HEATH MELUGIN MD
NPI 1447614821
Orthopaedic Surgery in Springfield, MO

Active since April 11, 2016PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
3555 S NATIONAL AVE, SPRINGFIELD, MO 65807(417) 875-3000 Get Directions Write a Review

NPPES record last updated: September 22, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 22, 2022, Nov 2, 2021, Aug 25, 2020 and 1 more (4 updates tracked since 2018).

About Heath Melugin Md NPPES

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

HEATH MELUGIN MD (NPI 1447614821) is an individual orthopaedic surgery provider in Springfield, Missouri, licensed in Missouri (2022019105) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Cox Medical Centers, and maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1447614821
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameHEATH MELUGINCredential: MD
Location Address3555 S NATIONAL AVESpringfield, MO 65807-7310
Mailing AddressPo Box 802843Kansas City, MO 64180-2843
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2016
Enumeration DateApril 11, 2016
Last NPPES UpdateSeptember 22, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2022
NPI 1447614821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in MO · 2022019105 Licensed in MN · 62684
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

3555 S NATIONAL AVE, Springfield, MO 65807

Secondary Practice Location 1

Location 1200 1st St SWRochester, MN 55905-0001 · Phone (507) 284-2511

Other Identifiers 1

Medicaid200111900MO

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

Heath Melugin 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 ID5193018992
PECOS Enrollment IDI20220725000925
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 23

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
348 services44 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
223 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.
125 services107 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
102 services84 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
89 services46 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.
88 services88 patients

Hospital Affiliations CMS Care Compare 2

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

Cox Medical Centers

Acute Care Hospitals · Springfield, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260040
Location3801 South National AvenueSpringfield, MO 65807 · Greene County
Emergency services Birthing friendly

Cox Medical Center Branson

Acute Care Hospitals · Branson, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260094
Location525 Branson Landing Blvd, PO Box 650Branson, MO 65615 · Taney County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65807 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

Physical Medicine & Rehabilitation
3555 S NATIONAL AVE
SPRINGFIELD, MO 65807
Orthopaedic Surgery (Sports Medicine)
3555 S NATIONAL AVE
SPRINGFIELD, MO 65807
Physical Medicine & Rehabilitation
3555 S NATIONAL AVE, #302
SPRINGFIELD, MO 65807
Nurse Practitioner
3555 S NATIONAL AVE
SPRINGFIELD, MO 65807
Orthopaedic Surgery
3555 S NATIONAL AVE
SPRINGFIELD, MO 65807
Physician Assistant (Medical)
3555 S NATIONAL AVE
SPRINGFIELD, MO 65807
Orthopaedic Surgery (Hand Surgery)
3555 S NATIONAL AVE
SPRINGFIELD, MO 65807
Orthopaedic Surgery (Sports Medicine)
3555 S NATIONAL AVE
SPRINGFIELD, MO 65807

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 Heath Melugin's NPI number?

The NPI number for Heath Melugin is 1447614821. It was assigned to this individual provider in the NPPES registry on April 11, 2016.

Where is Heath Melugin located?

Heath Melugin practices at 3555 S National Ave, Springfield, MO 65807. The listed phone number is (417) 875-3000.

What is Heath Melugin's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Heath Melugin enrolled in Medicare?

Yes. Heath Melugin 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 Heath Melugin accept?

Health plans from Cox HealthPlans list Heath Melugin 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 Heath Melugin affiliated with any hospitals?

According to CMS data, Heath Melugin is affiliated with Cox Medical Centers and Cox Medical Center Branson.

When was this NPI record last updated?

The NPPES record for Heath Melugin was last updated on September 22, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.