1. Home
  2. Directory
  3. Indiana
  4. Fort Wayne
  5. Radiology
  6. NPI Profile

DR. MELISSA SUE BOSMA MD
NPI 1053549956
Radiology - Diagnostic Radiology in Fort Wayne, IN

Active since June 30, 2009PECOS EnrolledAccepts Medicare Assignment
95.46/100
CMS Quality Rating
3707 NEW VISION DR, FORT WAYNE, IN 46845(260) 469-4763 Get Directions Write a Review

NPPES record last updated: January 27, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Melissa Sue Bosma Md NPPES

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

DR. MELISSA SUE BOSMA MD (NPI 1053549956) is an individual diagnostic radiology provider in Fort Wayne, Indiana, licensed in Michigan (4301095084) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, is affiliated with St Joe Mercy Hospital System Livonia, and is a graduate of University Of Michigan Medical School (2009).

NPPES Registry Identity

NPI1053549956
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameDR. MELISSA SUE BOSMACredential: MD
Location Address3707 NEW VISION DRFort Wayne, IN 46845-1702
Mailing Address3707 New Vision DrFort Wayne, IN 46845-1702 · (260) 469-4763
Phone(260) 469-4763
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2009
Enumeration DateJune 30, 2009
Last NPPES UpdateJanuary 27, 2016
✔ NPI 1053549956 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 MI · 4301095084
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 4301095084 (MI)
3707 NEW VISION DR, Fort Wayne, IN 46845
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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 Sue Bosma 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 ID6305062902
PECOS Enrollment IDI20140716001806, I20150608002282
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

5

Medicare enrollment records show Melissa Bosma reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Breast Diagnostic Center, LLC
Same address
Diagnostic Radiology
3707 NEW VISION DR
Fort Wayne, IN 46845
  • Reassigned Medicare billing, Indiana enrollment
  • 26 clinicians in this Medicare group
NPI 1790748499 (260) 471-9466
Fort Wayne Radiology Associates LLC
Same address
Diagnostic Radiology
3707 NEW VISION DR
Fort Wayne, IN 46845
  • Reassigned Medicare billing, Indiana and Ohio enrollments
  • 40 clinicians in this Medicare group
NPI 1063475861 (260) 471-9466
X-Ray Consultants Inc
68 mi
Diagnostic Radiology
121 S SAINT LOUIS BLVD
South Bend, IN 46617
  • Reassigned Medicare billing, Michigan enrollment
  • 73 clinicians in this Medicare group
NPI 1770536815 (574) 233-3123
Huron Valley Radiology PC
105 mi
Diagnostic Radiology
5333 MCAULEY DR, SUITE 6016
Ypsilanti, MI 48197
  • Reassigned Medicare billing, Indiana and Michigan enrollments
  • 8 clinicians in this Medicare group
NPI 1659398519 (734) 712-8350
Lansing Radiology Associates P C
111 mi
Diagnostic Radiology
1215 E MICHIGAN AVE
Lansing, MI 48912
  • Reassigned Medicare billing, Michigan enrollment
  • 26 clinicians in this Medicare group
NPI 1669425658 (517) 364-2615

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 11

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.

Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
638 services638 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
638 services638 patients
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279
Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.
94 services94 patients
Diagnostic mammography of 1 breast 77065
Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.
66 services63 patients
Limited ultrasound scan of 1 breast 76642
A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.
52 services52 patients
Diagnostic mammography of both breasts 77066
Diagnostic mammography involves using special imaging technology to capture detailed images of both breasts. This procedure helps in identifying any unusual changes or abnormalities. It's a crucial step in ensuring breast health and early detection of potential issues.
43 services43 patients

Hospital Affiliations CMS Care Compare 5

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

St Joe Mercy Hospital System Livonia

Acute Care Hospitals · Livonia, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230002
Location36475 Five Mile RoadLivonia, MI 48154 · Wayne County
Emergency services Birthing friendly

Trinity Health Oakland Hospital

Acute Care Hospitals · Pontiac, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230029
Location44405 Woodward AvePontiac, MI 48341 · Oakland County
Emergency services Birthing friendly

Saint Joseph Mercy Livingston Hospital

Acute Care Hospitals · Howell, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230069
Location620 Byron RdHowell, MI 48843 · Livingston County
Emergency services

Trinity Health Ann Arbor Hospital

Acute Care Hospitals · Ann Arbor, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230156
Location5301 E Huron River DrAnn Arbor, MI 48106 · Washtenaw County
Emergency services Birthing friendly

Chelsea Hospital

Acute Care Hospitals · Chelsea, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230259
Location775 S Main StChelsea, MI 48118 · Washtenaw County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46845 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

95.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90
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%400 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%435 patients
Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
100%54 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.

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.

DR. CHRISTOPHER EDSON CARREL MD
Radiology (Diagnostic Radiology)
3707 NEW VISION DR
FORT WAYNE, IN 46845
Allen County (604) 696-6022
CHRISTOPHER M WING M.D.
Radiology (Diagnostic Radiology)
3707 NEW VISION DR
FORT WAYNE, IN 46845
Allen County (260) 471-9466
FORT WAYNE RADIOLOGY ASSOCIATES LLC
Radiology (Diagnostic Radiology)
3707 NEW VISION DR
FORT WAYNE, IN 46845
Allen County (260) 471-9466
DR. CARLA J BRUMBAUGH M.D.
Radiology (Diagnostic Radiology)
3707 NEW VISION DR
FORT WAYNE, IN 46845
Allen County (260) 471-9466
DR. SAI GANESH YARRAM MD
Radiology (Diagnostic Radiology)
3707 NEW VISION DR
FORT WAYNE, IN 46845
Allen County (260) 469-0551
ADAM M GREGORY M.D.
Radiology (Diagnostic Radiology)
3707 NEW VISION DR
FORT WAYNE, IN 46845
Allen County (260) 469-6602
DR. MARC E KAMINSKY M.D.
Radiology (Diagnostic Radiology)
3707 NEW VISION DR
FORT WAYNE, IN 46845
Allen County (260) 471-9466
DR. LOKENDER BOMMISETTY MD
Radiology (Diagnostic Radiology)
3707 NEW VISION DR
FORT WAYNE, IN 46845
Allen County (937) 829-8422

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 Bosma's NPI number?

The NPI number for Melissa Bosma is 1053549956. It was assigned to this individual provider in the NPPES registry on June 30, 2009.

Where is Melissa Bosma located?

Melissa Bosma practices at 3707 New Vision Dr, Fort Wayne, IN 46845. The listed phone number is (260) 469-4763.

What is Melissa Bosma's specialty?

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

Is Melissa Bosma enrolled in Medicare?

Yes. Melissa Bosma 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 Bosma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Bosma reassigns Medicare benefits to 5 organizations: Breast Diagnostic Center, LLC (Fort Wayne, IN), Fort Wayne Radiology Associates LLC (Fort Wayne, IN), X-Ray Consultants Inc (South Bend, IN), Huron Valley Radiology PC (Ypsilanti, MI) and Lansing Radiology Associates P C (Lansing, MI). 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 Bosma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melissa Bosma accept?

Health plans from CareSource list Melissa Bosma 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 Bosma affiliated with any hospitals?

According to CMS data, Melissa Bosma is affiliated with St Joe Mercy Hospital System Livonia, Trinity Health Oakland Hospital, Saint Joseph Mercy Livingston Hospital, Trinity Health Ann Arbor Hospital and Chelsea Hospital.

When was this NPI record last updated?

The NPPES record for Melissa Bosma was last updated on January 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.