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DAVID E MELBYE M.D.
NPI 1487640918
Pediatrics in Fox Point, WI

Active since September 20, 2005PECOS Enrolled
7950 N PORT WASHINGTON RD, FOX POINT, WI 53217(414) 228-0099(414) 540-1065 Get Directions Write a Review

NPPES record last updated: September 16, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 16, 2020, Jan 15, 2018 (2 updates tracked since 2018).

About David E Melbye M.d. NPPES

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

DAVID E MELBYE M.D. (NPI 1487640918) is an individual pediatrics provider in Fox Point, Wisconsin, licensed in Wisconsin (46303) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487640918
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDAVID E MELBYECredential: M.D.
Location Address7950 N PORT WASHINGTON RDFox Point, WI 53217-3131
Mailing Address7950 N Port Washington RdFox Point, WI 53217-3131 · (414) 228-0099 · Fax (414) 540-1065
Phone(414) 228-0099
Fax(414) 540-1065
Sole ProprietorNo
Enumeration DateSeptember 20, 2005
Last NPPES UpdateSeptember 16, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2020
✔ NPI 1487640918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WI · 46303
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.
7950 N PORT WASHINGTON RD, Fox Point, WI 53217
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Other Identifiers 1

Medicaid1487640918WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) 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 (PECOS)

David E Melbye M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show David Melbye reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Childrens Medical Group Inc
10 mi
Pediatrics
9000 W WISCONSIN AVE, MS 958
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Children's Medical Group Inc
  • 10 clinicians in this Medicare group
NPI 1790732410 (414) 266-7615

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53217 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
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Other Providers at the Same Location NPPES 16

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

CHILDREN'S MEDICAL GROUP
Pediatrics
7950 N PORT WASHINGTON RD
FOX POINT, WI 53217
Milwaukee County (414) 228-0099
MS. MEGHAN C. BELONGIA APNP
Nurse Practitioner (Pediatrics)
7950 N PORT WASHINGTON RD
FOX POINT, WI 53217
Milwaukee County (414) 253-1194
MARGARET MARY SCHMIT MD
Pediatrics
7950 N PORT WASHINGTON RD
FOX POINT, WI 53217
Milwaukee County (414) 253-1194
MICHELLE M LINSMEIER M.D.
Pediatrics
7950 N PORT WASHINGTON RD
FOX POINT, WI 53217
Milwaukee County (414) 228-0099
ADVANCED PAIN MANAGEMENT SC
Durable Medical Equipment & Medical Supplies
7950 N PORT WASHINGTON RD, SUITE 300
FOX POINT, WI 53217
Milwaukee County (414) 325-7246
LAUREN ELIZABETH KEESLER MSAT, LPC
Counselor (Professional)
7950 N PORT WASHINGTON RD
FOX POINT, WI 53217
Milwaukee County (414) 292-4242
SHARYL PALEY M.D.
Pediatrics
7950 N PORT WASHINGTON RD
FOX POINT, WI 53217
Milwaukee County (414) 228-0099
JAMIE LYNN TRETTIN LPC
Counselor (Professional)
7950 N PORT WASHINGTON RD
FOX POINT, WI 53217
Milwaukee County (414) 292-4242

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 David Melbye's NPI number?

The NPI number for David Melbye is 1487640918. It was assigned to this individual provider in the NPPES registry on September 20, 2005.

Where is David Melbye located?

David Melbye practices at 7950 N Port Washington Rd, Fox Point, WI 53217. The listed phone number is (414) 228-0099.

What is David Melbye's specialty?

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

Is David Melbye enrolled in Medicare?

Yes. David Melbye is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for David Melbye's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Melbye reassigns Medicare benefits to Childrens Medical Group Inc (Milwaukee, WI). The 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 David Melbye's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Melbye accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 1 other insurer list David Melbye 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.

When was this NPI record last updated?

The NPPES record for David Melbye was last updated on September 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.