SIR NORMAN T MELANCON MD
NPI 1285139600
Psychiatry & Neurology - Psychiatry in San Jose, CA

Q: What is Sir Norman Melancon's NPI number?

The NPI number for Sir Norman Melancon is 1285139600. It was assigned to this individual provider in the NPPES registry on March 27, 2018.

Q: What is Sir Norman Melancon's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since March 27, 2018PECOS Enrolled

80.58/100

CMS Quality Rating

232 E GISH RD, SAN JOSE, CA 95112(408) 364-7052 Get Directions Write a Review

NPPES record last updated: February 13, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 13, 2025, Jan 5, 2022, Nov 6, 2020 and 1 more (4 updates tracked since 2018).

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About Sir Norman T Melancon Md NPPES

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

SIR NORMAN T MELANCON MD (NPI 1285139600) is an individual psychiatry provider in San Jose, California, licensed in California (A165268) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285139600

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameSIR NORMAN T MELANCONCredential: MD

Location Address232 E GISH RDSan Jose, CA 95112-4706

Mailing Address2155 S Bascom Ave Ste 230Campbell, CA 95008-3272 · (650) 204-0463 · Fax (360) 323-2139

Phone(408) 364-7052

Sole ProprietorNo

Enumeration DateMarch 27, 2018

Last NPPES UpdateFebruary 13, 20254 updates tracked since enumeration

NPPES CertifiedFebruary 2, 2025

✔ NPI 1285139600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in CA · A165268

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

232 E GISH RD, San Jose, CA 95112

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sir Norman T Melancon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95112 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

$206.04 typical visit price

range $70.37 – $206.04

Typical copayment $51.51 (range $17.59 – $51.51)

Most-billed visit code 99205

Established Patient

$86.56 typical visit price

range $23.96 – $169.60

Typical copayment $21.64 (range $5.99 – $42.40)

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.

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.

80.58/100

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

Scored as part of a group practice

Quality

67.43

Promoting Interoperability

100

Improvement Activities

Cost

46.5

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.

MR. CARLOS VILLARREAL III

Case Management