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MELISSA E BIBICOFF DO
NPI 1144560251
Obstetrics & Gynecology in Traverse City, MI

Active since February 26, 2013PECOS EnrolledAccepts Medicare Assignment
3960 W ROYAL DR, TRAVERSE CITY, MI 49684(231) 947-0404(231) 947-2190 Get Directions Write a Review

NPPES record last updated: January 27, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 27, 2021, May 30, 2017, May 25, 2017 and 1 more (4 updates tracked since 2017).

About Melissa E Bibicoff Do NPPES

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

MELISSA E BIBICOFF DO (NPI 1144560251) is an individual obstetrics & gynecology provider in Traverse City, Michigan, licensed in Michigan (5101020321) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS, is affiliated with Munson Medical Center, and maintains a secondary practice location in Traverse City.

NPPES Registry Identity

NPI1144560251
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameMELISSA E BIBICOFFCredential: DO
Location Address3960 W ROYAL DRTraverse City, MI 49684-9200
Mailing Address3960 W Royal DrTraverse City, MI 49684-9200 · (231) 947-0404 · Fax (231) 947-2190
Phone(231) 947-0404
Fax(231) 947-2190
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2013
Enumeration DateFebruary 26, 2013
Last NPPES UpdateJanuary 27, 20214 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2021
✔ NPI 1144560251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MI · 5101020321
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3960 W ROYAL DR, Traverse City, MI 49684
Open in Google Maps ↗

Other Names 1

Former Name (1)Melissa Clark

Secondary Practice Location 1

Location 11105 Sixth StTraverse City, MI 49684-2345 · Phone (231) 935-5000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and more.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

Melissa E Bibicoff Do 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 ID5597997684
PECOS Enrollment IDI20170630000399
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

3

Medicare enrollment records show Melissa Bibicoff reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Munson Medical Center
0.2 mi
Neurology
3922 CEDAR RUN RD
Traverse City, MI 49684
  • Reassigned Medicare billing, Michigan enrollment
  • 492 clinicians in this Medicare group
NPI 1326645698 (231) 392-0430
Grand Traverse Womens Clinic PLLC
0.4 mi
Obstetrics
1200 6TH ST, STE 400
Traverse City, MI 49684
  • Reassigned Medicare billing, Michigan enrollment
  • 21 clinicians in this Medicare group
NPI 1336194166 (231) 392-0650
Mclaren Central Michigan
92 mi
General Acute Care Hospital
1221 SOUTH DR
Mt Pleasant, MI 48858
  • Reassigned Medicare billing, Michigan enrollment
  • 321 clinicians in this Medicare group
NPI 1245266063 (989) 772-6700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Munson Medical Center

Acute Care Hospitals · Traverse City, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230097
Location1105 Sixth StreetTraverse City, MI 49684 · Grand Traverse County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49684 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 6

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

DIANA LYNN NOVAK MD
Obstetrics & Gynecology
3960 W ROYAL DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 947-0404
NORTHWOOD OBSTETRICS AND GYNECOLOGY,PC
Obstetrics & Gynecology
3960 W ROYAL DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 947-0404
DR. ALISSA A O'HAGAN M.D.
Obstetrics & Gynecology
3960 W ROYAL DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 947-0404
DR. STEPHANIE M MORREALE D.O.
Obstetrics & Gynecology
3960 W ROYAL DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 947-0404
DR. PETER T BUMP M.D.
Obstetrics & Gynecology
3960 W ROYAL DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 947-0404
DR. DAVID DORMAN WRIGHT M.D.
Obstetrics & Gynecology (Gynecology)
3960 W ROYAL DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 947-0404

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 Bibicoff's NPI number?

The NPI number for Melissa Bibicoff is 1144560251. It was assigned to this individual provider in the NPPES registry on February 26, 2013. The provider is also known as Melissa Clark.

Where is Melissa Bibicoff located?

Melissa Bibicoff practices at 3960 W Royal Dr, Traverse City, MI 49684. The listed phone number is (231) 947-0404.

What is Melissa Bibicoff's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Melissa Bibicoff enrolled in Medicare?

Yes. Melissa Bibicoff 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 Bibicoff's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Bibicoff reassigns Medicare benefits to 3 organizations: Munson Medical Center (Traverse City, MI), Grand Traverse Womens Clinic PLLC (Traverse City, MI) and Mclaren Central Michigan (Mt Pleasant, 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 Bibicoff's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melissa Bibicoff accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and UnitedHealthcare list Melissa Bibicoff 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 Bibicoff affiliated with any hospitals?

According to CMS data, Melissa Bibicoff is affiliated with Munson Medical Center.

When was this NPI record last updated?

The NPPES record for Melissa Bibicoff was last updated on January 27, 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.