PAUL MELNICK MD
NPI 1295792661
Psychiatry & Neurology - Neurology in Elkton, MD

Active since April 28, 2006PECOS EnrolledAccepts Medicare Assignment
93.14/100
CMS Quality Rating
111 W HIGH ST, SUITE 107, ELKTON, MD 21921(410) 392-7044(410) 620-0055 Get Directions Write a Review

NPPES record last updated: March 8, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Paul Melnick Md NPPES

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

PAUL MELNICK MD (NPI 1295792661) is an individual neurology provider in Elkton, Maryland, licensed in Maryland (D0039680) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Union Hospital Of Cecil County, and is a graduate of Hahneman Medical College Of The Pacific (1984).

NPPES Registry Identity

NPI1295792661
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NamePAUL MELNICKCredential: MD
Location Address111 W HIGH ST, SUITE 107Elkton, MD 21921-5529
Mailing AddressPo Box 190Elkton, MD 21922-0190
Fax(410) 620-0055
Sole ProprietorNo
Medical School CMSHahneman Medical College Of The PacificGraduated 1984
Enumeration DateApril 28, 2006
Last NPPES UpdateMarch 8, 2022
NPPES CertifiedMarch 8, 2022
NPI 1295792661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses Licensed in MD · D0039680 Licensed in DE · C1-0003448
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

111 W HIGH ST, Elkton, MD 21921

Other Identifiers 4

OtherP00060843MD · Medicare Railroad
Medicaid406618900MD
OtherP00134099DE · Medicare Railroad
Medicaid1000021421DE

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

Paul Melnick 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 ID2264446269
PECOS Enrollment IDI20100514000848, I20111108000296
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 13

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 inpatient care per day, typically 50 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.
610 services585 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
187 services156 patients
Initial hospital inpatient care per day, typically 70 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
146 services145 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
131 services114 patients
New patient office or other outpatient visit, 45-59 minutes 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
130 services130 patients
Follow-up hospital inpatient care per day, typically 25 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
108 services81 patients

Hospital Affiliations CMS Care Compare

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

Union Hospital Of Cecil County

Acute Care Hospitals · Elkton, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210032
Location106 Bow StreetElkton, MD 21921 · Cecil County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21921 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
$133.05 typical visit price
range $57.99 – $175.57
Typical copayment $33.26 (range $14.49 – $43.89)
Most-billed visit code 99204
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

93.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality62.65
Promoting Interoperability100
Improvement Activities40
Cost100

Reported Quality Measures

Controlling High Blood Pressure
49%242 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%613 patients4/55-star benchmark: 100%
e-Prescribing
100%119 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
95%276 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
30%521 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
9%371 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 100% · 84 patients
90%84 patients
Provide Patients Electronic Access to Their Health Information
100%119 patients5/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 290 patients
Patients totalRate: 3% · 290 patients
2%290 patients4/55-star benchmark: 100%
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.

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.

Internal Medicine (Allergy & Immunology)
111 W HIGH ST, SUITE 311
ELKTON, MD 21921
Surgery
111 W HIGH ST, SUITE 203
ELKTON, MD 21921
Orthopaedic Surgery
111 W HIGH ST, SUITE 307
ELKTON, MD 21921
Orthopaedic Surgery
111 W HIGH ST, SUITE 307
ELKTON, MD 21921
Physician Assistant (Medical)
111 W HIGH ST, SUITE 214
ELKTON, MD 21921
Family Medicine
111 W HIGH ST, SUITE 214
ELKTON, MD 21921
Clinic/Center (Physical Therapy)
111 W HIGH ST, SUITE 112
ELKTON, MD 21921
Speech-Language Pathologist
111 W HIGH ST
ELKTON, MD 21921

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 Paul Melnick's NPI number?

The NPI number for Paul Melnick is 1295792661. It was assigned to this individual provider in the NPPES registry on April 28, 2006.

Where is Paul Melnick located?

Paul Melnick practices at 111 W High St Suite 107, Elkton, MD 21921. The listed phone number is (410) 392-7044.

What is Paul Melnick's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Paul Melnick enrolled in Medicare?

Yes. Paul Melnick 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 Paul Melnick accept?

Health plans from Highmark Blue Cross Blue Shield Delaware list Paul Melnick 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 Paul Melnick affiliated with any hospitals?

According to CMS data, Paul Melnick is affiliated with Union Hospital Of Cecil County.

When was this NPI record last updated?

The NPPES record for Paul Melnick was last updated on March 8, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.