MELISSA A PIFER MD
NPI 1396150009
Family Medicine in Wauseon, OH

Active since June 23, 2014PECOS EnrolledAccepts Medicare Assignment
93.83/100
CMS Quality Rating
128 DEPOT ST, WAUSEON, OH 43567(419) 335-0351(419) 335-0397 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 21, 2022, Jul 10, 2017 (2 updates tracked since 2017).

About Melissa A Pifer Md NPPES

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

MELISSA A PIFER MD (NPI 1396150009) is an individual family medicine provider in Wauseon, Ohio, licensed in Ohio (35130855) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Mercy St Vincent Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1396150009
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMELISSA A PIFERCredential: MD
Location Address128 DEPOT STWauseon, OH 43567-1305
Mailing Address128 Depot StWauseon, OH 43567-1305 · (419) 335-0351 · Fax (419) 335-0397
Fax(419) 335-0397
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 23, 2014
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1396150009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OH · 35130855
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.
128 DEPOT ST, Wauseon, OH 43567

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

Melissa A Pifer 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 ID9133345515
PECOS Enrollment IDI20170807001928
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 17

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
351 services72 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
148 services94 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.
147 services86 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
123 services108 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
101 services92 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
46 services30 patients

Hospital Affiliations CMS Care Compare 4

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

Mercy St Vincent Medical Center

Acute Care Hospitals · Toledo, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360112
Location2213 Cherry StreetToledo, OH 43608 · Lucas County
Emergency services Birthing friendly

Mercy Health - Defiance Hospital

Acute Care Hospitals · Defiance, OH
4/5 CMS rating
OwnershipProprietary
CMS Certification Number360270
Location1404 East Second StreetDefiance, OH 43512 · Defiance County
Emergency services

Henry County Hospital, Inc

Critical Access Hospitals · Napoleon, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361309
Location1600 East Riverview AvenueNapoleon, OH 43545 · Henry County
Emergency services

Fulton County Health Center

Critical Access Hospitals · Wauseon, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361333
Location725 South Shoop AvenueWauseon, OH 43567 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43567 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

93.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost57.46

Referred Medical Equipment & Supplies CMS DME claims 12

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

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
1 supplier19 claims19 services$21.89 avg. paid by Medicare
Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
1 supplier14 claims2,250 services$0.11 avg. paid by Medicare
Urinary catheter anchoring device, adhesive skin attachment, each A4333
DME-Orthotic Devices · category DF000N
1 supplier12 claims144 services$2.13 avg. paid by Medicare
Urinary catheter anchoring device, leg strap, each A4334
DME-Orthotic Devices · category DF000N
1 supplier12 claims12 services$3.60 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier14 claims2,620 services$1.58 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier20 claims26 services$8.23 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 2

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

Family Medicine
128 DEPOT ST
WAUSEON, OH 43567
Clinic/Center (Primary Care)
128 DEPOT ST
WAUSEON, OH 43567

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 Pifer's NPI number?

The NPI number for Melissa Pifer is 1396150009. It was assigned to this individual provider in the NPPES registry on June 23, 2014.

Where is Melissa Pifer located?

Melissa Pifer practices at 128 Depot St, Wauseon, OH 43567. The listed phone number is (419) 335-0351.

What is Melissa Pifer's specialty?

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

Is Melissa Pifer enrolled in Medicare?

Yes. Melissa Pifer 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 Pifer accept?

Health plans from CareSource and Molina Healthcare list Melissa Pifer 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 Pifer affiliated with any hospitals?

According to CMS data, Melissa Pifer is affiliated with Mercy St Vincent Medical Center, Mercy Health - Defiance Hospital, Henry County Hospital, Inc and Fulton County Health Center.

When was this NPI record last updated?

The NPPES record for Melissa Pifer was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.