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MELODY A DEMATTEIS
NPI 1508602368
Dentist - General Practice in Blossburg, PA

Active since July 02, 2024PECOS Enrolled
116 SEYMOUR ST, BLOSSBURG, PA 16912(570) 638-2174 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Melody A Dematteis NPPES

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

MELODY A DEMATTEIS (NPI 1508602368) is an individual general practice provider in Blossburg, Pennsylvania, licensed in Pennsylvania (DS044674) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508602368
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameMELODY A DEMATTEIS
Location Address116 SEYMOUR STBlossburg, PA 16912-1418
Mailing Address40 W Wellsboro StMansfield, PA 16933-1411 · (570) 662-1945
Phone(570) 638-2174
Sole ProprietorNo
Enumeration DateJuly 2, 2024
NPPES CertifiedJuly 2, 2024
✔ NPI 1508602368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in PA · DS044674
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
116 SEYMOUR ST, Blossburg, PA 16912
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melody A Dematteis 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 Melody Dematteis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Penn Comprehensive Health Services
0.4 mi
Federally Qualified Health Center (FQHC)
6 RIVERSIDE PLZ, BLOSSBURG LAUREL HEALTH CENTER
Blossburg, PA 16912
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 54 clinicians in this Medicare group
NPI 1154403038 (570) 638-2174

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 16912 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

Other Providers at the Same Location NPPES 5

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

STEPHEN JOSEPH OLLOCK DMD
Dentist
116 SEYMOUR ST
BLOSSBURG, PA 16912
Tioga County (570) 638-3468
MISS CARMEN MARIE BATES RDH
Dental Hygienist
116 SEYMOUR ST
BLOSSBURG, PA 16912
Tioga County (570) 638-3468
OLLOCK DENTAL GROUP LLC
Dentist (General Practice)
116 SEYMOUR ST
BLOSSBURG, PA 16912
Tioga County (570) 638-3468
NORTH PENN COMPREHENSIVE HEALTH SERVICES
Clinic/Center (Federally Qualified Health Center (FQHC))
116 SEYMOUR ST
BLOSSBURG, PA 16912
Tioga County (570) 638-3468
MRS. KATHRYN KELSEY HERRMANN RDH
Dental Hygienist
116 SEYMOUR ST
BLOSSBURG, PA 16912
Tioga County (570) 638-3468

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 Melody Dematteis's NPI number?

The NPI number for Melody Dematteis is 1508602368. It was assigned to this individual provider in the NPPES registry on July 2, 2024.

Where is Melody Dematteis located?

Melody Dematteis practices at 116 Seymour St, Blossburg, PA 16912. The listed phone number is (570) 638-2174.

What is Melody Dematteis's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Melody Dematteis enrolled in Medicare?

Yes. Melody Dematteis is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Melody Dematteis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melody Dematteis reassigns Medicare benefits to North Penn Comprehensive Health Services (Blossburg, PA). 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 Melody Dematteis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melody Dematteis accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Melody Dematteis 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 Melody Dematteis was last updated on July 2, 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.