MICHAEL J MELBY MD
NPI 1437131307
Surgery in New Richmond, WI

Active since November 16, 2005PECOS EnrolledAccepts Medicare Assignment
551 HOSPITAL RD, NEW RICHMOND, WI 54017(715) 243-3400(715) 243-3415 Get Directions Write a Review

NPPES record last updated: February 5, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michael J Melby Md NPPES

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

MICHAEL J MELBY MD (NPI 1437131307) is an individual surgery provider in New Richmond, Wisconsin, licensed in Wisconsin (43329) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Lakeview Memorial Hospital, and is a graduate of University Of Minnesota Medical School (1996).

NPPES Registry Identity

NPI1437131307
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMICHAEL J MELBYCredential: MD
Location Address551 HOSPITAL RDNew Richmond, WI 54017-1449
Mailing Address551 Hospital RdNew Richmond, WI 54017-1449 · (715) 243-3400 · Fax (715) 243-3415
Fax(715) 243-3415
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1996
Enumeration DateNovember 16, 2005
Last NPPES UpdateFebruary 5, 2014
NPI 1437131307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in WI · 43329
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.

551 HOSPITAL RD, New Richmond, WI 54017

Other Identifiers 3

Medicare ID-Type Unspecified561150015
Medicaid34103200WI
Medicare UPINH40280

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

Michael J Melby 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 ID8921188665
PECOS Enrollment IDI20080729000718
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.

Hospital Affiliations CMS Care Compare 3

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

Lakeview Memorial Hospital

Acute Care Hospitals · Stillwater, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number240066
Location927 West Churchill StreetStillwater, MN 55082 · Washington County
Emergency services Birthing friendly

Amery Hospital & Clinic

Critical Access Hospitals · Amery, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521308
Location265 Griffin Street EastAmery, WI 54001 · Polk County
Emergency services Birthing friendly

Westfields Hospital And Clinic

Critical Access Hospitals · New Richmond, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521345
Location535 Hospital RdNew Richmond, WI 54017 · St. Croix County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54017 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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Sterile water/saline, 500 ml A4217
DME-Medical/Surgical Supplies · category DA000N
1 supplier12 claims329 services$3.04 avg. paid by Medicare
Contact layer, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing A6207
DME-Medical/Surgical Supplies · category DA023N
1 supplier11 claims141 services$7.10 avg. paid by Medicare
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446
DME-Medical/Surgical Supplies · category DA023N
3 suppliers11 claims1,220 services$0.38 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 8

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

Family Medicine
551 HOSPITAL RD
NEW RICHMOND, WI 54017
Surgery
551 HOSPITAL RD
NEW RICHMOND, WI 54017
Family Medicine
551 HOSPITAL RD
NEW RICHMOND, WI 54017
Family Medicine
551 HOSPITAL RD
NEW RICHMOND, WI 54017
Family Medicine
551 HOSPITAL RD
NEW RICHMOND, WI 54017
Family Medicine
551 HOSPITAL RD
NEW RICHMOND, WI 54017
Family Medicine
551 HOSPITAL RD
NEW RICHMOND, WI 54017
Internal Medicine (Gastroenterology)
551 HOSPITAL RD
NEW RICHMOND, WI 54017

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 Michael Melby's NPI number?

The NPI number for Michael Melby is 1437131307. It was assigned to this individual provider in the NPPES registry on November 16, 2005.

Where is Michael Melby located?

Michael Melby practices at 551 Hospital Rd, New Richmond, WI 54017. The listed phone number is (715) 243-3400.

What is Michael Melby's specialty?

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

Is Michael Melby enrolled in Medicare?

Yes. Michael Melby 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 Michael Melby accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica and Security Health Plan list Michael Melby 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 Michael Melby affiliated with any hospitals?

According to CMS data, Michael Melby is affiliated with Lakeview Memorial Hospital, Amery Hospital & Clinic and Westfields Hospital And Clinic.

When was this NPI record last updated?

The NPPES record for Michael Melby was last updated on February 5, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.