DR. CATHLEEN MARIE MELTON M.D.
NPI 1265470975
Internal Medicine in Durham, NC

Active since June 03, 2006PECOS EnrolledAccepts Medicare Assignment
1301 FAYETTEVILLE ST, DURHAM, NC 27707(919) 956-4000(919) 956-4535 Get Directions Write a Review

NPPES record last updated: February 23, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 23, 2023, Aug 30, 2022 (2 updates tracked since 2022).

About Dr. Cathleen Marie Melton M.d. NPPES

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

DR. CATHLEEN MARIE MELTON M.D. (NPI 1265470975) is an individual internal medicine provider in Durham, North Carolina, licensed in North Carolina (9400929) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Northwestern University Feinberg Medical School (1990).

NPPES Registry Identity

NPI1265470975
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. CATHLEEN MARIE MELTONCredential: M.D.
Location Address1301 FAYETTEVILLE STDurham, NC 27707-2325
Mailing AddressPo Box 52119Durham, NC 27717-2119 · (919) 956-4000 · Fax (919) 956-4535
Fax(919) 956-4535
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1990
Enumeration DateJune 3, 2006
Last NPPES UpdateFebruary 23, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2023
NPI 1265470975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NC · 9400929
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.
1301 FAYETTEVILLE ST, Durham, NC 27707

Other Identifiers 2

Other58545NC · Bc/bs Ind Prov No
Medicaid8958545NC

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

Dr. Cathleen Marie Melton 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 ID2365459641
PECOS Enrollment IDI20060310000462
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 6

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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
41 services30 patients
Blood glucose (sugar) measurement using reagent strip 82948
Blood glucose measurement using a reagent strip is a simple process. A tiny blood sample, usually taken from your finger, is placed on a test strip. The strip is inserted into a device that reads the blood sugar level. It's a quick, easy way to monitor blood sugar levels.
37 services25 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
26 services23 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
24 services22 patients
Urine microalbumin (protein) level 82043
The urine microalbumin level test measures the amount of a protein called albumin in your urine. This test helps to detect early signs of kidney damage. High levels of albumin may suggest your kidneys aren't functioning properly. It's a simple, non-invasive test that involves providing a urine sample.
14 services13 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
13 services11 patients

Hospital Affiliations CMS Care Compare

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27707 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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.

Dentist (General Practice)
1301 FAYETTEVILLE ST
DURHAM, NC 27707
Physician Assistant
1301 FAYETTEVILLE ST
DURHAM, NC 27707
Nurse Practitioner (Pediatrics)
1301 FAYETTEVILLE ST
DURHAM, NC 27707
Family Medicine
1301 FAYETTEVILLE ST
DURHAM, NC 27707
Internal Medicine
1301 FAYETTEVILLE ST
DURHAM, NC 27707
Nurse Practitioner (Pediatrics)
1301 FAYETTEVILLE ST
DURHAM, NC 27707
Physician Assistant
1301 FAYETTEVILLE ST
DURHAM, NC 27707
Pediatrics
1301 FAYETTEVILLE ST
DURHAM, NC 27707

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 Cathleen Melton's NPI number?

The NPI number for Cathleen Melton is 1265470975. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Where is Cathleen Melton located?

Cathleen Melton practices at 1301 Fayetteville St, Durham, NC 27707. The listed phone number is (919) 956-4000.

What is Cathleen Melton's specialty?

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

Is Cathleen Melton enrolled in Medicare?

Yes. Cathleen Melton 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 Cathleen Melton accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC and 1 other insurer list Cathleen Melton 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 Cathleen Melton affiliated with any hospitals?

According to CMS data, Cathleen Melton is affiliated with Duke University Hospital.

When was this NPI record last updated?

The NPPES record for Cathleen Melton was last updated on February 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.