DR. MARK R MELSON M.D.
NPI 1033144647
Ophthalmology in Nashville, TN

Active since July 11, 2006PECOS EnrolledAccepts Medicare Assignment
83.66/100
CMS Quality Rating
4306 HARDING PIKE, SUITE 106, NASHVILLE, TN 37205(615) 297-5798(615) 383-6646 Get Directions Write a Review

NPPES record last updated: June 8, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mark R Melson M.d. NPPES

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

DR. MARK R MELSON M.D. (NPI 1033144647) is an individual ophthalmology provider in Nashville, Tennessee, licensed in Tennessee (MD43691) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension Saint Thomas Hospital, and is a graduate of University Of Virginia School Of Medicine (2002).

NPPES Registry Identity

NPI1033144647
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. MARK R MELSONCredential: M.D.
Location Address4306 HARDING PIKE, SUITE 106Nashville, TN 37205-2205
Mailing Address108 Bravo BlvdGlasgow, KY 42141-3412 · (270) 651-2181 · Fax (270) 651-2183
Fax(615) 383-6646
Sole ProprietorYes
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2002
Enumeration DateJuly 11, 2006
Last NPPES UpdateJune 8, 2017
NPI 1033144647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in TN · MD43691
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.
4306 HARDING PIKE, Nashville, TN 37205

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

Dr. Mark R Melson 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 ID5799789939
PECOS Enrollment IDI20080904000358
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 14

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 content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
220 services217 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.
140 services140 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
74 services74 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.
62 services46 patients
Biopsy of eyelid 67810
A biopsy of the eyelid is a procedure where a small piece of tissue is taken from your eyelid for examination. It helps identify any abnormal growth like a lump or cyst. It's done under local anesthesia, so you won't feel pain during the process.
56 services51 patients
Reconstruction of eyelid margin 67950
Reconstruction of the eyelid margin is a surgical procedure to repair defects or abnormalities in the eyelid. It helps to protect the eye, improve vision, and enhance appearance. The surgery involves reshaping the eyelid using tissue grafts or flaps.
44 services43 patients

Hospital Affiliations CMS Care Compare

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

Ascension Saint Thomas Hospital

Acute Care Hospitals · Nashville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440082
Location4220 Harding Rd, PO Box 380Nashville, TN 37205 · Davidson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37205 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

83.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost45.56

Other Providers at the Same Location NPPES 6

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

Ophthalmology
4306 HARDING PIKE, SUITE 106
NASHVILLE, TN 37205
Ophthalmology
4306 HARDING PIKE, SUITE 202
NASHVILLE, TN 37205
Ophthalmology
4306 HARDING PIKE, SUITE 202
NASHVILLE, TN 37205
Ophthalmology
4306 HARDING PIKE, SUITE 202
NASHVILLE, TN 37205
Ophthalmology
4306 HARDING PIKE, SUITE 304
NASHVILLE, TN 37205
Ophthalmology
4306 HARDING PIKE, SUITE 202
NASHVILLE, TN 37205

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 Mark Melson's NPI number?

The NPI number for Mark Melson is 1033144647. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Mark Melson located?

Mark Melson practices at 4306 Harding Pike Suite 106, Nashville, TN 37205. The listed phone number is (615) 297-5798.

What is Mark Melson's specialty?

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

Is Mark Melson enrolled in Medicare?

Yes. Mark Melson 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 Mark Melson accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Mark Melson 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 Mark Melson affiliated with any hospitals?

According to CMS data, Mark Melson is affiliated with Ascension Saint Thomas Hospital.

When was this NPI record last updated?

The NPPES record for Mark Melson was last updated on June 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.