MELANIE HALVORSON M.D.
NPI 1265438527
Internal Medicine - Nephrology in Montgomery, AL

Active since June 22, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
4760 WOODMERE BLVD, MONTGOMERY, AL 36106(334) 288-0814(334) 288-3417 Get Directions Write a Review

NPPES record last updated: February 19, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Melanie Halvorson M.d. NPPES

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

MELANIE HALVORSON M.D. (NPI 1265438527) is an individual nephrology provider in Montgomery, Alabama, licensed in Alabama (00019879) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (1988).

NPPES Registry Identity

NPI1265438527
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameMELANIE HALVORSONCredential: M.D.
Location Address4760 WOODMERE BLVDMontgomery, AL 36106-3065
Mailing Address4760 Woodmere BlvdMontgomery, AL 36106-3065 · (334) 288-0814 · Fax (334) 288-3417
Fax(334) 288-3417
Sole ProprietorYes
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1988
Enumeration DateJune 22, 2005
Last NPPES UpdateFebruary 19, 2010
NPI 1265438527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in AL · 00019879
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

4760 WOODMERE BLVD, Montgomery, AL 36106

Other Identifiers 13

Medicare ID-Type Unspecified000040637HAL
Medicare ID-Type Unspecified000033781HAL
Other3110016United Health
Medicaid000033782AL
Other51040637HALBcbs Of Alabama
Other51033781HALBcbs Of Alabama
Medicaid000040637AL
Medicaid000033781AL
Other51033782HALBcbs Of Alabama
Medicare UPINF49427
Medicare ID-Type Unspecified000033782HAL
OtherF49427Health Springs
Other390004990Railroad Medicare

Accepted 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

Melanie Halvorson 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 ID8224116827
PECOS Enrollment IDI20090716000311
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 9

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.

Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
236 services129 patients
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.
192 services127 patients
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.
151 services72 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.
70 services48 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
65 services39 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
52 services44 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36106 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 9

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

Internal Medicine (Nephrology)
4760 WOODMERE BLVD
MONTGOMERY, AL 36106
Internal Medicine (Nephrology)
4760 WOODMERE BLVD
MONTGOMERY, AL 36106
Internal Medicine (Nephrology)
4760 WOODMERE BLVD
MONTGOMERY, AL 36106
Nurse Practitioner (Family)
4760 WOODMERE BLVD
MONTGOMERY, AL 36106
Nurse Practitioner
4760 WOODMERE BLVD
MONTGOMERY, AL 36106
Internal Medicine (Nephrology)
4760 WOODMERE BLVD
MONTGOMERY, AL 36106
Physician Assistant
4760 WOODMERE BLVD
MONTGOMERY, AL 36106
Internal Medicine (Nephrology)
4760 WOODMERE BLVD
MONTGOMERY, AL 36106

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 Halvorson's NPI number?

The NPI number for Melanie Halvorson is 1265438527. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Where is Melanie Halvorson located?

Melanie Halvorson practices at 4760 Woodmere Blvd, Montgomery, AL 36106. The listed phone number is (334) 288-0814.

What is Melanie Halvorson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Melanie Halvorson enrolled in Medicare?

Yes. Melanie Halvorson 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 Melanie Halvorson accept?

Health plans from Blue Cross and Blue Shield of Alabama, Oscar Insurance Company and UnitedHealthcare list Melanie Halvorson 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 Melanie Halvorson was last updated on February 19, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.