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CALEB MELANCON M.D.
NPI 1225415755
Internal Medicine in New Orleans, LA

Active since May 05, 2015PECOS EnrolledAccepts Medicare Assignment
78.38/100
CMS Quality Rating
1401 FOUCHER ST, NEW ORLEANS, LA 70115(504) 210-4472(504) 210-4473 Get Directions Write a Review

NPPES record last updated: February 23, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 20, 2021, Jul 6, 2020 (2 updates tracked since 2020).

About Caleb Melancon M.d. NPPES

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

CALEB MELANCON M.D. (NPI 1225415755) is an individual internal medicine provider in New Orleans, Louisiana, licensed in Texas (S6451) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with University Medical Center New Orleans, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1225415755
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameCALEB MELANCONCredential: M.D.
Location Address1401 FOUCHER STNew Orleans, LA 70115-3515
Mailing Address534 State StNew Orleans, LA 70118-5741 · (337) 466-0882
Phone(504) 210-4472
Fax(504) 210-4473
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 5, 2015
Last NPPES UpdateFebruary 23, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2024
✔ NPI 1225415755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · S6451
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License S6451 (TX)
1401 FOUCHER ST, New Orleans, LA 70115
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., CHRISTUS Health Plan, Community Health Choice and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Caleb Melancon 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 ID5496026908
PECOS Enrollment IDI20211020002902
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.

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 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.
310 services110 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.
98 services89 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.
90 services87 patients
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.
80 services43 patients

Hospital Affiliations CMS Care Compare 4

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

University Medical Center New Orleans

Acute Care Hospitals · New Orleans, LA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190005
Location2000 Canal StreetNew Orleans, LA 70112 · Orleans County
Emergency services

West Jefferson Medical Center

Acute Care Hospitals · Marrero, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190039
Location1101 Medical Center BlvdMarrero, LA 70072 · Jefferson County
Emergency services Birthing friendly

Touro Infirmary

Acute Care Hospitals · New Orleans, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190046
Location1401 Foucher StreetNew Orleans, LA 70115 · Orleans County
Emergency services Birthing friendly

East Jefferson General Hospital

Acute Care Hospitals · Metairie, LA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number190176
Location4200 Houma BlvdMetairie, LA 70006 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70115 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
$128.88 typical visit price
range $55.50 – $170.30
Typical copayment $32.22 (range $13.87 – $42.57)
Most-billed visit code 99204
Established Patient
$98.35 typical visit price
range $17.42 – $138.03
Typical copayment $24.58 (range $4.35 – $34.50)
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.

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.

78.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality65.74
Improvement Activities40
Cost66.34

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers32 claims33 services$15.85 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers38 claims38 services$73.95 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. SUSAN DIANE TAYLOR MD
Emergency Medicine
1401 FOUCHER ST
NEW ORLEANS, LA 70115
Orleans Parish (504) 897-2850
MAITLAND FRILOT DEGENOVA FNP
Nurse Practitioner (Critical Care Medicine)
1401 FOUCHER ST, ICU
NEW ORLEANS, LA 70115
Orleans Parish (504) 210-4301
TOURO REHAB CENTER
Rehabilitation Hospital
1401 FOUCHER ST
NEW ORLEANS, LA 70115
Orleans Parish (504) 897-8568
ALEA ROY
Dietitian, Registered
1401 FOUCHER ST
NEW ORLEANS, LA 70115
Orleans Parish (504) 897-8509
FOUCHER EMERGENCY PHYSICIANS
Emergency Medicine
1401 FOUCHER ST
NEW ORLEANS, LA 70115
Orleans Parish (504) 897-7011
JAMES L CROWE MD LLC
Internal Medicine (Infectious Disease)
1401 FOUCHER ST
NEW ORLEANS, LA 70115
Orleans Parish (504) 897-7011
DR. SCOTT THOMAS SHOWS MD
Anesthesiology
1401 FOUCHER ST
NEW ORLEANS, LA 70115
Orleans Parish (505) 779-5515
JEANETTE A OLSON CRNA
Nurse Anesthetist, Certified Registered
1401 FOUCHER ST
NEW ORLEANS, LA 70115
Orleans Parish (504) 779-5515

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 Caleb Melancon's NPI number?

The NPI number for Caleb Melancon is 1225415755. It was assigned to this individual provider in the NPPES registry on May 5, 2015.

Where is Caleb Melancon located?

Caleb Melancon practices at 1401 Foucher St, New Orleans, LA 70115. The listed phone number is (504) 210-4472.

What is Caleb Melancon's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Caleb Melancon enrolled in Medicare?

Yes. Caleb 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.

What insurance does Caleb Melancon accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc., CHRISTUS Health Plan, Community Health Choice, HMO Louisiana and Oscar Health Plan, Inc. list Caleb 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.

Is Caleb Melancon affiliated with any hospitals?

According to CMS data, Caleb Melancon is affiliated with University Medical Center New Orleans, West Jefferson Medical Center, Touro Infirmary and East Jefferson General Hospital.

When was this NPI record last updated?

The NPPES record for Caleb Melancon was last updated on February 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.