MELANIE A HELLROOD MD
NPI 1003378886
Family Medicine in Wausau, WI

Active since April 02, 2019PECOS EnrolledAccepts Medicare Assignment
83.72/100
CMS Quality Rating
2720 PLAZA DR STE 1300, WAUSAU, WI 54401(715) 847-2630 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 24, 2022, Nov 8, 2019, Apr 2, 2019 (3 updates tracked since 2019).

About Melanie A Hellrood Md NPPES

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

MELANIE A HELLROOD MD (NPI 1003378886) is an individual family medicine provider in Wausau, Wisconsin, licensed in Wisconsin (74664-20) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Aspirus Rhinelander Hospital, and is a graduate of Medical College Of Wisconsin (2019).

NPPES Registry Identity

NPI1003378886
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMELANIE A HELLROODCredential: MD
Location Address2720 PLAZA DR STE 1300Wausau, WI 54401-4165
Mailing Address2103 Ryanwood AveSchofield, WI 54476-5120 · (715) 551-4224
Sole ProprietorYes
Medical School CMSMedical College Of WisconsinGraduated 2019
Enumeration DateApril 2, 2019
Last NPPES UpdateAugust 24, 20223 updates tracked since enumeration
NPPES CertifiedAugust 24, 2022
NPI 1003378886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 74664-20
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.

2720 PLAZA DR STE 1300, Wausau, WI 54401

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

Melanie A Hellrood 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 ID4880928068
PECOS Enrollment IDI20220909001818
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 4

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.
189 services116 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.
78 services78 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.
34 services32 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Aspirus Rhinelander Hospital

Acute Care Hospitals · Rhinelander, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520019
Location2251 North Shore DrRhinelander, WI 54501 · Oneida County
Emergency services Birthing friendly

Aspirus Wausau Hospital

Acute Care Hospitals · Wausau, WI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number520030
Location333 Pine Ridge BlvdWausau, WI 54401 · Marathon County
Emergency services Birthing friendly

Langlade Hospital

Critical Access Hospitals · Antigo, WI
OwnershipVoluntary non-profit - Church
CMS Certification Number521350
Location112 E Fifth AveAntigo, WI 54409 · Langlade County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54401 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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.

83.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.54
Promoting Interoperability100
Improvement Activities40
Cost58.37

Other Providers at the Same Location NPPES 5

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

Family Medicine
2720 PLAZA DR STE 1300
WAUSAU, WI 54401
Family Medicine
2720 PLAZA DR STE 1300
WAUSAU, WI 54401
Family Medicine
2720 PLAZA DR STE 1300
WAUSAU, WI 54401
Nurse Practitioner (Family)
2720 PLAZA DR STE 1300
WAUSAU, WI 54401
Nurse Practitioner (Family)
2720 PLAZA DR STE 1300
WAUSAU, WI 54401

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 Melanie Hellrood's NPI number?

The NPI number for Melanie Hellrood is 1003378886. It was assigned to this individual provider in the NPPES registry on April 2, 2019.

Where is Melanie Hellrood located?

Melanie Hellrood practices at 2720 Plaza Dr Ste 1300, Wausau, WI 54401. The listed phone number is (715) 847-2630.

What is Melanie Hellrood's specialty?

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

Is Melanie Hellrood enrolled in Medicare?

Yes. Melanie Hellrood 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 Melanie Hellrood accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and Security Health Plan list Melanie Hellrood 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 Melanie Hellrood affiliated with any hospitals?

According to CMS data, Melanie Hellrood is affiliated with Aspirus Rhinelander Hospital, Aspirus Wausau Hospital and Langlade Hospital.

When was this NPI record last updated?

The NPPES record for Melanie Hellrood was last updated on August 24, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.