KELLY BOSSENBROEK FEDORIW MD
NPI 1285674606
Family Medicine in Chapel Hill, NC

Active since June 07, 2006PECOS EnrolledAccepts Medicare Assignment
590 MANNING DR, CHAPEL HILL, NC 27599(919) 966-0210(919) 966-2126 Get Directions Write a Review

NPPES record last updated: March 31, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Bossenbroek Fedoriw Md NPPES

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

KELLY BOSSENBROEK FEDORIW MD (NPI 1285674606) is an individual family medicine provider in Chapel Hill, North Carolina, licensed in North Carolina (2008-01856) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Unc Hospitals, and is a graduate of Medical College Of Ohio (2003).

NPPES Registry Identity

NPI1285674606
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKELLY BOSSENBROEK FEDORIWCredential: MD
Location Address590 MANNING DRChapel Hill, NC 27599-6119
Mailing Address590 Manning DrChapel Hill, NC 27599-6119 · (919) 966-0210 · Fax (919) 966-2126
Fax(919) 966-2126
Sole ProprietorNo
Medical School CMSMedical College Of OhioGraduated 2003
Enumeration DateJune 7, 2006
Last NPPES UpdateMarch 31, 2021
NPPES CertifiedMarch 31, 2021
NPI 1285674606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NC · 2008-01856
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.
590 MANNING DR, Chapel Hill, NC 27599

Other Names 1

Former Name (1)Kelly Bossenbroek Md

Other Identifiers 1

Medicaid004236346CT

Accepted 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

Kelly Bossenbroek Fedoriw 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 ID8820091549
PECOS Enrollment IDI20090129000668
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

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.
64 services27 patients

Hospital Affiliations CMS Care Compare

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

Unc Hospitals

Acute Care Hospitals · Chapel Hill, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340061
Location101 Manning DriveChapel Hill, NC 27514 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27599 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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier11 claims11 services$53.52 avg. paid by Medicare
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each E0955
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$13.02 avg. paid by Medicare
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$13.30 avg. paid by Medicare
Manual adult size wheelchair, includes tilt in space E1161
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$176.89 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
590 MANNING DR
CHAPEL HILL, NC 27599
Student in an Organized Health Care Education/Training Program
590 MANNING DR
CHAPEL HILL, NC 27599
Family Medicine
590 MANNING DR, CB 7586
CHAPEL HILL, NC 27599
Student in an Organized Health Care Education/Training Program
590 MANNING DR
CHAPEL HILL, NC 27599
Student in an Organized Health Care Education/Training Program
590 MANNING DR
CHAPEL HILL, NC 27599
Preventive Medicine (Public Health & General Preventive Medicine)
590 MANNING DR
CHAPEL HILL, NC 27599
General Practice
590 MANNING DR
CHAPEL HILL, NC 27599
Family Medicine
590 MANNING DR
CHAPEL HILL, NC 27599

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 Kelly Fedoriw's NPI number?

The NPI number for Kelly Fedoriw is 1285674606. It was assigned to this individual provider in the NPPES registry on June 7, 2006. The provider is also known as Kelly Bossenbroek MD.

Where is Kelly Fedoriw located?

Kelly Fedoriw practices at 590 Manning Dr, Chapel Hill, NC 27599. The listed phone number is (919) 966-0210.

What is Kelly Fedoriw's specialty?

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

Is Kelly Fedoriw enrolled in Medicare?

Yes. Kelly Fedoriw 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 Kelly Fedoriw accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Kelly Fedoriw 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 Kelly Fedoriw affiliated with any hospitals?

According to CMS data, Kelly Fedoriw is affiliated with Unc Hospitals.

When was this NPI record last updated?

The NPPES record for Kelly Fedoriw was last updated on March 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.