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MELISSA A. AMBERGER D.O.
NPI 1366882797
Surgery in Beloit, WI

Active since June 30, 2013PECOS EnrolledAccepts Medicare Assignment
73.05/100
CMS Quality Rating
BELOIT HEALTH SYSTEM INC., 1905 E. HUEBBE PARKWAY, BELOIT, WI 53511(608) 364-2200(608) 363-7376 Get Directions Write a Review

NPPES record last updated: May 4, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Melissa A. Amberger D.o. NPPES

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

MELISSA A. AMBERGER D.O. (NPI 1366882797) is an individual surgery provider in Beloit, Wisconsin, licensed in Wisconsin (69054-21) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, is affiliated with Beloit Health System, and is a graduate of Western University Of Health Sciences College Of Dental Med (2013).

NPPES Registry Identity

NPI1366882797
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameMELISSA A. AMBERGERCredential: D.O.
Location AddressBELOIT HEALTH SYSTEM INC., 1905 E. HUEBBE PARKWAYBeloit, WI 53511-1842
Mailing AddressBeloit Health System Inc, 1905 E. Huebbe ParkwayBeloit, WI 53511-1842 · (608) 364-2200 · Fax (608) 364-5452
Phone(608) 364-2200
Fax(608) 363-7376
Sole ProprietorNo
Medical School CMSWestern University Of Health Sciences College Of Dental MedGraduated 2013
Enumeration DateJune 30, 2013
Last NPPES UpdateMay 4, 2018
✔ NPI 1366882797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in WI · 69054-21
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
BELOIT HEALTH SYSTEM INC., Beloit, WI 53511
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Other Names 1

Former Name (1)Melissa A. Johns D.o.

Other Identifiers 1

Medicaid100076075WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW, Quartz.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

Melissa A. Amberger D.o. 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 ID6901152024
PECOS Enrollment IDI20180703003086, I20180706001840
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 6

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 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.
72 services49 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
45 services45 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 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.
19 services19 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 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.
19 services17 patients
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.
17 services17 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.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Beloit Health System

Acute Care Hospitals · Beloit, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520100
Location1969 W Hart RdBeloit, WI 53511 · Rock County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53511 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

73.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.79
Promoting Interoperability100
Improvement Activities40
Cost51.38

Other Providers at the Same Location NPPES 3

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

DEEPAK KAPOOR M.D.
Hospitalist
BELOIT HEALTH SYSTEM INC., 1905 E. HUEBBE PARKWAY
BELOIT, WI 53511
Rock County (608) 364-2200
KARI B ANDRE N.P.
Nurse Practitioner
BELOIT HEALTH SYSTEM INC., BELOIT CLINIC 1905 E. HUEBBE PARKWAY
BELOIT, WI 53511
Rock County (608) 364-2220
DR. HANIM KEDIR APPLE MD
Hospitalist
BELOIT HEALTH SYSTEM INC., 1969 W HART ROAD
BELOIT, WI 53511
Rock County (608) 363-5971

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 Melissa Amberger's NPI number?

The NPI number for Melissa Amberger is 1366882797. It was assigned to this individual provider in the NPPES registry on June 30, 2013. The provider is also known as Melissa A. Johns D.O..

Where is Melissa Amberger located?

Melissa Amberger practices at Beloit Health System Inc. 1905 E. Huebbe Parkway, Beloit, WI 53511. The listed phone number is (608) 364-2200.

What is Melissa Amberger's specialty?

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

Is Melissa Amberger enrolled in Medicare?

Yes. Melissa Amberger 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 Melissa Amberger accept?

Health plans from Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW and Quartz list Melissa Amberger 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 Melissa Amberger affiliated with any hospitals?

According to CMS data, Melissa Amberger is affiliated with Beloit Health System.

When was this NPI record last updated?

The NPPES record for Melissa Amberger was last updated on May 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.