DR. MELANY RAEDY DO
NPI 1568501922
Psychiatry & Neurology - Neurology in Galion, OH

Active since February 05, 2007PECOS EnrolledAccepts Medicare Assignment
73.97/100
CMS Quality Rating
270 PORTLAND WAY S, GALION, OH 44833(419) 462-4630(419) 462-4552 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 9, 2025, Jan 7, 2021, Sep 13, 2018 (3 updates tracked since 2018).

About Dr. Melany Raedy Do NPPES

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

DR. MELANY RAEDY DO (NPI 1568501922) is an individual neurology provider in Galion, Ohio, licensed in Ohio (34.005394) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, is affiliated with Avita Ontario, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1568501922
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameDR. MELANY RAEDYCredential: DO
Location Address270 PORTLAND WAY SGalion, OH 44833-2362
Mailing Address4001 Lincoln HwyBucyrus, OH 44820-9648 · (419) 617-7907
Fax(419) 462-4552
Sole ProprietorYes
Medical School CMSOtherGraduated 1985
Enumeration DateFebruary 5, 2007
Last NPPES UpdateOctober 9, 20253 updates tracked since enumeration
NPPES CertifiedOctober 9, 2025
NPI 1568501922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in OH · 34.005394
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedSpecialistTaxonomy 174400000X · License 34005394 (OH)
270 PORTLAND WAY S, Galion, OH 44833

Secondary Practice Locations 2

Location 1629 N Sandusky AveBucyrus, OH 44820-1821 · Phone (419) 468-0871
Location 2137 Stetzer RdBucyrus, OH 44820-2076 · Phone (419) 562-1740

Other Identifiers 1

Medicaid0842020OH

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

Dr. Melany Raedy Do 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 ID1153383708
PECOS Enrollment IDI20041027000553
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 2

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.

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.
31 services15 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.
13 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Avita Ontario

Acute Care Hospitals · Ontario, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360365
Location715 Richland MallOntario, OH 44906 · Richland County
Emergency services Birthing friendly

Bucyrus Community Hospital

Critical Access Hospitals · Bucyrus, OH
OwnershipVoluntary non-profit - Other
CMS Certification Number361316
Location629 North Sandusky AvenueBucyrus, OH 44820 · Crawford County
Emergency services

Galion Community Hospital

Critical Access Hospitals · Galion, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number361325
Location269 Portland Way SouthGalion, OH 44833 · Crawford County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44833 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $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.

73.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.9
Promoting Interoperability99
Improvement Activities40
Cost39.16

Other Providers at the Same Location NPPES 7

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

Internal Medicine
270 PORTLAND WAY S
GALION, OH 44833
Clinic/Center (Rural Health)
270 PORTLAND WAY S
GALION, OH 44833
Internal Medicine (Endocrinology, Diabetes & Metabolism)
270 PORTLAND WAY S
GALION, OH 44833
Nurse Practitioner (Family)
270 PORTLAND WAY S
GALION, OH 44833
Nurse Practitioner
270 PORTLAND WAY S
GALION, OH 44833
Pediatrics
270 PORTLAND WAY S
GALION, OH 44833
Pediatrics
270 PORTLAND WAY S
GALION, OH 44833

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 Melany Raedy's NPI number?

The NPI number for Melany Raedy is 1568501922. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Where is Melany Raedy located?

Melany Raedy practices at 270 Portland Way S, Galion, OH 44833. The listed phone number is (419) 462-4630.

What is Melany Raedy's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Melany Raedy enrolled in Medicare?

Yes. Melany Raedy 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 Melany Raedy accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Melany Raedy 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 Melany Raedy affiliated with any hospitals?

According to CMS data, Melany Raedy is affiliated with Avita Ontario, Bucyrus Community Hospital and Galion Community Hospital.

When was this NPI record last updated?

The NPPES record for Melany Raedy was last updated on October 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.