DR. CONSTANTINE MELITAS M.D.
NPI 1154731321
Internal Medicine - Gastroenterology in Santa Maria, CA

Q: What is Constantine Melitas's NPI number?

The NPI number for Constantine Melitas is 1154731321. It was assigned to this individual provider in the NPPES registry on April 28, 2014.

Q: What is Constantine Melitas's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Active since April 28, 2014PECOS EnrolledAccepts Medicare Assignment

96.5/100

CMS Quality Rating

1325 E CHURCH ST STE 202, SANTA MARIA, CA 93454(805) 346-3456(805) 346-3454 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 2, 2024, Nov 3, 2023, Dec 27, 2022 and 3 more (6 updates tracked since 2018).

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About Dr. Constantine Melitas M.d. NPPES

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

DR. CONSTANTINE MELITAS M.D. (NPI 1154731321) is an individual gastroenterology provider in Santa Maria, California, licensed in California (A167829) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, maintains 6 additional practice locations, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1154731321

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. CONSTANTINE MELITASCredential: M.D.

Location Address1325 E CHURCH ST STE 202Santa Maria, CA 93454-5915

Mailing Address1325 E Church St Ste 202Santa Maria, CA 93454-5915 · (805) 434-5530 · Fax (805) 556-3090

Phone(805) 346-3456

Fax(805) 346-3454

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateApril 28, 2014

Last NPPES UpdateOctober 2, 20246 updates tracked since enumeration

NPPES CertifiedOctober 2, 2024

✔ NPI 1154731321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in CA · A167829

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1325 E CHURCH ST STE 202, Santa Maria, CA 93454

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Secondary Practice Locations 6

Location 1850 Fair Oaks Ave Ste 220Arroyo Grande, CA 93420-3929 · Phone (805) 434-5530

Location 21304 Ella St Ste ASan Luis Obispo, CA 93401-4165 · Phone (805) 549-9555 · Fax (805) 549-0444

Location 3350 Posada Ln Ste 202Templeton, CA 93465-4060 · Phone (805) 434-5497 · Fax (805) 434-0917

Location 416001 W 9 Mile RdSouthfield, MI 48075-4818 · Phone (248) 849-3000

Location 52650 Ridge AvenueEvanston, IL 60201 · Phone (847) 570-2509

Location 6316 S Stratford Ave Ste BSanta Maria, CA 93454-5908 · Phone (805) 332-8446

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. Constantine Melitas 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.

PECOS PAC ID5395048359

PECOS Enrollment IDI20210816000874

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 20

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

138 services110 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

114 services114 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

84 services76 patients

Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43259

This procedure involves a flexible tube with a camera, called an endoscope, inserted through your mouth to examine your esophagus, stomach, and upper small bowel. An ultrasound device on the endoscope helps get detailed images. It's safe and helps diagnose various conditions.

84 services77 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

76 services76 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.

68 services50 patients

Ultrasound guided needle aspiration or biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43242

This procedure involves using an ultrasound to guide a needle to specific areas in the esophagus, stomach, or upper small bowel. A flexible endoscope is used to reach these areas. The needle collects a small sample for testing.

66 services65 patients

Removal of stone or debris from bile or pancreatic duct using a flexible endoscope 43264

This procedure, called an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible tube with a camera (endoscope) to locate and remove stones or debris from your bile or pancreatic duct. It's a non-surgical method to clear the ducts, enhancing your digestive health.

58 services45 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

51 services49 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

48 services39 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

47 services46 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

40 services38 patients

Review by radiologist of image from tube placement into bile duct using an endoscope 74328

This procedure involves a specialist, called a radiologist, examining an image taken during a tube placement into your bile duct. The tube is inserted with the help of a tool called an endoscope. This allows the doctor to check for any issues or abnormalities in your bile duct.

40 services29 patients

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.

36 services23 patients

Insertion of stent into pancreatic or bile duct using a flexible endoscope 43274

This procedure involves the placement of a tiny tube, known as a stent, into your pancreatic or bile duct. A flexible endoscope, a long, thin instrument with a light and camera, is used. It aids in relieving blockages and improving flow in these ducts.

35 services28 patients

Incision of pancreatic outlet using a flexible endoscope 43262

This procedure involves a small cut in the outlet of the pancreas using a flexible tube with a camera, called an endoscope. It helps doctors diagnose and treat conditions affecting the pancreas, enhancing patient comfort and recovery.

27 services26 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

24 services24 patients

Removal of stent from pancreatic or bile duct using a flexible endoscope 43275

This procedure involves removing a stent from your pancreatic or bile duct. A flexible endoscope, a thin tube with a light and camera, is used to locate the stent. Once found, it's carefully extracted. This helps maintain proper duct function.

15 services12 patients

Removal of large bowel tissue using a flexible endoscope 45390

This procedure, known as a colonoscopy, involves using a flexible endoscope to examine and potentially remove tissue from the large intestine. The endoscope allows the doctor to view the bowel lining directly and remove any abnormal tissue for further analysis.

13 services13 patients

Balloon dilation of pancreatic or bile duct or sphincter using a flexible endoscope 43277

Balloon dilation is a procedure where a tiny balloon is inserted via an endoscope into your pancreatic or bile duct. The balloon is then inflated to widen the duct, improving flow and relieving blockages. It's a non-surgical, minimally invasive procedure.

12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93454 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

$139.99 typical visit price

range $62.01 – $184.40

Typical copayment $34.99 (range $15.50 – $46.10)

Most-billed visit code 99204

Established Patient

$108.26 typical visit price

range $20.60 – $151.20

Typical copayment $27.06 (range $5.15 – $37.80)

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.

96.5/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.34

Promoting Interoperability

100

Improvement Activities

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Other Providers at the Same Location NPPES 10

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

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