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MELANIE J BUTTROSS MD
NPI 1023086592
Ophthalmology in Washington, DC

Active since March 10, 2006PECOS EnrolledAccepts Medicare Assignment
90.58/100
CMS Quality Rating
4910 MASSACHUSETTS AVE NW, STE 21, WASHINGTON, DC 20016(202) 686-6700(202) 537-1442 Get Directions Write a Review

NPPES record last updated: July 16, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Melanie J Buttross Md NPPES

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

MELANIE J BUTTROSS MD (NPI 1023086592) is an individual ophthalmology provider in Washington, District Of Columbia, licensed in District Of Columbia (MD19025) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1023086592
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameMELANIE J BUTTROSSCredential: MD
Location Address4910 MASSACHUSETTS AVE NW, STE 21Washington, DC 20016-4360
Mailing Address4910 Massachusetts Ave Nw, Ste 21Washington, DC 20016-4360 · (202) 686-6700 · Fax (202) 537-1442
Phone(202) 686-6700
Fax(202) 537-1442
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateMarch 10, 2006
Last NPPES UpdateJuly 16, 2019
✔ NPI 1023086592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in DC · MD19025✔ Licensed in VA · 0101046588✔ Licensed in MD · D0047865
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
4910 MASSACHUSETTS AVE NW, Washington, DC 20016
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Other Identifiers 2

Medicaid6375588VA
OtherB365DC · Carefirst Bcbs

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 J Buttross 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 ID6901922087
PECOS Enrollment IDI20100927000251
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 9

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.

Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
1,498 services1,469 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.
1,257 services1,238 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.
486 services394 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
239 services160 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.
230 services230 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
199 services124 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20016 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
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.

90.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost68.6

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) or their caregiver(s) who were counseled within 12 months on the benefits and/or risks of the Age-Related Eye Disease Study (AREDS) formulation for…
100%125 patients5/55-star benchmark: 100%
Age-Related Macular Degeneration (AMD): Dilated Macular Examination
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) who had a dilated macular examination performed which included documentation of the presence or absence of macular thickening or geographic atrophy or…
100%121 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%4,619 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
100%152 patients5/55-star benchmark: 95%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
Percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma (POAG) who have an optic nerve head evaluation during one or more office visits within 12 months
100%171 patients5/55-star benchmark: 100%
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.

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.

MRS. ELISE NEY M.A, CCC-A
Audiologist
4910 MASSACHUSETTS AVE NW, STE 29
WASHINGTON, DC 20016
District of Columbia (202) 362-4300
DR. SARAH MCGARRY CONNELLY MD
Internal Medicine (Infectious Disease)
4910 MASSACHUSETTS AVE NW
WASHINGTON, DC 20016
District of Columbia (202) 537-7400
BERTHA KOOMSON
Pediatrics
4910 MASSACHUSETTS AVE NW, #217
WASHINGTON, DC 20016
District of Columbia (202) 244-1553
DR. MARGARETIA L JACKSON M.D.
Pediatrics
4910 MASSACHUSETTS AVE NW, SUITE 217
WASHINGTON, DC 20016
District of Columbia (202) 244-1553
PAUL T GAVARIS MD
Ophthalmology
4910 MASSACHUSETTS AVE NW, STE 21
WASHINGTON, DC 20016
District of Columbia (202) 686-0239
DR. NAHID MALEKI DDS
Dentist (Orthodontics and Dentofacial Orthopedics)
4910 MASSACHUSETTS AVE NW, SUITE 319
WASHINGTON, DC 20016
District of Columbia (202) 244-3600
DR. SHAWNA LEIGH HAWK DDS
Dentist
4910 MASSACHUSETTS AVE NW, SUITE 210
WASHINGTON, DC 20016
District of Columbia (202) 362-7726
NEY ASSOCIATES INC.
Audiologist-Hearing Aid Fitter
4910 MASSACHUSETTS AVE NW, SUITE 29
WASHINGTON, DC 20016
District of Columbia (202) 362-4300

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 Buttross's NPI number?

The NPI number for Melanie Buttross is 1023086592. It was assigned to this individual provider in the NPPES registry on March 10, 2006.

Where is Melanie Buttross located?

Melanie Buttross practices at 4910 Massachusetts Ave NW Ste 21, Washington, DC 20016. The listed phone number is (202) 686-6700.

What is Melanie Buttross's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Melanie Buttross enrolled in Medicare?

Yes. Melanie Buttross 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.

When was this NPI record last updated?

The NPPES record for Melanie Buttross was last updated on July 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.