MELODY J. CARNES LCSW
NPI 1083940688
Social Worker - Clinical in Spartanburg, SC
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
Specialties & Licenses
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Melody Carnes reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Spartanburg, SC 29303
- Reassigned Medicare billing, South Carolina enrollment
- 754 clinicians in this Medicare group
Durham, NC 27701
- Reassigned Medicare billing, South Carolina enrollment
- 106 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 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.
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.
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, SC 29303
SPARTANBURG, SC 29303
SPARTANBURG, SC 29303
SPARTANBURG, SC 29303
SPARTANBURG, SC 29303
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.
Which organizations bill Medicare for Melody Carnes's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Melody Carnes reassigns Medicare benefits to 2 organizations: Spartanburg Medical Center (Spartanburg, SC) and Mental Health Specialty Group PA (Durham, NC). 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 Melody Carnes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Melody Carnes accept?
Health plans from BlueCross BlueShield of South Carolina, First Choice Next, InStil Health 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.