KELLYANN VANDENDOOL MD
NPI 1366797615
Surgery in Ludington, MI

Active since July 23, 2012PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
7 ATKINSON DR STE 200, LUDINGTON, MI 49431(231) 843-3717 Get Directions Write a Review

NPPES record last updated: February 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 16, 2021, Nov 16, 2020, Apr 20, 2020 and 3 more (6 updates tracked since 2017).

About Kellyann Vandendool Md NPPES

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

KELLYANN VANDENDOOL MD (NPI 1366797615) is an individual surgery provider in Ludington, Michigan, licensed in Michigan (4301111681) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, is affiliated with Corewell Health Ludington Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1366797615
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameKELLYANN VANDENDOOLCredential: MD
Location Address7 ATKINSON DR STE 200Ludington, MI 49431-1917
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 23, 2012
Last NPPES UpdateFebruary 16, 20216 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2021
NPI 1366797615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in MI · 4301111681
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
7 ATKINSON DR STE 200, Ludington, MI 49431

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

Kellyann Vandendool 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 ID3678843471
PECOS Enrollment IDI20170727001694
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 5

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
44 services44 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
36 services36 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
19 services18 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
16 services16 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Corewell Health Ludington Hospital

Acute Care Hospitals · Ludington, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230110
LocationOne N Atkinson DriveLudington, MI 49431 · Mason County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49431 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 13

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

Orthopaedic Surgery
7 ATKINSON DR STE 200
LUDINGTON, MI 49431
Orthopaedic Surgery
7 ATKINSON DR STE 200
LUDINGTON, MI 49431
Nurse Practitioner (Family)
7 ATKINSON DR STE 200
LUDINGTON, MI 49431
Urology
7 ATKINSON DR STE 200
LUDINGTON, MI 49431
Surgery
7 ATKINSON DR STE 200
LUDINGTON, MI 49431
Advanced Practice Midwife
7 ATKINSON DR STE 200
LUDINGTON, MI 49431
Nurse Practitioner (Family)
7 ATKINSON DR STE 200
LUDINGTON, MI 49431
Advanced Practice Midwife
7 ATKINSON DR STE 200
LUDINGTON, MI 49431

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 Kellyann Vandendool's NPI number?

The NPI number for Kellyann Vandendool is 1366797615. It was assigned to this individual provider in the NPPES registry on July 23, 2012.

Where is Kellyann Vandendool located?

Kellyann Vandendool practices at 7 Atkinson Dr Ste 200, Ludington, MI 49431. The listed phone number is (231) 843-3717.

What is Kellyann Vandendool's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Kellyann Vandendool enrolled in Medicare?

Yes. Kellyann Vandendool 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 Kellyann Vandendool accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Kellyann Vandendool 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 Kellyann Vandendool affiliated with any hospitals?

According to CMS data, Kellyann Vandendool is affiliated with Corewell Health Ludington Hospital.

When was this NPI record last updated?

The NPPES record for Kellyann Vandendool was last updated on February 16, 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.