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DR. MELISSA A POWELL M.D.
NPI 1053407809
Surgery - Surgical Critical Care in Johnson City, TN

Active since October 05, 2006PECOS EnrolledAccepts Medicare Assignment
87.59/100
CMS Quality Rating
410 N STATE OF FRANKLIN RD, SUITE 130, JOHNSON CITY, TN 37604(423) 431-2477(423) 431-2478 Get Directions Write a Review

NPPES record last updated: February 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 8, 2023, Feb 22, 2017 (2 updates tracked since 2017).

About Dr. Melissa A Powell M.d. NPPES

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

DR. MELISSA A POWELL M.D. (NPI 1053407809) is an individual surgical critical care provider in Johnson City, Tennessee, licensed in Virginia (0101236366) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Lewisgale Medical Center, and is a graduate of University Of Kentucky College Of Medicine (1990).

NPPES Registry Identity

NPI1053407809
Entity TypeIndividualFemale
Primary Taxonomy2086S0102X
Provider Legal NameDR. MELISSA A POWELLCredential: M.D.
Location Address410 N STATE OF FRANKLIN RD, SUITE 130Johnson City, TN 37604-6971
Mailing Address410 N State Of Franklin Rd, Suite 130Johnson City, TN 37604-6971 · (423) 431-2477 · Fax (423) 431-2478
Phone(423) 431-2477
Fax(423) 431-2478
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 1990
Enumeration DateOctober 5, 2006
Last NPPES UpdateFebruary 8, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2023
✔ NPI 1053407809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians
Taxonomy Code2086S0102X
Licenses✔ Licensed in VA · 0101236366✔ Licensed in TN · 31797
Definition
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedSurgeryTaxonomy 208600000X · License 16746 (WV), 31797 (TN)
410 N STATE OF FRANKLIN RD, Johnson City, TN 37604
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Other Identifiers 5

Medicaid1053407809VA
Medicaid1053407809NC
Medicaid3004661000WV
OtherP00358617WV · Railroad Medicare
MedicaidQ002848TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., CareSource, Highmark Blue Cross Blue Shield West Virginia.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. Melissa A Powell 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 ID6002713450
PECOS Enrollment IDI20031215000764, I20040721001491
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 3

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
79 services78 patients
Insertion of artery tube for blood sampling or infusion through skin 36620
This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.
18 services16 patients
Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556
This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.
11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Lewisgale Medical Center

Acute Care Hospitals · Salem, VA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number490048
Location1900 Electric RoadSalem, VA 24153 · Salem City County
Emergency services

Sovah Health Danville

Acute Care Hospitals · Danville, VA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number490075
Location142 South Main StreetDanville, VA 24541 · Danville City County
Emergency services Birthing friendly

Lewisgale Hospital Montgomery

Acute Care Hospitals · Blacksburg, VA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number490110
Location3700 South Main StreetBlacksburg, VA 24060 · Montgomery County
Emergency services Birthing friendly

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510022
Location501 Morris StreetCharleston, WV 25301 · Kanawha County
Emergency services Birthing friendly

Princeton Community Hospital

Acute Care Hospitals · Princeton, WV
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number510046
Location122 12th StreetPrinceton, WV 24740 · Mercer County
Emergency services Birthing friendly

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.

87.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.94
Improvement Activities40

Other Providers at the Same Location NPPES 18

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

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Neurological Surgery
410 N STATE OF FRANKLIN RD, SUITE 120
JOHNSON CITY, TN 37604
Washington County (423) 431-2350
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Internal Medicine
410 N STATE OF FRANKLIN RD, SUITE 135B
JOHNSON CITY, TN 37604
Washington County (423) 431-4866
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Surgery (Trauma Surgery)
410 N STATE OF FRANKLIN RD, SUITE 130
JOHNSON CITY, TN 37604
Washington County (423) 431-2477
RAYMOND SHANE SMITH PA-C
Physician Assistant
410 N STATE OF FRANKLIN RD, SUITE 130
JOHNSON CITY, TN 37604
Washington County (423) 431-2477
MR. TED ALLAN WHITE ANP-BC
Nurse Practitioner (Adult Health)
410 N STATE OF FRANKLIN RD, SUITE 130
JOHNSON CITY, TN 37604
Washington County (423) 431-2477
ANITA DIANE COBBLE MD
Surgery
410 N STATE OF FRANKLIN RD, SUITE 130
JOHNSON CITY, TN 37604
Washington County (423) 431-2477
MR. TANZID SHAMS M.D.
Psychiatry & Neurology (Neurology)
410 N STATE OF FRANKLIN RD, SUITE 135
JOHNSON CITY, TN 37604
Washington County (423) 431-2350
DR. BRANDON GREEN DO
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
410 N STATE OF FRANKLIN RD, SUITE 130
JOHNSON CITY, TN 37604
Washington County (423) 431-2477

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 Powell's NPI number?

The NPI number for Melissa Powell is 1053407809. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Melissa Powell located?

Melissa Powell practices at 410 N State Of Franklin Rd Suite 130, Johnson City, TN 37604. The listed phone number is (423) 431-2477.

What is Melissa Powell's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Is Melissa Powell enrolled in Medicare?

Yes. Melissa Powell 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 Melissa Powell accept?

Health plans from Alliant Health Plans, Inc., CareSource and Highmark Blue Cross Blue Shield West Virginia list Melissa Powell 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 Melissa Powell affiliated with any hospitals?

According to CMS data, Melissa Powell is affiliated with Lewisgale Medical Center, Sovah Health Danville, Lewisgale Hospital Montgomery, Charleston Area Medical Center and Princeton Community Hospital.

When was this NPI record last updated?

The NPPES record for Melissa Powell was last updated on February 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.