1. Home
  2. Directory
  3. Tennessee
  4. Johnson City
  5. Physician Assistant
  6. NPI Profile

WILLIAM STACY MELVIN P.A.
NPI 1275517054
Physician Assistant - Surgical in Johnson City, TN

Active since December 05, 2005PECOS EnrolledAccepts Medicare Assignment
3 PROFESSIONAL PARK DR, SUITE 21, JOHNSON CITY, TN 37604(423) 434-6300(423) 434-6312 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 13, 2026, Oct 10, 2025 (2 updates tracked since 2025).

About William Stacy Melvin P.a. NPPES

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

WILLIAM STACY MELVIN P.A. (NPI 1275517054) is an individual surgical provider in Johnson City, Tennessee, licensed in Tennessee (1608) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Sycamore Shoals Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1275517054
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameWILLIAM STACY MELVINCredential: P.A.
Location Address3 PROFESSIONAL PARK DR, SUITE 21Johnson City, TN 37604-6529
Mailing Address3 Professional Park Dr, Suite 21Johnson City, TN 37604-6529 · (423) 434-6300 · Fax (423) 434-6312
Phone(423) 434-6300
Fax(423) 434-6312
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateDecember 5, 2005
Last NPPES UpdateMay 13, 20262 updates tracked since enumeration
NPPES CertifiedMay 13, 2026
✔ NPI 1275517054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in TN · 1608
Also ListedPhysician AssistantTaxonomy 363A00000X · License 1608 (TN)
3 PROFESSIONAL PARK DR, Johnson City, TN 37604
Open in Google Maps ↗

Other Identifiers 1

Medicaid1507350TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, UnitedHealthcare.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

William Stacy Melvin P.a. 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 ID9032283098
PECOS Enrollment IDI20080808000491
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 14

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.

Injection, ropivacaine hydrochloride, 1 mg J2795
Ropivacaine hydrochloride is a local anesthetic used to numb specific areas of your body during minor surgical procedures or to relieve pain. The medicine is injected into the area requiring anesthesia.
242 services134 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.
240 services154 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
209 services85 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.
126 services92 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
120 services74 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
70 services41 patients

Hospital Affiliations CMS Care Compare 3

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

Sycamore Shoals Hospital

Acute Care Hospitals · Elizabethton, TN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440018
Location1501 West Elk AvenueElizabethton, TN 37643 · Carter County
Emergency services

Johnson City Medical Center

Acute Care Hospitals · Johnson City, TN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440063
Location400 N State Of Franklin RdJohnson City, TN 37604 · Washington County
Emergency services Birthing friendly

Johnson County Community Hospital

Critical Access Hospitals · Mountain City, TN
OwnershipVoluntary non-profit - Private
CMS Certification Number441304
Location1901 S Shady StMountain City, TN 37683 · Johnson County
Emergency services

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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
99%456 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
98%2,124 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
95%295 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
61%144 patients3/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%507 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
27%1,455 patients2/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
24%1,057 patients2/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
0%707 patients1/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 582 patients
Patients tobacco: 4% · 56 patients
81%358 patients4/55-star benchmark: 98%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
76%359 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
78%1,455 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
87%1,455 patients4/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
30%1,455 patients
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
1 supplier22 claims22 services$104.47 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JOHN LAWSON SURGICAL GROUP
Nurse Practitioner (Family)
3 PROFESSIONAL PARK DR, SUITE 31
JOHNSON CITY, TN 37604
Washington County (423) 975-5650
JAMES B HAIRE PA-C
Physician Assistant (Surgical)
3 PROFESSIONAL PARK DR, SUITE 21
JOHNSON CITY, TN 37604
Washington County (423) 434-6300
DR. THOMAS L HUDDLESTON M.D.
Orthopaedic Surgery
3 PROFESSIONAL PARK DR, SUITE 21
JOHNSON CITY, TN 37604
Washington County (423) 434-6300
DR. JOHN L HOLBROOK M.D.
Orthopaedic Surgery
3 PROFESSIONAL PARK DR, SUITE 21
JOHNSON CITY, TN 37604
Washington County (423) 434-6300
LEWIS GORDON PORTER IV PA-C
Physician Assistant
3 PROFESSIONAL PARK DR, SUITE 21
JOHNSON CITY, TN 37604
Washington County (423) 434-6300
DR. JAMES A GOSS M.D.
Orthopaedic Surgery
3 PROFESSIONAL PARK DR, SUITE 21
JOHNSON CITY, TN 37604
Washington County (423) 434-6300
APPALACHIAN ORTHOPAEDIC ASSOCIATES P C
Orthopaedic Surgery
3 PROFESSIONAL PARK DR, STE 21
JOHNSON CITY, TN 37604
Washington County (423) 979-3333
LOUIS F MCDANIEL PA-C
Physician Assistant
3 PROFESSIONAL PARK DR, SUITE 21
JOHNSON CITY, TN 37604
Washington County (423) 434-6300

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 William Melvin's NPI number?

The NPI number for William Melvin is 1275517054. It was assigned to this individual provider in the NPPES registry on December 5, 2005.

Where is William Melvin located?

William Melvin practices at 3 Professional Park Dr Suite 21, Johnson City, TN 37604. The listed phone number is (423) 434-6300.

What is William Melvin's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is William Melvin enrolled in Medicare?

Yes. William Melvin 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 William Melvin accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list William Melvin 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 William Melvin affiliated with any hospitals?

According to CMS data, William Melvin is affiliated with Sycamore Shoals Hospital, Johnson City Medical Center and Johnson County Community Hospital.

When was this NPI record last updated?

The NPPES record for William Melvin was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.