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TONI MARIE MELVILLE MD
NPI 1346508017
Family Medicine in Charlotte, NC

Active since May 01, 2012PECOS Enrolled
95.35/100
CMS Quality Rating
1900 SCOTT AVE, STE 200, CHARLOTTE, NC 28203(704) 381-0260 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 61 more (64 updates tracked since 2016).

About Toni Marie Melville Md NPPES

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

TONI MARIE MELVILLE MD (NPI 1346508017) is an individual family medicine provider in Charlotte, North Carolina, licensed in North Carolina (2015-01428) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1346508017
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameTONI MARIE MELVILLECredential: MD
Location Address1900 SCOTT AVE, STE 200Charlotte, NC 28203-6046
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 381-0260
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 2012
Enumeration DateMay 1, 2012
Last NPPES UpdateJuly 15, 202464 updates tracked since enumeration
✔ NPI 1346508017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 2015-01428
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1900 SCOTT AVE, Charlotte, NC 28203
Open in Google Maps ↗

Secondary Practice Locations 4

Location 18560 Cook StMount Pleasant, NC 28124-7686 · Phone (704) 436-6521
Location 2270 Copperfield Blvd NE, Ste 102Concord, NC 28025-2441 · Phone (704) 786-6521
Location 34315 Physicians Blvd, STE 101Harrisburg, NC 28075-7430 · Phone (704) 455-6521
Location 44949 Professional Park Dr, Ste 101Kannapolis, NC 28081-8637 · Phone (704) 938-6521

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Toni Marie Melville Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486897428
PECOS Enrollment IDI20150901003411
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 9

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.

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.
111 services56 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
34 services34 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.
26 services20 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
18 services18 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
13 services13 patients
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402
An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28203 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
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.

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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers17 claims40 services$5.94 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers33 claims35 services$61.76 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$25.67 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers11 claims11 services$192.60 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 11

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

JENNIFER SUSAN DAVIS PRABHU MD
Pediatrics
1900 SCOTT AVE, STE 200
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-0280
REBECCA LASSETER LING MD
Pediatrics
1900 SCOTT AVE, STE 200
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-0280
MARY ST. JOHN MMS, PA-C
Physician Assistant (Medical)
1900 SCOTT AVE
CHARLOTTE, NC 28203
Mecklenburg County (704) 334-7311
THOR ERIK BORRESEN MD
Psychiatry & Neurology (Neurology)
1900 SCOTT AVE
CHARLOTTE, NC 28203
Mecklenburg County (704) 334-7311
MRS. JENNIFER L SIMPSON NP
Nurse Practitioner
1900 SCOTT AVE
CHARLOTTE, NC 28203
Mecklenburg County (704) 334-7311
CHARLES JERRY WILLIAMS III MD
Pediatrics
1900 SCOTT AVE, STE 200
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-0280
KELLY YIA XIONG NP
Nurse Practitioner
1900 SCOTT AVE
CHARLOTTE, NC 28203
Mecklenburg County (704) 334-7311
SIERRA JADE WEAVIL MSW, LCSWA
Social Worker (Clinical)
1900 SCOTT AVE
CHARLOTTE, NC 28203
Mecklenburg County (704) 503-8248

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 Toni Melville's NPI number?

The NPI number for Toni Melville is 1346508017. It was assigned to this individual provider in the NPPES registry on May 1, 2012.

Where is Toni Melville located?

Toni Melville practices at 1900 Scott Ave Ste 200, Charlotte, NC 28203. The listed phone number is (704) 381-0260.

What is Toni Melville's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Toni Melville enrolled in Medicare?

Yes. Toni Melville is registered in the Medicare PECOS enrollment system.

What insurance does Toni Melville accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 3 other insurers list Toni Melville 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 Toni Melville affiliated with any hospitals?

According to CMS data, Toni Melville is affiliated with Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Toni Melville was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.