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MELCHOR HERNAN MUNOZ MD
NPI 1467601195
Pediatrics in Rock Hill, SC

Active since September 18, 2008PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
1656 RIVERCHASE BLVD, STE 1800, ROCK HILL, SC 29732(803) 909-1850 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 53 more (56 updates tracked since 2016).

About Melchor Hernan Munoz Md NPPES

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

MELCHOR HERNAN MUNOZ MD (NPI 1467601195) is an individual pediatrics provider in Rock Hill, South Carolina, licensed in North Carolina (2011-01019) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1467601195
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameMELCHOR HERNAN MUNOZCredential: MD
Location Address1656 RIVERCHASE BLVD, STE 1800Rock Hill, SC 29732-2084
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(803) 909-1850
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 2006
Enumeration DateSeptember 18, 2008
Last NPPES UpdateJuly 15, 202456 updates tracked since enumeration
✔ NPI 1467601195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NC · 2011-01019
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2011-01019 (NC)
1656 RIVERCHASE BLVD, Rock Hill, SC 29732
Open in Google Maps ↗

Secondary Practice Locations 4

Location 15717 Albemarle RdCharlotte, NC 28212-1634 · Phone (704) 563-2150
Location 25727 Prosperity Crossing Dr, Ste 1100Charlotte, NC 28269-2206 · Phone (704) 863-9930
Location 3704 Gold Hill Rd, Ste 1200Fort Mill, SC 29715-8906 · Phone (704) 667-3380
Location 47810 Providence Rd, Ste 102Charlotte, NC 28226-2954 · Phone (704) 543-6636

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Melchor Hernan Munoz 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 ID5193840163
PECOS Enrollment IDI20111012000719, I20160919002574
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Melchor Munoz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carolinas Physicians Network Inc
Same address
Internal Medicine
1656 RIVERCHASE BLVD, STE 2400
Rock Hill, SC 29732
  • Reassigned Medicare billing, South Carolina and North Carolina enrollments
  • Also billed through NPI 1437168937 (North Carolina)
  • 312 clinicians in this Medicare group
NPI 1013675669 (803) 329-5131
Arboretum Urgent Care Center
14 mi
Family Medicine
7810 PROVIDENCE RD, STE 102
Charlotte, NC 28226
  • Reassigned Medicare billing, North Carolina enrollment
  • 157 clinicians in this Medicare group
NPI 1457380313 (704) 543-6636

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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 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.
175 services170 patients
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.
120 services118 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
59 services58 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.
50 services50 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
42 services42 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.
26 services26 patients

Hospital Affiliations CMS Care Compare

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

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29732 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

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.

CAROLINAS PHYSICIANS NETWORK INC
Family Medicine
1656 RIVERCHASE BLVD, STE 1800
ROCK HILL, SC 29732
York County (803) 909-1850
MARTHA M. EDWARDS MD
Pediatrics
1656 RIVERCHASE BLVD, STE 3400
ROCK HILL, SC 29732
York County (803) 328-6281
CAROLINAS PHYSICIANS NETWORK INC
Internal Medicine
1656 RIVERCHASE BLVD, STE 2400
ROCK HILL, SC 29732
York County (803) 329-5131
BRITTANY LAUREN HOZIK MD
Family Medicine
1656 RIVERCHASE BLVD, STE 2400
ROCK HILL, SC 29732
York County (803) 329-5131
ROBERT ALEXANDER MD
Pediatrics
1656 RIVERCHASE BLVD, SUITE 3400
ROCK HILL, SC 29732
York County (803) 328-6281
AHMAD ASHFAQ MD
Pediatrics
1656 RIVERCHASE BLVD, STE 3400
ROCK HILL, SC 29732
York County (803) 328-6281
STEPHEN RYAN MARTIN MD
Family Medicine
1656 RIVERCHASE BLVD, STE 2400
ROCK HILL, SC 29732
York County (803) 329-5131
PALLAVI KAMRA MD
Pediatrics
1656 RIVERCHASE BLVD, STE 3400
ROCK HILL, SC 29732
York County (803) 328-6281

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 Melchor Munoz's NPI number?

The NPI number for Melchor Munoz is 1467601195. It was assigned to this individual provider in the NPPES registry on September 18, 2008.

Where is Melchor Munoz located?

Melchor Munoz practices at 1656 Riverchase Blvd Ste 1800, Rock Hill, SC 29732. The listed phone number is (803) 909-1850.

What is Melchor Munoz's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Melchor Munoz enrolled in Medicare?

Yes. Melchor Munoz 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.

Which organizations bill Medicare for Melchor Munoz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melchor Munoz reassigns Medicare benefits to 2 organizations: Carolinas Physicians Network Inc (Rock Hill, SC) and Arboretum Urgent Care Center (Charlotte, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Melchor Munoz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melchor Munoz accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 1 other insurer list Melchor Munoz 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 Melchor Munoz affiliated with any hospitals?

According to CMS data, Melchor Munoz is affiliated with Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Melchor Munoz was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.