MELANIE CUSTER M.D.
NPI 1053686493
Pediatrics in West Bend, WI
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
Specialties & Licenses
Secondary Practice Locations 3
Other Identifiers 1
Accepted 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
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.
Medicare Billing Reassignment
Medicare enrollment records show Melanie Custer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Washington, IN 47501
- Reassigned Medicare billing, Indiana enrollment
- 444 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
Which organization bills Medicare for Melanie Custer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Melanie Custer reassigns Medicare benefits to Deaconess Clinic Inc (Washington, IN). The 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 Melanie Custer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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) and 1 other insurer 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.
# Melanie Custer, M.D. · NPI 1053686493
Pediatrics physician in West Bend, Wisconsin. Individual provider, active in the CMS NPPES registry since March 19, 2012.
## Identity
- **NPI:** 1053686493 (Entity type: Individual)
- **Enumerated:** March 19, 2012
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 70643-20 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 611 VETERANS AVE UNIT 106, West Bend, WI 53090-2559
- **Phone:** (262) 353-4460 · **Fax:** (262) 353-4461
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Deaconess Clinic Inc (NPI 1356132310, Washington, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** February 9, 2021
- **Other identifiers:** Medicaid 1053686493 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1053686493) · Data from the CMS NPPES public registry.