MELANIE C FIRMIN M.D
NPI 1265425482
Pain Medicine - Interventional Pain Medicine in Alexandria, LA

Q: What is Melanie Firmin's NPI number?

The NPI number for Melanie Firmin is 1265425482. It was assigned to this individual provider in the NPPES registry on August 23, 2005.

Q: What is Melanie Firmin's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Q: When was this NPI record last updated?

The NPPES record for Melanie Firmin was last updated on May 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 August 23, 2005PECOS EnrolledAccepts Medicare Assignment

84.38/100

CMS Quality Rating

212 PECAN PARK AVE, SUITE C, ALEXANDRIA, LA 71303(318) 473-9267(318) 445-0771 Get Directions Write a Review

NPPES record last updated: May 1, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Melanie C Firmin M.d NPPES

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

MELANIE C FIRMIN M.D (NPI 1265425482) is an individual interventional pain medicine provider in Alexandria, Louisiana, licensed in Louisiana (12659) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with Christus Central Louisiana Surgical Hospital, and is a graduate of Louisiana State University School Of Medicine In Shreveport (1982).

NPPES Registry Identity

NPI1265425482

Entity TypeIndividualFemale

Primary Taxonomy208VP0014X

Provider Legal NameMELANIE C FIRMINCredential: M.D

Location Address212 PECAN PARK AVE, SUITE CAlexandria, LA 71303-3363

Mailing AddressPo Box 911Alexandria, LA 71309-0911 · (318) 473-9267 · Fax (318) 445-0771

Phone(318) 473-9267

Fax(318) 445-0771

Sole ProprietorNo

Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 1982

Enumeration DateAugust 23, 2005

Last NPPES UpdateMay 1, 2014

✔ NPI 1265425482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code208VP0014X

License✔ Licensed in LA · 12659

Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

212 PECAN PARK AVE, Alexandria, LA 71303

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Other Identifiers 3

Medicare UPINB89332LA

Medicare ID-Type Unspecified5C412LA

Medicaid1364207LA

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

Melanie C Firmin 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 ID7618862046

PECOS Enrollment IDI20040216000962

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 Melanie Firmin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Melanie C. Firmin, MD Apmc

2.0 mi

Interventional Pain Medicine

1587 N BOLTON AVE STE 1200
Alexandria, LA 71303

Reassigned Medicare billing, Louisiana enrollment

NPI 1760598726 (318) 473-9267

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.

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.

373 services173 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.

223 services154 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

103 services81 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.

83 services83 patients

Injection of substance into lower spine canal using imaging guidance 62323

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

80 services61 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

74 services45 patients

Injection of lower or sacral spine facet joint using imaging guidance, second level 64494

This procedure involves injecting medication into the facet joints of your lower or sacral spine to manage pain. Imaging guidance ensures accurate placement. It's the second level, meaning it's done on two different joint levels.

72 services44 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

71 services69 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint 64636

This procedure involves using imaging technology to locate and treat nerves in your lower spine or sacral area that may be causing pain. Each additional facet joint refers to treating more than one spinal nerve. It's a non-invasive way to manage chronic back pain.

68 services66 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

62 services36 patients

Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance 27096

This procedure involves injecting medicine into the joint where your lower spine meets your hip bone. Using special imaging technology, the doctor ensures the medicine is delivered accurately. This can help reduce pain and inflammation in that area.

45 services38 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level 64484

This procedure involves injecting an anesthetic or steroid drug into the sacral spine nerve root. It's done under imaging guidance to ensure accuracy. The process can be repeated for each additional level of the spine to help manage pain or inflammation.

33 services27 patients

Injection of substance into middle or upper spine canal using imaging guidance 62321

This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.

23 services20 patients

Hospital Affiliations CMS Care Compare

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

Christus Central Louisiana Surgical Hospital

Acute Care Hospitals · Alexandria, LA

OwnershipProprietary

CMS Certification Number190298

Location651 North Bolton AveAlexandria, LA 71301 · Rapides County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71303 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

$124.60 typical visit price

range $53.43 – $164.73

Typical copayment $31.15 (range $13.35 – $41.18)

Most-billed visit code 99204

Established Patient

$95.09 typical visit price

range $16.64 – $133.62

Typical copayment $23.77 (range $4.16 – $33.40)

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.

84.38/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

77.6

Promoting Interoperability

Improvement Activities

Reported Quality Measures

Controlling High Blood Pressure

50%28 patients3/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

96%1,785 patients4/55-star benchmark: 100%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

19%1,109 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 81% · 506 patients

Patients screened: 81% · 506 patients

98%54 patients4/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

85%310 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

72%101 patients3/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 304 patients

Patients totalRate: 0% · 304 patients

0%304 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

MISS ADRIENNE NICOLE SMITH

Nurse Practitioner (Family)

212 PECAN PARK AVE
ALEXANDRIA, LA 71303

Rapides Parish (866) 284-8788

DEBRA ANN MCCONKEY APRN, FNP

Nurse Practitioner (Family)

212 PECAN PARK AVE
ALEXANDRIA, LA 71303

Rapides Parish (318) 449-8333

DR. MICHAEL W DOLE MD

Physical Medicine & Rehabilitation

212 PECAN PARK AVE
ALEXANDRIA, LA 71303

Rapides Parish (318) 449-8333

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 Melanie Firmin's NPI number?

The NPI number for Melanie Firmin is 1265425482. It was assigned to this individual provider in the NPPES registry on August 23, 2005.

Where is Melanie Firmin located?

Melanie Firmin practices at 212 Pecan Park Ave Suite C, Alexandria, LA 71303. The listed phone number is (318) 473-9267.

What is Melanie Firmin's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Melanie Firmin enrolled in Medicare?

Yes. Melanie Firmin 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 Melanie Firmin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melanie Firmin reassigns Medicare benefits to Melanie C. Firmin, MD Apmc (Alexandria, LA). 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 Melanie Firmin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Melanie Firmin affiliated with any hospitals?

According to CMS data, Melanie Firmin is affiliated with Christus Central Louisiana Surgical Hospital.

When was this NPI record last updated?

The NPPES record for Melanie Firmin was last updated on May 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.