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IVAN G MELENDEZ M.D.
NPI 1568447233
Family Medicine in Mcallen, TX

Active since December 14, 2005PECOS EnrolledAccepts Medicare Assignment
38.49/100
CMS Quality Rating
1018 BEECH AVE STE 100, MCALLEN, TX 78501(956) 800-5171(956) 800-5178 Get Directions Write a Review

NPPES record last updated: September 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 26, 2018, Mar 21, 2018 (2 updates tracked since 2018).

About Ivan G Melendez M.d. NPPES

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

IVAN G MELENDEZ M.D. (NPI 1568447233) is an individual family medicine provider in Mcallen, Texas, licensed in Texas (H5188) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with South Texas Health System, and maintains a secondary practice location in San Antonio.

NPPES Registry Identity

NPI1568447233
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameIVAN G MELENDEZCredential: M.D.
Location Address1018 BEECH AVE STE 100Mcallen, TX 78501-4547
Mailing Address1018 Beech Ave Ste 100Mcallen, TX 78501-4547 · (956) 800-5171 · Fax (956) 800-5178
Phone(956) 800-5171
Fax(956) 800-5178
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateDecember 14, 2005
Last NPPES UpdateSeptember 21, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2023
✔ NPI 1568447233 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 TX · H5188
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 ListedEmergency MedicineTaxonomy 207P00000X · License H5188 (TX)
1018 BEECH AVE STE 100, Mcallen, TX 78501
Open in Google Maps ↗

Other Names 1

Other Name (5)Ivan Gilberto Melendes Baez M.d.

Secondary Practice Location 1

Location 18000 Vantage DrSan Antonio, TX 78230-4727 · Phone (855) 227-5777

Other Identifiers 9

Other139915634TX · Individual Chscn
Other8GK771TX · Bcbs - Ivana
Medicaid139915625TX
Medicaid139915633TX
Medicaid139915635TX
Other8U5314TX · Blue Cross Blue Shield
OtherP00258990TX · Railroad Medicare
Other319701ZW6ZTX · Medicare -ivana
OtherP01802108TX · Rr Medicare- Ivana

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Ivan G Melendez M.d. 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 ID2769375385
PECOS Enrollment IDI20050119000434
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
732 services255 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
330 services202 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
115 services104 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.
101 services95 patients
Initial hospital care with same-day admission and discharge with moderate level of medical decision making, per day, if using time, at least 70 minutes 99235
This service involves a brief hospital stay for a moderate health issue. You'll be admitted and discharged on the same day, typically within 50 minutes. It's a quick, efficient way to receive necessary care and medical attention.
19 services19 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
15 services15 patients

Hospital Affiliations CMS Care Compare 5

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

South Texas Health System

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450119
Location1102 W Trenton RoadEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

Mission Regional Medical Center

Acute Care Hospitals · Mission, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450176
Location900 South Bryan RoadMission, TX 78572 · Hidalgo County
Birthing friendly

Rio Grande Regional Hospital

Acute Care Hospitals · Mcallen, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450711
Location101 E Ridge RdMcallen, TX 78503 · Hidalgo County
Emergency services Birthing friendly

Cornerstone Regional Hospital

Acute Care Hospitals · Edinburg, TX
OwnershipProprietary
CMS Certification Number450825
Location2302 Cornerstone BoulevardEdinburg, TX 78539 · Hidalgo County
Emergency services

Doctors Hosptal At Renaissance

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipPhysician
CMS Certification Number450869
Location5501 South MccollEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78501 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

38.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality20
Improvement Activities0
Cost68.3

Referred Medical Equipment & Supplies CMS DME claims 14

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

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
1 supplier14 claims14 services$22.67 avg. paid by Medicare
Urinary catheter anchoring device, leg strap, each A4334
DME-Orthotic Devices · category DF000N
1 supplier14 claims14 services$4.42 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier14 claims15 services$7.44 avg. paid by Medicare
Tape, waterproof, per 18 square inches A4452
DME-Medical/Surgical Supplies · category DA000N
3 suppliers30 claims3,384 services$0.37 avg. paid by Medicare
Collagen based wound filler, dry form, sterile, per gram of collagen A6010
DME-Medical/Surgical Supplies · category DA023N
1 supplier26 claims1,122 services$29.92 avg. paid by Medicare
Collagen dressing, sterile, size 16 sq. in. or less, each A6021
DME-Medical/Surgical Supplies · category DA023N
1 supplier63 claims2,670 services$20.15 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.

SEMPER LUMINE TANAMOR SOJOR FNP-C
Nurse Practitioner (Family)
1018 BEECH AVE STE 100
MCALLEN, TX 78501
Hidalgo County (956) 800-5171
IVANA ENTERPRISES, INC
Family Medicine
1018 BEECH AVE STE 100
MCALLEN, TX 78501
Hidalgo County (956) 800-5171
CRS MEDICAL, PLLC
Nurse Practitioner (Family)
1018 BEECH AVE STE 100
MCALLEN, TX 78501
Hidalgo County (229) 669-5590
ANNABELLE DELOS REYES BALDADO FNP
Nurse Practitioner (Family)
1018 BEECH AVE STE 100
MCALLEN, TX 78501
Hidalgo County (956) 800-5171

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 Ivan Melendez's NPI number?

The NPI number for Ivan Melendez is 1568447233. It was assigned to this individual provider in the NPPES registry on December 14, 2005. The provider is also known as Ivan Gilberto Melendes Baez M.D..

Where is Ivan Melendez located?

Ivan Melendez practices at 1018 Beech Ave Ste 100, Mcallen, TX 78501. The listed phone number is (956) 800-5171.

What is Ivan Melendez's specialty?

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

Is Ivan Melendez enrolled in Medicare?

Yes. Ivan Melendez 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 Ivan Melendez accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Ivan Melendez 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 Ivan Melendez affiliated with any hospitals?

According to CMS data, Ivan Melendez is affiliated with South Texas Health System, Mission Regional Medical Center, Rio Grande Regional Hospital, Cornerstone Regional Hospital and Doctors Hosptal At Renaissance.

When was this NPI record last updated?

The NPPES record for Ivan Melendez was last updated on September 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.