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KAREN L MELENDEZ M.D.
NPI 1184675977
Psychiatry & Neurology - Psychiatry in Statesville, NC

Active since May 15, 2006PECOS EnrolledAccepts Medicare Assignment
1703 DAVIE AVE, STATESVILLE, NC 28677(704) 819-9191(704) 872-3782 Get Directions Write a Review

NPPES record last updated: August 26, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Karen L Melendez M.d. NPPES

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

KAREN L MELENDEZ M.D. (NPI 1184675977) is an individual psychiatry provider in Statesville, North Carolina, licensed in North Carolina (2008-01590) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Caromont Regional Medical Center, and maintains a secondary practice location in Lincolnton.

NPPES Registry Identity

NPI1184675977
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameKAREN L MELENDEZCredential: M.D.
Location Address1703 DAVIE AVEStatesville, NC 28677-3521
Mailing Address200 E 2nd AveGastonia, NC 28052-4358 · (704) 874-1900
Phone(704) 819-9191
Fax(704) 872-3782
Sole ProprietorYes
Medical School CMSTemple University School Of MedicineGraduated 2003
Enumeration DateMay 15, 2006
Last NPPES UpdateAugust 26, 2021
NPPES CertifiedAugust 26, 2021
✔ NPI 1184675977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in NC · 2008-01590✔ Licensed in CA · A94337
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1703 DAVIE AVE, Statesville, NC 28677
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Secondary Practice Location 1

Location 11244 N Flint StLincolnton, NC 28092-5239 · Phone (704) 440-0170 · Fax (704) 440-0172

Other Identifiers 1

Medicaid5910539NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare, Oscar Health Plan of North Carolina, Inc 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

Karen L Melendez 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 ID8022170711
PECOS Enrollment IDI20081213000228
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

6

Medicare enrollment records show Karen Melendez reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gaston Family Health Services, Inc.
0.6 mi
Federally Qualified Health Center (FQHC)
518 BROOKDALE DR
Statesville, NC 28677
  • Reassigned Medicare billing, North Carolina enrollment
  • 207 clinicians in this Medicare group
NPI 1710237367 (704) 872-9595
Caromont Medical Group, Inc.
33 mi
Family Medicine
3605 MOUNT HOLLY HUNTERSVILLE RD, SUITE B
Charlotte, NC 28216
  • Reassigned Medicare billing, North Carolina enrollment
  • 673 clinicians in this Medicare group
NPI 1053616714 (704) 971-2349
Support Incorporated
41 mi
Community/Behavioral Health
708 S CHESTNUT ST
Gastonia, NC 28054
  • Reassigned Medicare billing, North Carolina enrollment
  • 4 clinicians in this Medicare group
NPI 1780974253 (704) 865-3525
Animo Sano Psychiatry PLLC
109 mi
Psychiatry
5501 FORTUNES RIDGE DR STE P
Durham, NC 27713
  • Reassigned Medicare billing, Georgia and North Carolina enrollments
  • 5 clinicians in this Medicare group
NPI 1568043537 (919) 391-7202
Dlp Western Carolina Physician Practices LLC
118 mi
Diagnostic Radiology
262 LEROY GEORGE DR
Clyde, NC 28721
  • Reassigned Medicare billing, North Carolina enrollment
  • 456 clinicians in this Medicare group
NPI 1932925062 (615) 920-7000
Dlp Wilson Physician Practices LLC
154 mi
Rural Health
6321 DEANS ST
Bailey, NC 27807
  • Reassigned Medicare billing, North Carolina enrollment
  • 71 clinicians in this Medicare group
NPI 1629753231 (252) 235-4181

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 5

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.
104 services48 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
54 services28 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.
31 services22 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.
27 services27 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.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Caromont Regional Medical Center

Acute Care Hospitals · Gastonia, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340032
Location2525 Court DrGastonia, NC 28052 · Gaston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28677 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
$165.09 typical visit price
range $54.12 – $165.09
Typical copayment $41.27 (range $13.53 – $41.27)
Most-billed visit code 99205
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 4

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

MRS. BARBARA JO HAYES FNP
Nurse Practitioner (Psychiatric/Mental Health)
1703 DAVIE AVE
STATESVILLE, NC 28677
Iredell County (704) 380-3341
INTEGRATIVE WELLNESS CENTER
Obstetrics & Gynecology
1703 DAVIE AVE
STATESVILLE, NC 28677
Iredell County (980) 223-8535
STATESVILLE HMA MEDICAL GROUP, LLC
Surgery (Vascular Surgery)
1703 DAVIE AVE
STATESVILLE, NC 28677
Iredell County (704) 978-2271
GASTON FAMILY HEALTH SERVICES, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
1703 DAVIE AVE
STATESVILLE, NC 28677
Iredell County (704) 818-9191

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 Karen Melendez's NPI number?

The NPI number for Karen Melendez is 1184675977. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Where is Karen Melendez located?

Karen Melendez practices at 1703 Davie Ave, Statesville, NC 28677. The listed phone number is (704) 819-9191.

What is Karen Melendez's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Karen Melendez enrolled in Medicare?

Yes. Karen Melendez 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 Karen Melendez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Melendez reassigns Medicare benefits to 6 organizations: Gaston Family Health Services, Inc. (Statesville, NC), Caromont Medical Group, Inc. (Charlotte, NC), Support Incorporated (Gastonia, NC), Animo Sano Psychiatry PLLC (Durham, NC), Dlp Western Carolina Physician Practices LLC (Clyde, NC) and 1 more organization, listed in the Medicare section above. 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 Karen Melendez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Melendez accept?

Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Karen Melendez 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 Karen Melendez affiliated with any hospitals?

According to CMS data, Karen Melendez is affiliated with Caromont Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Karen Melendez was last updated on August 26, 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.