DR. MELVIN SETH RAPELYEA M.D.
NPI 1053305946
Radiology - Diagnostic Radiology in Cookeville, TN

Active since September 07, 2005PECOS EnrolledAccepts Medicare Assignment
72.99/100
CMS Quality Rating
4495 BEAR LAKE RD, COOKEVILLE, TN 38506(952) 595-1242(952) 935-2757 Get Directions Write a Review

NPPES record last updated: October 7, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Melvin Seth Rapelyea M.d. NPPES

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

DR. MELVIN SETH RAPELYEA M.D. (NPI 1053305946) is an individual diagnostic radiology provider in Cookeville, Tennessee, licensed in Tennessee (MD0000035735) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Rochester School Of Medicine And Dentistry (1976).

NPPES Registry Identity

NPI1053305946
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. MELVIN SETH RAPELYEACredential: M.D.
Location Address4495 BEAR LAKE RDCookeville, TN 38506-3121
Mailing Address11995 Singletree Ln, Suite 500Eden Prairie, MN 55344-5347 · (952) 595-1242 · Fax (952) 935-2757
Fax(952) 935-2757
Sole ProprietorNo
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 1976
Enumeration DateSeptember 7, 2005
Last NPPES UpdateOctober 7, 2009
NPI 1053305946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in TN · MD0000035735
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedSpecialistTaxonomy 174400000X · License 35735 (TN)
4495 BEAR LAKE RD, Cookeville, TN 38506

Other Identifiers 8

Other4152703TN · Bcbs Provider Number
Medicare PING02740P04DE
Medicare PIN3869893TN
Other300128237Railroad Medicare
Medicaid64056641KY
Medicaid4714334MI
Medicare PIN38698921TN
Medicaid38698921TN

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. Melvin Seth Rapelyea 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 ID1456362573
PECOS Enrollment IDI20061019000355, I20090114000252
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 22

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.

Ultrasound scan of head and neck soft tissue 76536
An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.
973 services471 patients
Complete ultrasound scan behind abdominal cavity 76770
A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.
834 services411 patients
Complete ultrasound scan of abdomen 76700
A complete ultrasound scan of the abdomen is a non-invasive imaging procedure. It uses sound waves to produce images of the organs in your abdomen, such as the liver, gallbladder, spleen, pancreas, and kidneys. It helps in diagnosing, monitoring, and planning treatments.
575 services288 patients
Limited ultrasound scan of abdomen 76705
A limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.
515 services259 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
448 services223 patients
Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
395 services197 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38506 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
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.

72.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.23
Improvement Activities40

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
99%588 patients
Radiology: Reminder System for Screening Mammograms
Percentage of patients undergoing a screening mammogram whose information is entered into a reminder system with a target due date for the next mammogram
100%238 patients
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.

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 Melvin Rapelyea's NPI number?

The NPI number for Melvin Rapelyea is 1053305946. It was assigned to this individual provider in the NPPES registry on September 7, 2005.

Where is Melvin Rapelyea located?

Melvin Rapelyea practices at 4495 Bear Lake Rd, Cookeville, TN 38506. The listed phone number is (952) 595-1242.

What is Melvin Rapelyea's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Melvin Rapelyea enrolled in Medicare?

Yes. Melvin Rapelyea 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 Melvin Rapelyea was last updated on October 7, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.