MELISSA R. COGNETTI MD
NPI 1518997675
Internal Medicine in King Of Prussia, PA

Active since July 04, 2006PECOS EnrolledAccepts Medicare Assignment
80.13/100
CMS Quality Rating
860 1ST AVE, SUITE 4B, KING OF PRUSSIA, PA 19406(610) 265-1251(610) 265-1252 Get Directions Write a Review

NPPES record last updated: February 23, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Melissa R. Cognetti Md NPPES

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

MELISSA R. COGNETTI MD (NPI 1518997675) is an individual internal medicine provider in King Of Prussia, Pennsylvania, licensed in Pennsylvania (MD426028) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of University Of Pittsburgh School Of Medicine (2002).

NPPES Registry Identity

NPI1518997675
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMELISSA R. COGNETTICredential: MD
Location Address860 1ST AVE, SUITE 4BKing Of Prussia, PA 19406
Mailing Address860 1st Ave, Suite 4bKing Of Prussia, PA 19406 · (610) 265-1251 · Fax (610) 265-1252
Fax(610) 265-1252
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2002
Enumeration DateJuly 4, 2006
Last NPPES UpdateFebruary 23, 2010
NPI 1518997675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in PA · MD426028
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
860 1ST AVE, King Of Prussia, PA 19406

Other Names 1

Other Name (5)Melissa Ann Reimel

Other Identifiers 4

Medicare UPINI27282
Medicaid1013027240001PA
Medicare PIN089678PA
Medicaid1013027240002PA

Accepted 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

Melissa R. Cognetti 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 ID7810934478
PECOS Enrollment IDI20050414000749
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 7

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
115 services44 patients
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.
95 services51 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.
63 services44 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
46 services46 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
16 services16 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
16 services16 patients

Hospital Affiliations CMS Care Compare 4

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Bryn Mawr Hospital

Acute Care Hospitals · Bryn Mawr, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390139
Location130 South Bryn Mawr AveBryn Mawr, PA 19010 · Montgomery County
Emergency services Birthing friendly

Paoli Hospital

Acute Care Hospitals · Paoli, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390153
Location255 West Lancaster AvenuePaoli, PA 19301 · Chester County
Emergency services Birthing friendly

Einstein Medical Center Montgomery

Acute Care Hospitals · East Norriton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390329
Location559 West Germantown PikeEast Norriton, PA 19403 · Montgomery County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19406 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

80.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.58
Promoting Interoperability100
Improvement Activities40
Cost44.18

Reported Quality Measures

Advance Care Plan
89%95 patients4/55-star benchmark: 100%
Breast Cancer Screening
78%59 patients4/55-star benchmark: 93%
Colorectal Cancer Screening
76%109 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
87%55 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
24%25 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
12%25 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
88%368 patients4/55-star benchmark: 100%
e-Prescribing
99%394 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
38%160 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
9%195 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 88% · 127 patients
86%127 patients
Provide Patients Electronic Access to Their Health Information
90%124 patients4/55-star benchmark: 100%
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.

Other Providers at the Same Location NPPES 8

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

Physical Therapist
860 1ST AVE, SUITE 870
KING OF PRUSSIA, PA 19406
Clinic/Center (Physical Therapy)
860 1ST AVE, SUITE870
KING OF PRUSSIA, PA 19406
Podiatrist (Foot & Ankle Surgery)
860 1ST AVE, SUITE 1B
KING OF PRUSSIA, PA 19406
Family Medicine
860 1ST AVE, SUITE 4A
KING OF PRUSSIA, PA 19406
Clinic/Center (Occupational Medicine)
860 1ST AVE, 7A
KING OF PRUSSIA, PA 19406
Family Medicine
860 1ST AVE, SUITE 4A
KING OF PRUSSIA, PA 19406
Podiatrist (Foot & Ankle Surgery)
860 1ST AVE, SUITE 1B
KING OF PRUSSIA, PA 19406
Nurse Practitioner (Family)
860 1ST AVE
KING OF PRUSSIA, PA 19406

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 Melissa Cognetti's NPI number?

The NPI number for Melissa Cognetti is 1518997675. It was assigned to this individual provider in the NPPES registry on July 4, 2006. The provider is also known as Melissa Ann Reimel.

Where is Melissa Cognetti located?

Melissa Cognetti practices at 860 1st Ave Suite 4B, King Of Prussia, PA 19406. The listed phone number is (610) 265-1251.

What is Melissa Cognetti's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Melissa Cognetti enrolled in Medicare?

Yes. Melissa Cognetti 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 Melissa Cognetti accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Melissa Cognetti 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 Melissa Cognetti affiliated with any hospitals?

According to CMS data, Melissa Cognetti is affiliated with Hospital Of Univ Of Pennsylvania, Bryn Mawr Hospital, Paoli Hospital and Einstein Medical Center Montgomery.

When was this NPI record last updated?

The NPPES record for Melissa Cognetti was last updated on February 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.