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DR. DAVID MYATT MELNICZEK MD
NPI 1275575664
Surgery in Jackson, CA

Active since June 12, 2006PECOS EnrolledAccepts Medicare Assignment
777 S STATE HIGHWAY 49 STE 1&2, JACKSON, CA 95642(209) 256-8200(209) 256-8204 Get Directions Write a Review

NPPES record last updated: January 28, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 28, 2020, Jun 21, 2019, Apr 9, 2018 and 1 more (4 updates tracked since 2017).

About Dr. David Myatt Melniczek Md NPPES

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

DR. DAVID MYATT MELNICZEK MD (NPI 1275575664) is an individual surgery provider in Jackson, California, licensed in California (A92447) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1998).

NPPES Registry Identity

NPI1275575664
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. DAVID MYATT MELNICZEKCredential: MD
Location Address777 S STATE HIGHWAY 49 STE 1&2Jackson, CA 95642-2685
Mailing Address777 S State Highway 49 Ste 1&2Jackson, CA 95642-2685 · (209) 256-8200 · Fax (209) 256-8204
Phone(209) 256-8200
Fax(209) 256-8204
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1998
Enumeration DateJune 12, 2006
Last NPPES UpdateJanuary 28, 20204 updates tracked since enumeration
✔ NPI 1275575664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in CA · A92447
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
777 S STATE HIGHWAY 49 STE 1&2, Jackson, CA 95642
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Other Identifiers 1

OtherA92447CA · License

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. David Myatt Melniczek Md 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 ID8224061197
PECOS Enrollment IDI20050913000223
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 7

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
67 services67 patients
Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery 45384
This procedure involves using a flexible tube with a camera, called an endoscope, to view the large intestine. If any abnormal growths or polyps are found, they are removed with an electrically-heated instrument. This is a common way to prevent bowel issues.
30 services29 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
21 services21 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
18 services18 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
15 services15 patients
Repair of groin hernia using an endoscope 49650
This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95642 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
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

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

DAVID M MELNICZEK MD INC
Surgery
777 S STATE HIGHWAY 49 STE 1&2
JACKSON, CA 95642
Amador County (209) 256-8200

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 David Melniczek's NPI number?

The NPI number for David Melniczek is 1275575664. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is David Melniczek located?

David Melniczek practices at 777 S State Highway 49 Ste 1&2, Jackson, CA 95642. The listed phone number is (209) 256-8200.

What is David Melniczek's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is David Melniczek enrolled in Medicare?

Yes. David Melniczek 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.

When was this NPI record last updated?

The NPPES record for David Melniczek was last updated on January 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.