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MS. MELISSA A GOULART D.O.
NPI 1467422584
Family Medicine in Saint Marys, KS

Active since January 23, 2006PECOS EnrolledAccepts Medicare Assignment
98.3/100
CMS Quality Rating
206 S GRAND AVE, SAINT MARYS, KS 66536(785) 437-3734(785) 437-6186 Get Directions Write a Review

NPPES record last updated: October 29, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 29, 2020, Jun 2, 2020 (2 updates tracked since 2020).

About Ms. Melissa A Goulart D.o. NPPES

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

MS. MELISSA A GOULART D.O. (NPI 1467422584) is an individual family medicine provider in Saint Marys, Kansas, licensed in Kansas (0530124) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with University Of Kansas Health System - St Francis Campus, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1467422584
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMS. MELISSA A GOULARTCredential: D.O.
Location Address206 S GRAND AVESaint Marys, KS 66536-1637
Mailing Address805 Cedar Tree LnSt Marys, KS 66536-1873 · (785) 437-2542
Phone(785) 437-3734
Fax(785) 437-6186
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateJanuary 23, 2006
Last NPPES UpdateOctober 29, 20202 updates tracked since enumeration
NPPES CertifiedOctober 29, 2020
✔ NPI 1467422584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KS · 0530124
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.
206 S GRAND AVE, Saint Marys, KS 66536
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Other Identifiers 1

Medicaid100456580AKS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health 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 and accepts Medicare assignment

Ms. Melissa A Goulart 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 ID345148433
PECOS Enrollment IDI20100924000216
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 4

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

2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number170016
Location1700 SW 7th StreetTopeka, KS 66606 · Shawnee County
Emergency services Birthing friendly

Stormont Vail Hospital

Acute Care Hospitals · Topeka, KS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170086
Location1500 SW 10th AvenueTopeka, KS 66604 · Shawnee County
Emergency services Birthing friendly

Wamego Health Center

Critical Access Hospitals · Wamego, KS
OwnershipVoluntary non-profit - Other
CMS Certification Number171337
Location711 Genn DriveWamego, KS 66547 · Pottawatomie County
Emergency services

Community Hospital, Onaga And St Marys Campus

Critical Access Hospitals · Onaga, KS
OwnershipGovernment - Hospital District or Authority
CMS Certification Number171354
Location120 West 8th StreetOnaga, KS 66521 · Pottawatomie County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66536 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

98.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities40

Reported Quality Measures

Appropriate Testing for Children with Pharyngitis
Percentage of children 3-18 years of age who were diagnosed with pharyngitis, ordered an antibiotic and received a group A streptococcus (strep) test for the episode
80%30 patients
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%794 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
4%50 patients1/55-star benchmark: 96%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
44%686 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
20%538 patients1/55-star benchmark: 99%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 97% · 330 patients
Patients tobacco: 83% · 330 patients
4%46 patients1/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
88%538 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
8%538 patients1/55-star benchmark: 59%
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents
Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.
Patients physicalActivity: 0% · 270 patients
99%270 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 8

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
3 suppliers54 claims111 services$4.56 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
2 suppliers23 claims23 services$0.93 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
4 suppliers11 claims13 services$84.49 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
2 suppliers23 claims2,220 services$0.09 avg. paid by Medicare
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
3 suppliers19 claims1,144 services$0.75 avg. paid by Medicare
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram J7644
DME-Drugs Administered Through DME · category DG006N
3 suppliers27 claims1,565 services$0.14 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 3

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

MRS. JULIA INGWERSON A.R.N.P.
Nurse Practitioner
206 S GRAND AVE
SAINT MARYS, KS 66536
Pottawatomie County (785) 437-3734
JOHN NEILSON MERIWETHER MD
Family Medicine
206 S GRAND AVE
SAINT MARYS, KS 66536
Pottawatomie County (785) 437-3734
MATTHEW C RIDDER ARNP
Family Medicine
206 S GRAND AVE
SAINT MARYS, KS 66536
Pottawatomie County (785) 437-3734

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 Goulart's NPI number?

The NPI number for Melissa Goulart is 1467422584. It was assigned to this individual provider in the NPPES registry on January 23, 2006.

Where is Melissa Goulart located?

Melissa Goulart practices at 206 S Grand Ave, Saint Marys, KS 66536. The listed phone number is (785) 437-3734.

What is Melissa Goulart's specialty?

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

Is Melissa Goulart enrolled in Medicare?

Yes. Melissa Goulart 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 Goulart accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Melissa Goulart 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 Goulart affiliated with any hospitals?

According to CMS data, Melissa Goulart is affiliated with University Of Kansas Health System - St Francis Campus, Stormont Vail Hospital, Wamego Health Center and Community Hospital, Onaga And St Marys Campus.

When was this NPI record last updated?

The NPPES record for Melissa Goulart was last updated on October 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.