DR. MELANIE A SMITH DO
NPI 1568579779
Family Medicine in Waterford, WI
About Dr. Melanie A Smith Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MELANIE A SMITH DO (NPI 1568579779) is an individual family medicine provider in Waterford, Wisconsin, licensed in Wisconsin (39961) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Burlington, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (1995).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
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. Melanie A Smith 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.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53185 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 5
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Smith's NPI number?
The NPI number for Melanie Smith is 1568579779. It was assigned to this individual provider in the NPPES registry on August 24, 2006.
Where is Melanie Smith located?
Melanie Smith practices at 818 Forest Ln, Waterford, WI 53185. The listed phone number is (262) 514-3700.
What is Melanie Smith's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Melanie Smith enrolled in Medicare?
Yes. Melanie Smith 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 Melanie Smith accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz and 1 other insurer list Melanie Smith 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 Melanie Smith was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
