020

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.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

Sierra Dawn Vanderkelen Md 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 ID2163870593

PECOS Enrollment IDI20231127000806

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 8

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 moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

109 services76 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

76 services55 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.

47 services39 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

30 services17 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

20 services20 patients

Manual urinalysis test with examination using microscope, automated 81001

A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.

16 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Prisma Health Greer Memorial Hospital

Acute Care Hospitals · Spartanburg, SC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420033

Location1413 John B White Sr Blvd Suite DSpartanburg, SC 29306 · Spartanburg County

Emergency services Birthing friendly

Prisma Health Hillcrest Hospital

Acute Care Hospitals · Simpsonville, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420037

Location741 South East Main StreetSimpsonville, SC 29681 · Greenville County

Emergency services

Prisma Health Greenville Memorial Hospital

Acute Care Hospitals · Greenville, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420078

Location701 Grove RoadGreenville, SC 29605 · Greenville County

Birthing friendly

Prisma Health Patewood Hospital

Acute Care Hospitals · Greenville, SC

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420102

Location175 Patewood DriveGreenville, SC 29615 · Greenville County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29607 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

Other Providers at the Same Location NPPES 8

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

PATRICIA ANN CRAWFORD M.D.

Internal Medicine