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BENJAMIN JUDE MELANCON MD
NPI 1164041299
Hospitalist in Birmingham, AL

Active since April 09, 2020PECOS EnrolledAccepts Medicare Assignment
625 19TH ST S, BIRMINGHAM, AL 35233(205) 934-2490 Get Directions Write a Review

NPPES record last updated: October 26, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 26, 2023, Apr 9, 2020 (2 updates tracked since 2020).

About Benjamin Jude Melancon Md NPPES

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

BENJAMIN JUDE MELANCON MD (NPI 1164041299) is an individual hospitalist provider in Birmingham, Alabama, licensed in Alabama (43183) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and is a graduate of Louisiana State University School Of Medicine In New Orleans (2020).

NPPES Registry Identity

NPI1164041299
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameBENJAMIN JUDE MELANCONCredential: MD
Location Address625 19TH ST SBirmingham, AL 35233-1900
Mailing Address625 19th St SBirmingham, AL 35233-1900
Phone(205) 934-2490
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2020
Enumeration DateApril 9, 2020
Last NPPES UpdateOctober 26, 20232 updates tracked since enumeration
NPPES CertifiedOctober 26, 2023
✔ NPI 1164041299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in AL · 43183
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
625 19TH ST S, Birmingham, AL 35233
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.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

Benjamin Jude Melancon Md 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 ID8123489671
PECOS Enrollment IDI20230731002005
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 Reassignment

Medicare enrollment records show Benjamin Melancon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Alabama Health Services Foundation, PC
0.1 mi
Ambulatory Surgical
2000 6TH AVE SOUTH
Birmingham, AL 35233
  • Reassigned Medicare billing, Alabama enrollment
  • 4,494 clinicians in this Medicare group
NPI 1124213376 (205) 801-8000

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

Areas of Expertise CMS Part B claims 4

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.
239 services101 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
93 services42 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
75 services73 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35233 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

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.

CYDNEY NICHOLE TERRYN MD
Psychiatry & Neurology (Psychiatry)
625 19TH ST S
BIRMINGHAM, AL 35233
Jefferson County (205) 934-0727
TODD WILLIAM MUDD JR.
Student in an Organized Health Care Education/Training Program
625 19TH ST S
BIRMINGHAM, AL 35233
Jefferson County (205) 934-2490
DAVID W MERKLEY DO
Anesthesiology
625 19TH ST S
BIRMINGHAM, AL 35233
Jefferson County (205) 934-4696
DR. SERDAR AKKOL MD, PHD
Student in an Organized Health Care Education/Training Program
625 19TH ST S
BIRMINGHAM, AL 35233
Jefferson County (205) 975-3756
MATTHEW GUILFORD LONG
Student in an Organized Health Care Education/Training Program
625 19TH ST S
BIRMINGHAM, AL 35233
Jefferson County (205) 934-6007
AMANDA MARINELLO
Student in an Organized Health Care Education/Training Program
625 19TH ST S
BIRMINGHAM, AL 35233
Jefferson County (205) 975-7104
BENJAMIN ROWLAND MD
Student in an Organized Health Care Education/Training Program
625 19TH ST S
BIRMINGHAM, AL 35233
Jefferson County (205) 975-0208
NICHOLAS DREW ROBERTSON
Student in an Organized Health Care Education/Training Program
625 19TH ST S
BIRMINGHAM, AL 35233
Jefferson County (205) 975-4048

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 Benjamin Melancon's NPI number?

The NPI number for Benjamin Melancon is 1164041299. It was assigned to this individual provider in the NPPES registry on April 9, 2020.

Where is Benjamin Melancon located?

Benjamin Melancon practices at 625 19th St S, Birmingham, AL 35233. The listed phone number is (205) 934-2490.

What is Benjamin Melancon's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Benjamin Melancon enrolled in Medicare?

Yes. Benjamin Melancon 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 organization bills Medicare for Benjamin Melancon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Melancon reassigns Medicare benefits to University Of Alabama Health Services Foundation, PC (Birmingham, AL). The 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 Benjamin Melancon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Melancon accept?

Health plans from Blue Cross and Blue Shield of Alabama list Benjamin Melancon 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 Benjamin Melancon was last updated on October 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.