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WILLIE MELVIN MD
NPI 1487741583
Surgery in Smyrna, TN

Active since October 09, 2006PECOS EnrolledAccepts Medicare Assignment
84.22/100
CMS Quality Rating
515 STONECREST PKWY STE 230, SMYRNA, TN 37167(615) 223-9935(615) 891-5046 Get Directions Write a Review

NPPES record last updated: March 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2024, Aug 30, 2023, Nov 19, 2018 (3 updates tracked since 2018).

About Willie Melvin Md NPPES

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

WILLIE MELVIN MD (NPI 1487741583) is an individual surgery provider in Smyrna, Tennessee, licensed in Tennessee (MD26734) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Tristar Stonecrest Medical Center, and is a graduate of Meharry Medical College School Of Medicine (1989).

NPPES Registry Identity

NPI1487741583
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameWILLIE MELVINCredential: MD
Location Address515 STONECREST PKWY STE 230Smyrna, TN 37167-6829
Mailing Address410 42nd Ave N Ste 400Nashville, TN 37209-3658 · (615) 329-7887 · Fax (615) 346-6225
Phone(615) 223-9935
Fax(615) 891-5046
Sole ProprietorNo
Medical School CMSMeharry Medical College School Of MedicineGraduated 1989
Enumeration DateOctober 9, 2006
Last NPPES UpdateMarch 7, 20243 updates tracked since enumeration
NPPES CertifiedMarch 7, 2024
✔ NPI 1487741583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in TN · MD26734
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.
515 STONECREST PKWY STE 230, Smyrna, TN 37167
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia 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

Willie Melvin 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 ID3375691405
PECOS Enrollment IDI20090429000635
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 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 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.
58 services35 patients
Electronic analysis of implanted gastric neurostimulator generator with programming 95982
This procedure involves the use of a device to analyze and adjust the settings of an implanted gastric neurostimulator. This device, similar to a pacemaker, helps regulate digestive system functions. The process is non-invasive and painless.
33 services18 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
29 services17 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
25 services25 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.
23 services23 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Tristar Stonecrest Medical Center

Acute Care Hospitals · Smyrna, TN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number440227
Location200 Stonecrest BoulevardSmyrna, TN 37167 · Rutherford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37167 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

84.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.49
Promoting Interoperability100
Improvement Activities40
Cost67.12

Referred Medical Equipment & Supplies CMS DME claims 2

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

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
6 suppliers42 claims992 services$6.31 avg. paid by Medicare
Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4153
Other-Enteral and Parenteral · category OB006N
3 suppliers17 claims3,758 services$1.20 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.

JOSHUA TRAY TAYLOR MD
Surgery
515 STONECREST PKWY STE 230
SMYRNA, TN 37167
Rutherford County (615) 223-9935
DR. TODD HENRY WILKENS M.D.
Surgery (Vascular Surgery)
515 STONECREST PKWY STE 230
SMYRNA, TN 37167
Rutherford County (615) 223-9935
MRS. RAINA KELLY TOMLINSON FNP-BC
Nurse Practitioner
515 STONECREST PKWY STE 230
SMYRNA, TN 37167
Rutherford County (615) 223-9935

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 Willie Melvin's NPI number?

The NPI number for Willie Melvin is 1487741583. It was assigned to this individual provider in the NPPES registry on October 9, 2006.

Where is Willie Melvin located?

Willie Melvin practices at 515 Stonecrest Pkwy Ste 230, Smyrna, TN 37167. The listed phone number is (615) 223-9935.

What is Willie Melvin's specialty?

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

Is Willie Melvin enrolled in Medicare?

Yes. Willie Melvin 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 Willie Melvin accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 4 other insurers list Willie Melvin 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 Willie Melvin affiliated with any hospitals?

According to CMS data, Willie Melvin is affiliated with Tristar Stonecrest Medical Center.

When was this NPI record last updated?

The NPPES record for Willie Melvin was last updated on March 7, 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.