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MELANIE CUSTER M.D.
NPI 1053686493
Pediatrics in West Bend, WI

Active since March 19, 2012PECOS EnrolledAccepts Medicare Assignment
611 VETERANS AVE UNIT 106, WEST BEND, WI 53090(262) 353-4460(262) 353-4461 Get Directions Write a Review

NPPES record last updated: February 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 9, 2021, May 28, 2019 (2 updates tracked since 2019).

About Melanie Custer M.d. NPPES

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

MELANIE CUSTER M.D. (NPI 1053686493) is an individual pediatrics provider in West Bend, Wisconsin, licensed in Wisconsin (70643-20) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1053686493
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMELANIE CUSTERCredential: M.D.
Location Address611 VETERANS AVE UNIT 106West Bend, WI 53090-2559
Mailing Address103 Financial Pl, Suite 100Elizabethtown, KY 42701-4470 · (270) 769-0110
Phone(262) 353-4460
Fax(262) 353-4461
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMarch 19, 2012
Last NPPES UpdateFebruary 9, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2021
✔ NPI 1053686493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WI · 70643-20
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
611 VETERANS AVE UNIT 106, West Bend, WI 53090
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1120 SE 4th StEvansville, IN 47708-1607 · Phone (812) 426-9480 · Fax (812) 426-9887
Location 2545 S Boehne Camp RdEvansville, IN 47712-3703 · Phone (812) 426-9480 · Fax (812) 426-9887
Location 34209 Gateway BlvdNewburgh, IN 47630-8900 · Phone (812) 842-2800 · Fax (812) 842-2901

Other Identifiers 1

Medicaid1053686493WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Melanie Custer 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 ID6103231873
PECOS Enrollment IDI20210211001224
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53090 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

MAYA FRANCES HOLTROP SHEETS MD
Pediatrics
611 VETERANS AVE UNIT 106
WEST BEND, WI 53090
Washington County (262) 353-4460
JONATHAN ANDREW SEYER
Counselor (Professional)
611 VETERANS AVE UNIT 106
WEST BEND, WI 53090
Washington County (262) 353-4660

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 Custer's NPI number?

The NPI number for Melanie Custer is 1053686493. It was assigned to this individual provider in the NPPES registry on March 19, 2012.

Where is Melanie Custer located?

Melanie Custer practices at 611 Veterans Ave Unit 106, West Bend, WI 53090. The listed phone number is (262) 353-4460.

What is Melanie Custer's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Melanie Custer enrolled in Medicare?

Yes. Melanie Custer 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 Melanie Custer accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and CareSource (Common Ground Healthcare) list Melanie Custer 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.

When was this NPI record last updated?

The NPPES record for Melanie Custer was last updated on February 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.