MELONY C FOWLER FNP-C
NPI 1013267558
Nurse Practitioner - Family in Spartanburg, SC

Active since September 12, 2012PECOS EnrolledAccepts Medicare Assignment
96.08/100
CMS Quality Rating
853 N CHURCH ST, SUITE 620, SPARTANBURG, SC 29303(864) 573-7511(864) 560-1690 Get Directions Write a Review

NPPES record last updated: January 4, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 4, 2021, Oct 26, 2016 (2 updates tracked since 2016).

About Melony C Fowler Fnp-c NPPES

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

MELONY C FOWLER FNP-C (NPI 1013267558) is an individual family provider in Spartanburg, South Carolina, licensed in South Carolina (18017) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS, is affiliated with Spartanburg Medical Center, and is a graduate of Duke University School Of Medicine (2012).

NPPES Registry Identity

NPI1013267558
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMELONY C FOWLERCredential: FNP-C
Location Address853 N CHURCH ST, SUITE 620Spartanburg, SC 29303-3098
Mailing AddressPo Box 743070Atlanta, GA 30374-3070 · (864) 560-4304 · Fax (864) 560-4413
Fax(864) 560-1690
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 2012
Enumeration DateSeptember 12, 2012
Last NPPES UpdateJanuary 4, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2021
NPI 1013267558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in SC · 18017
853 N CHURCH ST, Spartanburg, SC 29303

Other Names 1

Former Name (1)Melony C Scarborough

Other Identifiers 3

MedicaidNP2131SC
OtherP01172085SC · Railroad Medicare
Medicaid7006590NC

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

Melony C Fowler Fnp-c 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 ID2860643160
PECOS Enrollment IDI20121114000452
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.

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.
45 services41 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.
36 services33 patients
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.
35 services35 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
32 services32 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.
17 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Spartanburg Medical Center

Acute Care Hospitals · Spartanburg, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420007
Location101 E Wood StSpartanburg, SC 29303 · Spartanburg County
Emergency services Birthing friendly

Cherokee Medical Center

Acute Care Hospitals · Gaffney, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420043
Location1530 N Limestone StGaffney, SC 29340 · Cherokee County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29303 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.

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.

96.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality92.17
Promoting Interoperability100
Improvement Activities40

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.

Family Medicine
853 N CHURCH ST
SPARTANBURG, SC 29303
Internal Medicine (Gastroenterology)
853 N CHURCH ST, SUITE 620
SPARTANBURG, SC 29303
Family Medicine
853 N CHURCH ST, SUITE 510
SPARTANBURG, SC 29303
Pediatrics
853 N CHURCH ST, SUITE 401
SPARTANBURG, SC 29303
Surgery (Surgical Critical Care)
853 N CHURCH ST, STE 500
SPARTANBURG, SC 29303
Obstetrics & Gynecology
853 N CHURCH ST, SUITE 600
SPARTANBURG, SC 29303
Specialist
853 N CHURCH ST, SUITE 700
SPARTANBURG, SC 29303
Obstetrics & Gynecology
853 N CHURCH ST, SUITE 600
SPARTANBURG, SC 29303

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 Melony Fowler's NPI number?

The NPI number for Melony Fowler is 1013267558. It was assigned to this individual provider in the NPPES registry on September 12, 2012. The provider is also known as Melony C Scarborough.

Where is Melony Fowler located?

Melony Fowler practices at 853 N Church St Suite 620, Spartanburg, SC 29303. The listed phone number is (864) 573-7511.

What is Melony Fowler's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Melony Fowler enrolled in Medicare?

Yes. Melony Fowler 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 Melony Fowler accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and InStil Health and 3 other insurers list Melony Fowler 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 Melony Fowler affiliated with any hospitals?

According to CMS data, Melony Fowler is affiliated with Spartanburg Medical Center and Cherokee Medical Center.

When was this NPI record last updated?

The NPPES record for Melony Fowler was last updated on January 4, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.