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DR. MELINDA THACKER M.D.
NPI 1255579561
Otolaryngology in Worcester, MA

Active since January 23, 2009PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
48 ELM ST, WORCESTER, MA 01609(508) 757-0330 Get Directions Write a Review

NPPES record last updated: December 19, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 19, 2017, Mar 25, 2016 (2 updates tracked since 2016).

About Dr. Melinda Thacker M.d. NPPES

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

DR. MELINDA THACKER M.D. (NPI 1255579561) is an individual otolaryngology provider in Worcester, Massachusetts, licensed in Massachusetts (250085) and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS, is affiliated with Berkshire Medical Center, and is a graduate of Medical College Of Wisconsin (2007).

NPPES Registry Identity

NPI1255579561
Entity TypeIndividualFemale
Primary Taxonomy207Y00000X
Provider Legal NameDR. MELINDA THACKERCredential: M.D.
Location Address48 ELM STWorcester, MA 01609-2541
Mailing Address100 Mlk Jr Blvd Ste 4Worcester, MA 01608-1209 · (508) 757-0330 · Fax (508) 752-9850
Phone(508) 757-0330
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2007
Enumeration DateJanuary 23, 2009
Last NPPES UpdateDecember 19, 20172 updates tracked since enumeration
✔ NPI 1255579561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in MA · 250085
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
48 ELM ST, Worcester, MA 01609
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Dr. Melinda Thacker 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 ID2062668825
PECOS Enrollment IDI20120809000609
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 11

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.

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.
550 services382 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
324 services187 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
56 services52 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
46 services45 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.
46 services46 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
39 services39 patients

Hospital Affiliations CMS Care Compare 2

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

Berkshire Medical Center

Acute Care Hospitals · Pittsfield, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220046
Location725 North StreetPittsfield, MA 01201 · Berkshire County
Emergency services Birthing friendly

Fairview Hospital

Critical Access Hospitals · Great Barrington, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number221302
Location29 Lewis AvenueGreat Barrington, MA 01230 · Berkshire County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01609 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
Promoting Interoperability100
Improvement Activities40

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.

GIANNA LEIGH FERNANDEZ
Behavior Technician
48 ELM ST
WORCESTER, MA 01609
Worcester County (508) 328-9819
JOSALYNN CEDILLO
Behavior Technician
48 ELM ST
WORCESTER, MA 01609
Worcester County (774) 352-5620
COMMONWEALTH PERIODONTICS
Dentist (Periodontics)
48 ELM ST
WORCESTER, MA 01609
Worcester County (150) 875-4122
DONOVAN M SMITH
Behavior Technician
48 ELM ST
WORCESTER, MA 01609
Worcester County (508) 225-6634
DESIREE VENNERT
Behavior Technician
48 ELM ST
WORCESTER, MA 01609
Worcester County (508) 938-6687
FELICIA ANNE EWING BCBA
Behavior Analyst
48 ELM ST
WORCESTER, MA 01609
Worcester County (800) 337-5965
JENEISSY RAMOS
Behavior Technician
48 ELM ST
WORCESTER, MA 01609
Worcester County (508) 239-2070
DR. MERRISA ELEANOR MURTHA AUD.
Audiologist
48 ELM ST
WORCESTER, MA 01609
Worcester County (508) 757-0330

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 Melinda Thacker's NPI number?

The NPI number for Melinda Thacker is 1255579561. It was assigned to this individual provider in the NPPES registry on January 23, 2009.

Where is Melinda Thacker located?

Melinda Thacker practices at 48 Elm St, Worcester, MA 01609. The listed phone number is (508) 757-0330.

What is Melinda Thacker's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Melinda Thacker enrolled in Medicare?

Yes. Melinda Thacker 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 Melinda Thacker accept?

Health plans from Anthem Blue Cross and Blue Shield list Melinda Thacker 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 Melinda Thacker affiliated with any hospitals?

According to CMS data, Melinda Thacker is affiliated with Berkshire Medical Center and Fairview Hospital.

When was this NPI record last updated?

The NPPES record for Melinda Thacker was last updated on December 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.