DR. HEATHER ANNE MELTON MD
NPI 1205833142
Orthopaedic Surgery in Mc Kenzie, TN

Q: What is Heather Melton's NPI number?

The NPI number for Heather Melton is 1205833142. It was assigned to this individual provider in the NPPES registry on July 7, 2005. The provider is also known as Dr. Heather Anne Gulish MD.

Q: What is Heather Melton's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Heather Melton was last updated on July 13, 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 July 07, 2005PECOS EnrolledAccepts Medicare Assignment

22700 HIGHWAY 22 STE A, MC KENZIE, TN 38201(731) 986-7200(731) 986-7292 Get Directions Write a Review

NPPES record last updated: July 13, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 13, 2023, Aug 25, 2016 (2 updates tracked since 2016).

On this page

About Dr. Heather Anne Melton Md NPPES

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

DR. HEATHER ANNE MELTON MD (NPI 1205833142) is an individual orthopaedic surgery provider in Mc Kenzie, Tennessee, licensed in Tennessee (37119) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with Baptist Memorial Hospital - Carroll County, and maintains a secondary practice location in Paris.

NPPES Registry Identity

NPI1205833142

Entity TypeIndividualFemale

Primary Taxonomy207X00000X

Provider Legal NameDR. HEATHER ANNE MELTONCredential: MD

Location Address22700 HIGHWAY 22 STE AMc Kenzie, TN 38201-8679

Mailing Address965 Ridge Lake Blvd Ste 315Memphis, TN 38120-9401

Phone(731) 986-7200

Fax(731) 986-7292

Sole ProprietorNo

Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 1997

Enumeration DateJuly 7, 2005

Last NPPES UpdateJuly 13, 20232 updates tracked since enumeration

NPPES CertifiedJuly 13, 2023

✔ NPI 1205833142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in TN · 37119

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

22700 HIGHWAY 22 STE A, Mc Kenzie, TN 38201

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Other Names 1

Former Name (1)Dr. Heather Anne Gulish Md

Secondary Practice Location 1

Location 11015 Kelley Dr, SUITE 200Paris, TN 38242-5819 · Phone (731) 644-2271 · Fax (731) 644-3980

Other Identifiers 11

Other000000353340TN · Bcbsky

Medicaid64082274KY

Other1124048541TN · Group Npi

OtherP00131527TN · Palmeto Gba

Other2122712TN · First Health

Other4058520TN · Bcbstn

Medicaid3881222TN

Other7469524TN · Aetna

Other1205833142TN · Npi

Other40903919TN · Cigna

Other143389TN · Unison

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Molina Healthcare, Oscar Health Plan, 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

Dr. Heather Anne Melton 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 ID345214904

PECOS Enrollment IDI20111007000410

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

Medicare enrollment records show Heather Melton reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

West Tennessee Healthcare Henry County

15 mi

Nurse Anesthetist, Certified Registered

301 TYSON AVE
Paris, TN 38242

Reassigned Medicare billing, Tennessee enrollment
Medicare enrollment name: Henry County Medical Center
83 clinicians in this Medicare group

NPI 1316393176 (731) 644-8479

Advanced Diagnostic Imaging, PC

101 mi

Internal Medicine

3024 BUSINESS PARK CIR
Goodlettsville, TN 37072

Reassigned Medicare billing, Tennessee enrollment
734 clinicians in this Medicare group

NPI 1093741464 (615) 239-2061

Baptist Memorial Medical Group Inc

104 mi

Internal Medicine

8970 WINCHESTER RD
Memphis, TN 38125

Reassigned Medicare billing, Tennessee enrollment
581 clinicians in this Medicare group

NPI 1306089206 (901) 227-4068

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 12

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.

Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg J3304

Triamcinolone acetonide is a long-lasting, preservative-free steroid injection. It's delivered in tiny, slow-releasing particles (microspheres) to manage inflammation or related conditions. The dose given is 1 mg. It's generally safe with few side effects.

1,184 services26 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

1,094 services37 patients

Destruction of peripheral nerve or branch 64640

Destruction of a peripheral nerve or branch is a procedure to treat nerve-related pain. It involves using heat, cold, or chemicals to damage or destroy the nerve, thereby blocking pain signals to the brain. This can provide long-term pain relief.

109 services22 patients

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.

87 services62 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

66 services51 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.

52 services42 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.

29 services29 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

24 services19 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

20 services17 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

14 services14 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.

13 services13 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Memorial Hospital - Carroll County

Acute Care Hospitals · Huntingdon, TN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440016

Location631 Rb Wilson DrHuntingdon, TN 38344 · Carroll County

Emergency services

Baptist Memorial Hospital Union City

Acute Care Hospitals · Union City, TN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440130

Location1201 Bishop St, PO Box 310Union City, TN 38261 · Obion County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38201 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

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

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

MS. PAXTON KIMBER SISSON P.A.

Physician Assistant

22700 HIGHWAY 22 STE A
MC KENZIE, TN 38201

Carroll County (731) 986-7200

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 Heather Melton's NPI number?

The NPI number for Heather Melton is 1205833142. It was assigned to this individual provider in the NPPES registry on July 7, 2005. The provider is also known as Dr. Heather Anne Gulish MD.

Where is Heather Melton located?

Heather Melton practices at 22700 Highway 22 Ste A, Mc Kenzie, TN 38201. The listed phone number is (731) 986-7200.

What is Heather Melton's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Heather Melton enrolled in Medicare?

Yes. Heather Melton 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 Heather Melton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Melton reassigns Medicare benefits to 3 organizations: West Tennessee Healthcare Henry County (Paris, TN), Advanced Diagnostic Imaging, PC (Goodlettsville, TN) and Baptist Memorial Medical Group Inc (Memphis, TN). 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 Heather Melton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heather Melton accept?

Health plans from BlueCross BlueShield of Tennessee, Molina Healthcare, Oscar Health Plan, Inc. and Oscar Insurance Company list Heather Melton 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 Heather Melton affiliated with any hospitals?

According to CMS data, Heather Melton is affiliated with Baptist Memorial Hospital - Carroll County and Baptist Memorial Hospital Union City.

When was this NPI record last updated?

The NPPES record for Heather Melton was last updated on July 13, 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.