Executive Team

Learn more about our team. 

Kelly Custer


Kelly Custer is a graduate of Duke University Law School and practiced law in Ohio prior to relocating to Western North Carolina with his wife, Current Custer. Kelly started Current Medical Services to support his wife's practice, Current Dermatology, and has used that personal experience to improve practices around the country. From the staff at CMS to the clients that he attends to personally, Kelly loves the people that he works with each and every day.


In addition to the ins and outs of running a medical practice, Kelly understands the value of living life outside of the office, and strives to allow CMS clients the freedom to craft their desired lifestyle. When he isn't working, you'll find Kelly exploring the outdoors or at home spending time with his family.

Karen Ensley

Finance Director
Sylva, NC

Karen is our indispensable Finance Director & CFO, based out of the Sylva office in North Carolina. As a Magna Cum Laude graduate of Western Carolina University, Karen went on to work another 20 years in hospital accounting prior to joining CMS. In addition to experience with finance reporting, general ledger and payroll, she has assisted with financial audits, budget preparation and Medicare/Medicaid cost reports.


At Current Medical Services, Karen has the opportunity to work closely with physicians and their staff and enjoys seeing how CMS can help them improve financially and gain efficiencies from an office flow perspective. Karen, a native North Carolinian, loves living in the mountains and can be found spending her free time hanging out with friends and family.

Ruth Foy

Billing Director
Sylva, NC

Ruth has over 10 years of experience as a billing administrator and consulting assistant for various medical practices. Throughout her career, she has developed proven strategies of billing, personnel, budgeting, marketing, contracting, credentialing, accounts receivable, accounts payable and strategic planning.


At CMS, Ruth is excited to be with a team that is ready to provide the best solutions and assistance for the challenges that the practices face. When she isn't at work, you'll find Ruth at home with her beloved pets, or touring the Biltmore House and winery with her husband, Rick.

Frost Walker

Vice President of Operations

Frost is a graduate of Furman University and has over 10 years of experience in operations management. Prior to joining the team at CMS, Frost consulted for businesses in a variety of industries, focusing on organizational development. Day to day, Frost works closely with clients to better understand their needs and coordinates Current Medical's resources to ensure these challenges are met.