DR. ESTHER MELAMED MD PHD
NPI 1144563669
Psychiatry & Neurology - Neurology in Austin, TX

Active since April 03, 2013PECOS EnrolledAccepts Medicare Assignment
71.53/100
CMS Quality Rating
1601 TRINITY ST, AUSTIN, TX 78712(512) 495-5000 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2018, Feb 20, 2017 (2 updates tracked since 2017).

About Dr. Esther Melamed Md Phd NPPES

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

DR. ESTHER MELAMED MD PHD (NPI 1144563669) is an individual neurology provider in Austin, Texas, licensed in Texas (Q7746) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with Dell Seton Med Center At The University Of Tx, and maintains a secondary practice location in Austin.

NPPES Registry Identity

NPI1144563669
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameDR. ESTHER MELAMEDCredential: MD PHD
Location Address1601 TRINITY STAustin, TX 78712-1765
Mailing Address1601 Trinity St Stop Z0200Austin, TX 78712-1850 · (512) 495-5000
Sole ProprietorYes
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2009
Enumeration DateApril 3, 2013
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1144563669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in TX · Q7746
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X · License A118455 (CA)
1601 TRINITY ST, Austin, TX 78712

Secondary Practice Location 1

Location 11600 W 38th StAustin, TX 78731-6400 · Phone (512) 324-3540

Accepted 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

Dr. Esther Melamed Md Phd 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 ID8921391327
PECOS Enrollment IDI20160722000561
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
35 services19 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
30 services19 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
28 services21 patients

Hospital Affiliations CMS Care Compare

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

Dell Seton Med Center At The University Of Tx

Acute Care Hospitals · Austin, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450124
Location601 E 15th StreetAustin, TX 78701 · Travis County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78712 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

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.

71.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.85
Improvement Activities40
Cost69.55

Reported Quality Measures

Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
4%27 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
6%31 patients1/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
98%60 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
86%177 patients2/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
80%140 patients4/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
96%26 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
92%91 patients4/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
37%87 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
98%91 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
87%91 patients4/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
75%91 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

Social Worker (Clinical)
1601 TRINITY ST
AUSTIN, TX 78712
Psychiatry & Neurology (Psychiatry)
1601 TRINITY ST
AUSTIN, TX 78712
Internal Medicine (Rheumatology)
1601 TRINITY ST
AUSTIN, TX 78712
Physical Medicine & Rehabilitation (Pediatric Rehabilitation Medicine)
1601 TRINITY ST
AUSTIN, TX 78712
Internal Medicine (Medical Oncology)
1601 TRINITY ST
AUSTIN, TX 78712
Physician Assistant (Medical)
1601 TRINITY ST, SUITE 704
AUSTIN, TX 78712
Social Worker (Clinical)
1601 TRINITY ST
AUSTIN, TX 78712
Internal Medicine (Medical Oncology)
1601 TRINITY ST
AUSTIN, TX 78712

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 Esther Melamed's NPI number?

The NPI number for Esther Melamed is 1144563669. It was assigned to this individual provider in the NPPES registry on April 3, 2013.

Where is Esther Melamed located?

Esther Melamed practices at 1601 Trinity St, Austin, TX 78712. The listed phone number is (512) 495-5000.

What is Esther Melamed's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Esther Melamed enrolled in Medicare?

Yes. Esther Melamed 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 Esther Melamed accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and Sendero Health Plans, Local Nonprofit list Esther Melamed 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 Esther Melamed affiliated with any hospitals?

According to CMS data, Esther Melamed is affiliated with Dell Seton Med Center At The University Of Tx.

When was this NPI record last updated?

The NPPES record for Esther Melamed was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.