Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MELISSA SUSANN LIM M.D.
NPI 1013910777
Internal Medicine - Pulmonary Disease in Redwood City, CA

Active since May 24, 2005PECOS EnrolledAccepts Medicare Assignment
63.48/100
CMS Quality Rating
170 ALAMEDA DE LAS PULGAS, REDWOOD CITY, CA 94062(650) 367-5636(650) 367-5110 Get Directions Write a Review

NPPES record last updated: October 13, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Melissa Susann Lim M.d. NPPES

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

DR. MELISSA SUSANN LIM M.D. (NPI 1013910777) is an individual pulmonary disease provider in Redwood City, California, licensed in California (G74100) and active in the NPI registry since May 2005. She is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Medicine (1988).

NPPES Registry Identity

NPI1013910777
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameDR. MELISSA SUSANN LIMCredential: M.D.
Location Address170 ALAMEDA DE LAS PULGASRedwood City, CA 94062-2751
Mailing Address170 Alameda De Las PulgasRedwood City, CA 94062-2751 · (650) 367-5636 · Fax (650) 367-5110
Fax(650) 367-5110
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1988
Enumeration DateMay 24, 2005
Last NPPES UpdateOctober 13, 2026
NPPES CertifiedOctober 13, 2026
✔ NPI 1013910777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in CA · G74100
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
170 ALAMEDA DE LAS PULGAS, Redwood City, CA 94062

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Melissa Susann Lim M.d. 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 ID6709823271
PECOS Enrollment IDI20050415000424
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Melissa Lim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pulmonary Disease
170 ALAMEDA DE LAS PULGAS
Redwood City, CA 94062
  • Reassigned Medicare billing, California enrollment
  • 7 clinicians in this Medicare group
Internal Medicine
101 ACADEMY STE 100
Irvine, CA 92617
  • Reassigned Medicare billing, California enrollment
  • 118 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 13

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.

Device supply with scheduled recording and transmission for remote monitoring of respiratory system, per 30 days 98976
This service involves providing a device that records and transmits data about your respiratory system. It helps in remote monitoring of your breathing patterns for a period of 30 days. This method aids in early detection of any potential respiratory issues.
532 services364 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.
526 services349 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.
228 services160 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.
94 services86 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
79 services79 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
75 services71 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94062 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

63.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality37.21
Improvement Activities40
Cost62

Reported Quality Measures

Breast Cancer Screening
0%602 patients1/55-star benchmark: 93%
Cervical Cancer Screening
0%1,531 patients1/55-star benchmark: 98%
Colorectal Cancer Screening
0%5,638 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
43%380 patients2/55-star benchmark: 91%
Diabetes: Eye Exam
0%118 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
99%121 patients1/55-star benchmark: 91%
Falls: Screening for Future Fall Risk
0%2,242 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
38%14,080 patients2/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 25

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
16 suppliers709 claims709 services$33.38 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
13 suppliers324 claims324 services$72.44 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
13 suppliers314 claims901 services$28.65 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
11 suppliers204 claims1,164 services$16.49 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
9 suppliers231 claims1,357 services$13.23 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
14 suppliers475 claims475 services$46.50 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Perfusionist
170 ALAMEDA DE LAS PULGAS
REDWOOD CITY, CA 94062
Nurse Practitioner (Family)
170 ALAMEDA DE LAS PULGAS
REDWOOD CITY, CA 94062
Emergency Medicine
170 ALAMEDA DE LAS PULGAS
REDWOOD CITY, CA 94062
Anesthesiology
170 ALAMEDA DE LAS PULGAS
REDWOOD CITY, CA 94062
Anesthesiology
170 ALAMEDA DE LAS PULGAS
REDWOOD CITY, CA 94062
Registered Nurse
170 ALAMEDA DE LAS PULGAS
REDWOOD CITY, CA 94062
Anesthesiology
170 ALAMEDA DE LAS PULGAS
REDWOOD CITY, CA 94062
Radiology (Radiation Oncology)
170 ALAMEDA DE LAS PULGAS
REDWOOD CITY, CA 94062

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 Melissa Lim's NPI number?

The NPI number for Melissa Lim is 1013910777. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Where is Melissa Lim located?

Melissa Lim practices at 170 Alameda De Las Pulgas, Redwood City, CA 94062. The listed phone number is (650) 367-5636.

What is Melissa Lim's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Melissa Lim enrolled in Medicare?

Yes. Melissa Lim 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.

Which organizations bill Medicare for Melissa Lim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Lim reassigns Medicare benefits to 2 organizations: Redwood Pulmonary Medical Associates A Medical Corporation (Redwood City, CA) and Confermed Of California PC (Irvine, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Melissa Lim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Melissa Lim was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.