MELISSA BIENACKER BAUGHCUM APRN
NPI 1013276518
Nurse Practitioner - Adult Health in Athens, GA

Q: What is Melissa Baughcum's NPI number?

The NPI number for Melissa Baughcum is 1013276518. It was assigned to this individual provider in the NPPES registry on May 4, 2012.

Q: What is Melissa Baughcum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Melissa Baughcum was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.

Active since May 04, 2012PECOS EnrolledAccepts Medicare Assignment

79.88/100

CMS Quality Rating

340 N MILLEDGE AVE STE B, ATHENS, GA 30601(706) 548-0008(706) 369-9673 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 9, 2025, Sep 4, 2018 (2 updates tracked since 2018).

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About Melissa Bienacker Baughcum Aprn NPPES

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

MELISSA BIENACKER BAUGHCUM APRN (NPI 1013276518) is an individual adult health provider in Athens, Georgia, licensed in Georgia (APRN-NP203867) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, is affiliated with Piedmont Athens Regional Medical Center, and maintains a secondary practice location in Athens.

NPPES Registry Identity

NPI1013276518

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMELISSA BIENACKER BAUGHCUMCredential: APRN

Location Address340 N MILLEDGE AVE STE BAthens, GA 30601

Mailing Address1355 Peachtree St Ne Ste 1600Atlanta, GA 30309-3276 · (678) 223-7774 · Fax (678) 223-7799

Phone(706) 548-0008

Fax(706) 369-9673

Sole ProprietorNo

Medical School CMSEmory University School Of MedicineGraduated 2012

Enumeration DateMay 4, 2012

Last NPPES UpdateOctober 9, 20252 updates tracked since enumeration

NPPES CertifiedOctober 9, 2025

✔ NPI 1013276518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in GA · APRN-NP203867

340 N MILLEDGE AVE STE B, Athens, GA 30601

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Secondary Practice Location 1

Location 1740 Prince Ave, Building 15Athens, GA 30606-5908 · Phone (706) 296-7688 · Fax (706) 369-9673

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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

Melissa Bienacker Baughcum Aprn 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 ID3375860893

PECOS Enrollment IDI20150323000388

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.

722 services438 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.

37 services37 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

25 services25 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

21 services17 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Athens Regional Medical Center

Acute Care Hospitals · Athens, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number110074

Location1199 Prince AvenueAthens, GA 30606 · Clarke County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30601 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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.

79.88/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

56.48

Promoting Interoperability

Improvement Activities

Cost

78.12

Other Providers at the Same Location NPPES 9

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

CINTHANA KANDASAMY MD

Internal Medicine (Gastroenterology)