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DR. MELANIE ANN CRITES-BACHERT D.O.
NPI 1487847554
Urology in Gresham, OR

Active since August 22, 2007PECOS EnrolledAccepts Medicare Assignment
83.2/100
CMS Quality Rating
24076 SE STARK ST, SUITE 310, GRESHAM, OR 97030(503) 492-6510(503) 492-6502 Get Directions Write a Review

NPPES record last updated: July 13, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Melanie Ann Crites-bachert D.o. NPPES

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

DR. MELANIE ANN CRITES-BACHERT D.O. (NPI 1487847554) is an individual urology provider in Gresham, Oregon, licensed in Oregon (DO154071) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, is affiliated with Aultman Hospital, and is a graduate of West Virginia School Of Osteopathic Medicine (2003).

NPPES Registry Identity

NPI1487847554
Entity TypeIndividualFemale
Primary Taxonomy208800000X
Provider Legal NameDR. MELANIE ANN CRITES-BACHERTCredential: D.O.
Location Address24076 SE STARK ST, SUITE 310Gresham, OR 97030-3373
Mailing Address3269 N Stockton Hill RdKingman, AZ 86409-3619 · (928) 263-4722
Phone(503) 492-6510
Fax(503) 492-6502
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2003
Enumeration DateAugust 22, 2007
Last NPPES UpdateJuly 13, 2022
NPPES CertifiedJuly 13, 2022
✔ NPI 1487847554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in OR · DO154071
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
24076 SE STARK ST, Gresham, OR 97030
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Dr. Melanie Ann Crites-bachert 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 ID1355487877
PECOS Enrollment IDI20260514002510
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 Melanie Crites-bachert reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kingman Healthcare, Inc
836 mi
General Acute Care Hospital
3269 N STOCKTON HILL RD
Kingman, AZ 86409
  • Reassigned Medicare billing, Arizona enrollment
  • 418 clinicians in this Medicare group
NPI 1265423917 (928) 681-8655
Camden-Clark Physician Corporation
2,111 mi
Surgery
604 ANN ST
Parkersburg, WV 26101
  • Reassigned Medicare billing, West Virginia enrollment
  • 461 clinicians in this Medicare group
NPI 1710125430 (304) 424-4593

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.

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.
63 services63 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
52 services49 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.
40 services39 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.
36 services28 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.
34 services34 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.
24 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Aultman Hospital

Acute Care Hospitals · Canton, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360084
Location2600 Sixth Street SWCanton, OH 44710 · Stark County
Emergency services Birthing friendly

Camden Clark Medical Center

Acute Care Hospitals · Parkersburg, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510058
Location800 Garfield AveParkersburg, WV 26101 · Wood County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97030 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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.

83.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.73
Promoting Interoperability82
Improvement Activities40
Cost71.28

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
0%537 patients1/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
97%1,666 patients4/55-star benchmark: 100%
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.
96%1,691 patients4/55-star benchmark: 99%
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.
98%554 patients4/55-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.
87%1,248 patients4/55-star benchmark: 97%
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: 95% · 667 patients
Patients tobacco: 20% · 25 patients
91%337 patients4/55-star benchmark: 98%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
44%337 patients2/55-star benchmark: 100%
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…
55%1,248 patients3/55-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…
7%1,248 patients1/55-star benchmark: 89%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
13%500 patients1/55-star benchmark: 100%
Urinary Incontinence: Plan of Care for Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older with a diagnosis of urinary incontinence with a documented plan of care for urinary incontinence at least once within 12 months
42%350 patients
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
27%1,248 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 2

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

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
4 suppliers34 claims8,200 services$1.70 avg. paid by Medicare
Lubricant, per ounce A4402
DME-Orthotic Devices · category DF010N
2 suppliers16 claims144 services$1.54 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 20

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

STARK STREET PLAZA, LLC
Clinic/Center (Ambulatory Surgical)
24076 SE STARK ST, SUITE 310
GRESHAM, OR 97030
Multnomah County (503) 492-6510
CENTER FOR MENS AND WOMENS UROLOGY LLC
Specialist
24076 SE STARK ST, SUITE 310
GRESHAM, OR 97030
Multnomah County (503) 492-6510
MR. CLEM GEORGE EISCHEN JR. PT
Physical Therapist
24076 SE STARK ST
GRESHAM, OR 97030
Multnomah County (503) 491-1666
GRESHAM PROFESSIONAL PHARMACY
Pharmacy (Community/Retail Pharmacy)
24076 SE STARK ST, SUITE 100
GRESHAM, OR 97030
Multnomah County (503) 491-0117
MOUNTAINVIEW MRI LLC
Physiological Laboratory
24076 SE STARK ST, SUITE 180
GRESHAM, OR 97030
Multnomah County (503) 661-6500
DR. BOBAK AMIR GHAHERI M.D.
Otolaryngology
24076 SE STARK ST, SUITE 230
GRESHAM, OR 97030
Multnomah County (503) 488-2600
ANNA LEE PAC
Physician Assistant
24076 SE STARK ST, SUITE 230
GRESHAM, OR 97030
Multnomah County (503) 488-2600
GREGORY GULLO MD PC
Anesthesiology (Pain Medicine)
24076 SE STARK ST, SUITE 320
GRESHAM, OR 97030
Multnomah County (503) 512-1212

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 Melanie Crites-bachert's NPI number?

The NPI number for Melanie Crites-bachert is 1487847554. It was assigned to this individual provider in the NPPES registry on August 22, 2007.

Where is Melanie Crites-bachert located?

Melanie Crites-bachert practices at 24076 SE Stark St Suite 310, Gresham, OR 97030. The listed phone number is (503) 492-6510.

What is Melanie Crites-bachert's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Melanie Crites-bachert enrolled in Medicare?

Yes. Melanie Crites-bachert 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 Melanie Crites-bachert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melanie Crites-bachert reassigns Medicare benefits to 2 organizations: Kingman Healthcare, Inc (Kingman, AZ) and Camden-Clark Physician Corporation (Parkersburg, WV). 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 Melanie Crites-bachert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melanie Crites-bachert accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 2 other insurers list Melanie Crites-bachert 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 Melanie Crites-bachert affiliated with any hospitals?

According to CMS data, Melanie Crites-bachert is affiliated with Aultman Hospital and Camden Clark Medical Center.

When was this NPI record last updated?

The NPPES record for Melanie Crites-bachert was last updated on July 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.