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MELODY J. CARNES LCSW
NPI 1083940688
Social Worker - Clinical in Spartanburg, SC

Active since November 02, 2009PECOS EnrolledAccepts Medicare Assignment
96.08/100
CMS Quality Rating
380 SERPENTINE DR, SUITE 200A, SPARTANBURG, SC 29303(864) 560-6012(864) 560-6013 Get Directions Write a Review

NPPES record last updated: February 5, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 31, 2015, Dec 3, 2015 (2 updates tracked since 2015).

About Melody J. Carnes Lcsw NPPES

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

MELODY J. CARNES LCSW (NPI 1083940688) is an individual clinical provider in Spartanburg, South Carolina, licensed in South Carolina (9638) and active in the NPI registry since November 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1083940688
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMELODY J. CARNESCredential: LCSW
Location Address380 SERPENTINE DR, SUITE 200ASpartanburg, SC 29303-3066
Mailing AddressPo Box 743070Atlanta, GA 30374-3070 · (864) 560-4304 · Fax (864) 560-4413
Phone(864) 560-6012
Fax(864) 560-6013
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateNovember 2, 2009
Last NPPES UpdateFebruary 5, 20182 updates tracked since enumeration
✔ NPI 1083940688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in SC · 9638✔ Licensed in TN · 4864
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
380 SERPENTINE DR, Spartanburg, SC 29303
Open in Google Maps ↗

Other Identifiers 1

MedicaidSW1279SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, First Choice Next, InStil 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

Melody J. Carnes Lcsw 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 ID1658408976
PECOS Enrollment IDI20151229000692
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 29303 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
$0.00 typical visit price
range $53.57 – $163.84
Typical copayment $0.00 (range $13.39 – $40.96)
Most-billed visit code NA
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

96.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality92.17
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

SPARTANBURG MEDICAL CENTER
Internal Medicine (Hematology & Oncology)
380 SERPENTINE DR, GIBBS CANCER CENTER
SPARTANBURG, SC 29303
Spartanburg County (864) 560-7050
SPARTANBURG MEDICAL CENTER
Durable Medical Equipment & Medical Supplies (Customized Equipment)
380 SERPENTINE DR, SUITE 109
SPARTANBURG, SC 29303
Spartanburg County (864) 560-7080
KRISTEN MABUS WILSON CNP
Nurse Practitioner (Family)
380 SERPENTINE DR, SUITE 200
SPARTANBURG, SC 29303
Spartanburg County (864) 560-7050
DR. CHARLES EDWARD BOWERS MD
Internal Medicine (Hematology & Oncology)
380 SERPENTINE DR
SPARTANBURG, SC 29303
Spartanburg County (864) 560-7050
SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT INC
Pharmacy (Community/Retail Pharmacy)
380 SERPENTINE DR, STE 201
SPARTANBURG, SC 29303
Spartanburg County (864) 560-1864

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 Melody Carnes's NPI number?

The NPI number for Melody Carnes is 1083940688. It was assigned to this individual provider in the NPPES registry on November 2, 2009.

Where is Melody Carnes located?

Melody Carnes practices at 380 Serpentine Dr Suite 200A, Spartanburg, SC 29303. The listed phone number is (864) 560-6012.

What is Melody Carnes's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Melody Carnes enrolled in Medicare?

Yes. Melody Carnes 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 Melody Carnes accept?

Health plans from BlueCross BlueShield of South Carolina, First Choice Next, InStil Health, Molina Healthcare and UnitedHealthcare list Melody Carnes 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 Melody Carnes was last updated on February 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.