MELISSA ANN CAIN DO
NPI 1255991329
Family Medicine in Mckinney, TX

Active since June 19, 2019PECOS EnrolledAccepts Medicare Assignment
78.15/100
CMS Quality Rating
809 N CENTRAL EXPY, MCKINNEY, TX 75070(972) 529-4500(214) 592-0794 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 7, 2024, Nov 8, 2022, Nov 11, 2019 and 1 more (4 updates tracked since 2019).

About Melissa Ann Cain Do NPPES

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

MELISSA ANN CAIN DO (NPI 1255991329) is an individual family medicine provider in Mckinney, Texas, licensed in Texas (T9067) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2019).

NPPES Registry Identity

NPI1255991329
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMELISSA ANN CAINCredential: DO
Location Address809 N CENTRAL EXPYMckinney, TX 75070-3303
Mailing Address2850 Lake Vista Dr, Suite 150Lewisville, TX 75067
Fax(214) 592-0794
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2019
Enumeration DateJune 19, 2019
Last NPPES UpdateOctober 7, 20244 updates tracked since enumeration
NPPES CertifiedOctober 3, 2024
✔ NPI 1255991329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · T9067
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
809 N CENTRAL EXPY, Mckinney, TX 75070

Accepted 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

Melissa Ann Cain Do 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 ID345625778
PECOS Enrollment IDI20220920003727
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 Reassignment

Medicare enrollment records show Melissa Cain reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Urgent Care
2310 W UNIVERSITY DR
Denton, TX 76201
  • Reassigned Medicare billing, Texas enrollment
  • 228 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75070 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

78.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.66
Promoting Interoperability100
Improvement Activities40
Cost44.52

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.

Nurse Practitioner (Family)
809 N CENTRAL EXPY
MCKINNEY, TX 75070
Physician Assistant
809 N CENTRAL EXPY
MCKINNEY, TX 75070
Family Medicine
809 N CENTRAL EXPY
MCKINNEY, TX 75070
Family Medicine
809 N CENTRAL EXPY
MCKINNEY, TX 75070

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 Melissa Cain's NPI number?

The NPI number for Melissa Cain is 1255991329. It was assigned to this individual provider in the NPPES registry on June 19, 2019.

Where is Melissa Cain located?

Melissa Cain practices at 809 N Central Expy, Mckinney, TX 75070. The listed phone number is (972) 529-4500.

What is Melissa Cain's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Melissa Cain enrolled in Medicare?

Yes. Melissa Cain 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 organization bills Medicare for Melissa Cain's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Cain reassigns Medicare benefits to Primary Health Physicians, PLLC (Denton, TX). The 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 Melissa Cain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melissa Cain accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 2 other insurers list Melissa Cain 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.

When was this NPI record last updated?

The NPPES record for Melissa Cain was last updated on October 7, 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.