MELANIE JEANNE CARTER M.D.
NPI 1184086472
Obstetrics & Gynecology in Castle Rock, CO

Q: What is Melanie Carter's NPI number?

The NPI number for Melanie Carter is 1184086472. It was assigned to this individual provider in the NPPES registry on March 24, 2016.

Q: What is Melanie Carter's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Melanie Carter was last updated on September 15, 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.

Active since March 24, 2016PECOS EnrolledAccepts Medicare Assignment

77.17/100

CMS Quality Rating

2356 MEADOWS BLVD UNIT 240B, CASTLE ROCK, CO 80109(303) 795-3110 Get Directions Write a Review

NPPES record last updated: September 15, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 13, 2020, Mar 24, 2016 (2 updates tracked since 2016).

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About Melanie Jeanne Carter M.d. NPPES

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

MELANIE JEANNE CARTER M.D. (NPI 1184086472) is an individual obstetrics & gynecology provider in Castle Rock, Colorado, licensed in Colorado (DR.0065055) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and is a graduate of University Of Colorado School Of Medicine, Denver (2016).

NPPES Registry Identity

NPI1184086472

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameMELANIE JEANNE CARTERCredential: M.D.

Location Address2356 MEADOWS BLVD UNIT 240BCastle Rock, CO 80109-8410

Mailing Address1434 Barnstead WayCastle Pines, CO 80108-9538 · (719) 649-6456

Phone(303) 795-3110

Sole ProprietorYes

Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 2016

Enumeration DateMarch 24, 2016

Last NPPES UpdateSeptember 15, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 15, 2023

✔ NPI 1184086472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in CO · DR.0065055

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.

2356 MEADOWS BLVD UNIT 240B, Castle Rock, CO 80109

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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

Melanie Jeanne Carter 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 ID2163718883

PECOS Enrollment IDI20200819001049

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 Melanie Carter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Portercare Adventist Health System

Same address

Gynecologic Oncology

2356 MEADOWS BLVD STE 240B
Castle Rock, CO 80109

Reassigned Medicare billing, Colorado enrollment
733 clinicians in this Medicare group

NPI 1871307314 (303) 715-2365

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 80109 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

$132.55 typical visit price

range $58.06 – $174.82

Typical copayment $33.13 (range $14.51 – $43.70)

Most-billed visit code 99204

Established Patient

$72.20 typical visit price

range $18.88 – $142.79

Typical copayment $18.05 (range $4.72 – $35.69)

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.

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.

77.17/100

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

Scored as part of a group practice

Quality

80.27

Promoting Interoperability

Improvement Activities

Cost

59.47

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 Melanie Carter's NPI number?

The NPI number for Melanie Carter is 1184086472. It was assigned to this individual provider in the NPPES registry on March 24, 2016.

Where is Melanie Carter located?

Melanie Carter practices at 2356 Meadows Blvd Unit 240B, Castle Rock, CO 80109. The listed phone number is (303) 795-3110.

What is Melanie Carter's specialty?

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

Is Melanie Carter enrolled in Medicare?

Yes. Melanie Carter 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 Melanie Carter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melanie Carter reassigns Medicare benefits to Portercare Adventist Health System (Castle Rock, CO). 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 Melanie Carter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Melanie Carter was last updated on September 15, 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.