MELANIE M DURHAM PA-C
NPI 1578544110
Physician Assistant - Surgical in Columbia, TN

Q: What is Melanie Durham's NPI number?

The NPI number for Melanie Durham is 1578544110. It was assigned to this individual provider in the NPPES registry on November 10, 2005.

Q: What is Melanie Durham's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Melanie Durham was last updated on January 15, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 10, 2005PECOS EnrolledAccepts Medicare Assignment

84.22/100

CMS Quality Rating

1222 TROTWOOD AVE, SUITE 211, COLUMBIA, TN 38401(931) 380-3033(931) 388-3401 Get Directions Write a Review

NPPES record last updated: January 15, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Melanie M Durham Pa-c NPPES

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

MELANIE M DURHAM PA-C (NPI 1578544110) is an individual surgical provider in Columbia, Tennessee, licensed in Tennessee (992) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with Southern Tennessee Regional Health System Lawrence, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1578544110

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameMELANIE M DURHAMCredential: PA-C

Location Address1222 TROTWOOD AVE, SUITE 211Columbia, TN 38401-6436

Mailing Address1222 Trotwood Ave, Suite 211Columbia, TN 38401-6436 · (931) 380-3033 · Fax (931) 388-3401

Phone(931) 380-3033

Fax(931) 388-3401

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateNovember 10, 2005

Last NPPES UpdateJanuary 15, 2010

✔ NPI 1578544110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in TN · 992

1222 TROTWOOD AVE, Columbia, TN 38401

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Other Identifiers 3

Medicaid3669739TN

Medicare ID-Type Unspecified3669739TN

Medicare UPINP79066TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, UnitedHealthcare.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

Melanie M Durham Pa-c 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 ID9436044609

PECOS Enrollment IDI20040304000920

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 4

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, 20-29 minutes 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.

549 services326 patients

Established patient office or other outpatient visit, 30-39 minutes 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.

45 services37 patients

Established patient office or other outpatient visit, 10-19 minutes 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

24 services23 patients

Knee replacement NAN06

A knee replacement is a surgical procedure where a damaged or diseased knee joint is replaced with an artificial one. This can relieve pain and improve mobility. The procedure involves removing damaged parts of the knee and inserting a prosthetic joint. Recovery may take several weeks.

0 services1 patient

Hospital Affiliations CMS Care Compare

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

Southern Tennessee Regional Health System Lawrence

Acute Care Hospitals · Lawrenceburg, TN

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number440175

Location1607 South Locust AvenueLawrenceburg, TN 38464 · Lawrence County

Emergency services Birthing friendly

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.

84.22/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

71.49

Promoting Interoperability

100

Improvement Activities

Cost

67.12

Referred Medical Equipment & Supplies CMS DME claims 4

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

Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394

DME-Orthotic Devices · category DF010N

2 suppliers12 claims192 services$2.50 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407

DME-Orthotic Devices · category DF010N

2 suppliers12 claims240 services$8.47 avg. paid by Medicare

Tape, waterproof, per 18 square inches A4452

DME-Medical/Surgical Supplies · category DA000N

3 suppliers17 claims520 services$0.36 avg. paid by Medicare

Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063

DME-Orthotic Devices · category DF010N

2 suppliers15 claims300 services$2.61 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 20

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

JOHN F WORTHMAN MD

Specialist

1222 TROTWOOD AVE, SUITE 603
COLUMBIA, TN 38401

Maury County (931) 381-3872

CHET HOUSTON JAMESON III MD

Internal Medicine (Medical Oncology)

1222 TROTWOOD AVE, SUITE 603
COLUMBIA, TN 38401

Maury County (931) 381-3872

STEVEN E WOODLEY MD

Internal Medicine (Medical Oncology)

1222 TROTWOOD AVE, SUITE 603
COLUMBIA, TN 38401

Maury County (931) 381-3872

MID-SOUTH GASTROENTEROLOGY ASSOC PC

Internal Medicine (Gastroenterology)

1222 TROTWOOD AVE, SUITE 501
COLUMBIA, TN 38401

Maury County (931) 388-8302

MID-SOUTH SURGEONS, PLLC

Specialist

1222 TROTWOOD AVE, SUITE 211
COLUMBIA, TN 38401

Maury County (931) 380-3033

PULMONOLOGY & CRITICAL CARE ASSOCIATES INC

Internal Medicine (Pulmonary Disease)

1222 TROTWOOD AVE, SUITE 605
COLUMBIA, TN 38401

Maury County (931) 490-7775

MIDDLE TENNESSEE UROLOGY ASSOCIATES PC

Urology

1222 TROTWOOD AVE, SUITE 207
COLUMBIA, TN 38401

Maury County (931) 840-5088

MRS. SANDY MELTON NP

Nurse Practitioner

1222 TROTWOOD AVE, SUITE 101
COLUMBIA, TN 38401

Maury County (931) 388-8965

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 Durham's NPI number?

The NPI number for Melanie Durham is 1578544110. It was assigned to this individual provider in the NPPES registry on November 10, 2005.

Where is Melanie Durham located?

Melanie Durham practices at 1222 Trotwood Ave Suite 211, Columbia, TN 38401. The listed phone number is (931) 380-3033.

What is Melanie Durham's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Melanie Durham enrolled in Medicare?

Yes. Melanie Durham 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 Durham accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Melanie Durham 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 Durham affiliated with any hospitals?

According to CMS data, Melanie Durham is affiliated with Southern Tennessee Regional Health System Lawrence.

When was this NPI record last updated?

The NPPES record for Melanie Durham was last updated on January 15, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.