MRS. MARY MELANIE WALLER MD
NPI 1225024615
Urology in Olney, IL
About Mrs. Mary Melanie Waller Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MARY MELANIE WALLER MD (NPI 1225024615) is an individual urology provider in Olney, Illinois, licensed in Illinois (036119328) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with St Anthonys Memorial Hospital, and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (1982).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
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
Mrs. Mary Melanie Waller 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.
Medicare Billing Reassignments
2Medicare enrollment records show Mary Waller reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Olney, IL 62450
- Reassigned Medicare billing, Illinois enrollment
- Also billed through NPI 1467492124 (Illinois)
- 301 clinicians in this Medicare group
Urbana, IL 61801
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Carle Health Care Incorporated
- 2,516 clinicians in this Medicare group
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 13
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Anthonys Memorial Hospital
Acute Care Hospitals · Effingham, ILWabash General Hospital 1
Critical Access Hospitals · Mount Carmel, ILCrawford Memorial Hospital
Critical Access Hospitals · Robinson, ILClay County Hospital
Critical Access Hospitals · Flora, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62450 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Mary Waller's NPI number?
The NPI number for Mary Waller is 1225024615. It was assigned to this individual provider in the NPPES registry on September 21, 2005. The provider is also known as Ms. Mary Melanie Haluszka MD.
Where is Mary Waller located?
Mary Waller practices at 1200 N East St, Olney, IL 62450. The listed phone number is (618) 395-5222.
What is Mary Waller's specialty?
The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.
Is Mary Waller enrolled in Medicare?
Yes. Mary Waller 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 Mary Waller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Waller reassigns Medicare benefits to 2 organizations: Richland Memorial Hospital, Inc (Olney, IL) and Carle Health Medical Group (Urbana, IL). 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 Mary Waller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Mary Waller affiliated with any hospitals?
According to CMS data, Mary Waller is affiliated with St Anthonys Memorial Hospital, Wabash General Hospital 1, Crawford Memorial Hospital and Clay County Hospital.
When was this NPI record last updated?
The NPPES record for Mary Waller was last updated on October 5, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.