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MELANIE KRAMER-HARRINGTON MD
NPI 1548291982
Family Medicine in Kingston, MI

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment
5854 STATE ST, KINGSTON, MI 48741(989) 683-8065(989) 683-8088 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 7, 2025, Apr 1, 2021 (2 updates tracked since 2021).

About Melanie Kramer-harrington Md NPPES

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

MELANIE KRAMER-HARRINGTON MD (NPI 1548291982) is an individual family medicine provider in Kingston, Michigan, licensed in Michigan (4301079622) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Covenant Medical Center, and is a graduate of Michigan State University College Of Human Medicine (2002).

NPPES Registry Identity

NPI1548291982
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMELANIE KRAMER-HARRINGTONCredential: MD
Location Address5854 STATE STKingston, MI 48741-9524
Mailing Address4675 Hill StCass City, MI 48726-1008 · (989) 912-6185 · Fax (989) 872-4137
Phone(989) 683-8065
Fax(989) 683-8088
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2002
Enumeration DateJuly 5, 2006
Last NPPES UpdateApril 7, 20252 updates tracked since enumeration
NPPES CertifiedApril 7, 2025
✔ NPI 1548291982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301079622
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X · License 4301079622 (MI)
5854 STATE ST, Kingston, MI 48741
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Other Names 1

Former Name (1)Melanie Kramer Md

Other Identifiers 1

Medicaid4813889MI

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

Melanie Kramer-harrington 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 ID7618902750
PECOS Enrollment IDI20050928000419
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

4

Medicare enrollment records show Melanie Kramer-harrington reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Marlette Regional Hospital
7.8 mi
Family Medicine
2750 MAIN ST
Marlette, MI 48453
  • Reassigned Medicare billing, Michigan enrollment
  • 155 clinicians in this Medicare group
NPI 1225495013 (989) 635-1840
Hills And Dales General Hospital
11 mi
General Practice
2050 E CARO RD
Caro, MI 48723
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Hills & Dales General Hospital Inc
  • Also billed through NPI 1952120859 (Michigan)
  • 123 clinicians in this Medicare group
NPI 1629907423 (989) 912-6800
List Psychological Services, Plc
12 mi
Mental Health (Including Community Mental Health Center)
467 N STATE ST
Caro, MI 48723
  • Reassigned Medicare billing, Michigan enrollment
  • 7 clinicians in this Medicare group
NPI 1265685903 (989) 672-2016
Deckerville Community Hospital Inc
24 mi
Critical Access
3559 PINE STREET
Deckerville, MI 48427
  • Reassigned Medicare billing, Michigan enrollment
  • 87 clinicians in this Medicare group
NPI 1619095718 (810) 376-2835

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 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.

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.
30 services20 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
28 services26 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
27 services27 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.
18 services18 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
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Covenant Medical Center

Acute Care Hospitals · Saginaw, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230070
Location1447 N HarrisonSaginaw, MI 48602 · Saginaw County
Emergency services Birthing friendly

Deckerville Community Hospital

Critical Access Hospitals · Deckerville, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231311
Location3559 Pine StDeckerville, MI 48427 · Sanilac County
Emergency services

Mckenzie Health System

Critical Access Hospitals · Sandusky, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231314
Location120 N Delaware StreetSandusky, MI 48471 · Sanilac County
Emergency services

Hills & Dales General Hospital

Critical Access Hospitals · Cass City, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231316
Location4675 Hill StreetCass City, MI 48726 · Tuscola County
Emergency services

Marlette Regional Hospital

Critical Access Hospitals · Marlette, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231330
Location2770 Main StreetMarlette, MI 48453 · Sanilac County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48741 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Reported Quality Measures

Clinical Information Reconciliation
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician performs clinical information reconciliation.
99%4,048 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.
97%5,441 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…
100%4,138 patients5/55-star benchmark: 100%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
98%4,142 patients4/55-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 certified EHR technology to the patient (or the patient-authorized representative), or in…
19%4,142 patients2/55-star benchmark: 75%
Send a Summary of Care
For at least one transition of care or referral, the MIPS eligible clinician that transitions or refers their patient to another setting of care or health care provider-(1) creates a summary of care record using certified EHR technology; and (2)…
23%253 patients1/55-star benchmark: 100%
View, Download and Transmit (VDT)
During the performance period, at least one unique patient (or patient-authorized representatives) seen by the MIPS eligible clinician actively engages with the EHR made accessible by the MIPS eligible clinician.
17%4,142 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 9

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers24 claims68 services$6.45 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers12 claims15 services$1.12 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
2 suppliers11 claims22 services$18.00 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
6 suppliers11 claims11 services$25.02 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers18 claims72 services$2.81 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers22 claims22 services$20.39 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 4

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

ERICA JANE KNOERR F.N.P.
Nurse Practitioner (Family)
5854 STATE ST
KINGSTON, MI 48741
Tuscola County (989) 683-8065
HILLS & DALES GENERAL HOSPITAL, INC.
Clinic/Center (Rural Health)
5854 STATE ST
KINGSTON, MI 48741
Tuscola County (989) 683-8065
HILLS & DALES GENERAL HOSPITAL, INC.
Clinic/Center (Rural Health)
5854 STATE ST
KINGSTON, MI 48741
Tuscola County (989) 683-8065
DR. ASHLEE NADARA PIERCE DNP
Nurse Practitioner (Family)
5854 STATE ST
KINGSTON, MI 48741
Tuscola County (989) 683-8065

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 Kramer-harrington's NPI number?

The NPI number for Melanie Kramer-harrington is 1548291982. It was assigned to this individual provider in the NPPES registry on July 5, 2006. The provider is also known as Melanie Kramer MD.

Where is Melanie Kramer-harrington located?

Melanie Kramer-harrington practices at 5854 State St, Kingston, MI 48741. The listed phone number is (989) 683-8065.

What is Melanie Kramer-harrington's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Melanie Kramer-harrington enrolled in Medicare?

Yes. Melanie Kramer-harrington 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 Kramer-harrington's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melanie Kramer-harrington reassigns Medicare benefits to 4 organizations: Marlette Regional Hospital (Marlette, MI), Hills And Dales General Hospital (Caro, MI), List Psychological Services, Plc (Caro, MI) and Deckerville Community Hospital Inc (Deckerville, MI). 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 Kramer-harrington's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melanie Kramer-harrington accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Melanie Kramer-harrington 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 Kramer-harrington affiliated with any hospitals?

According to CMS data, Melanie Kramer-harrington is affiliated with Covenant Medical Center, Deckerville Community Hospital, Mckenzie Health System, Hills & Dales General Hospital and Marlette Regional Hospital.

When was this NPI record last updated?

The NPPES record for Melanie Kramer-harrington was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.