THOMAS CHARLES MELILLO DPM
NPI 1619085479
Podiatrist - Foot & Ankle Surgery in Portland, OR

Active since August 29, 2006PECOS EnrolledAccepts Medicare Assignment
9115 SW OLESON RD STE 205, PORTLAND, OR 97223(503) 245-2420 Get Directions Write a Review

NPPES record last updated: January 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Thomas Charles Melillo Dpm NPPES

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

THOMAS CHARLES MELILLO DPM (NPI 1619085479) is an individual foot & ankle surgery provider in Portland, Oregon, licensed in Oregon (DP00334) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and is a graduate of Kent State University College Of Podiatric Medicine (1998).

NPPES Registry Identity

NPI1619085479
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameTHOMAS CHARLES MELILLOCredential: DPM
Location Address9115 SW OLESON RD STE 205Portland, OR 97223-6877
Mailing Address9115 Sw Oleson Rd Ste 205Portland, OR 97223-6877 · (503) 245-2420
Sole ProprietorNo
Medical School CMSKent State University College Of Podiatric MedicineGraduated 1998
Enumeration DateAugust 29, 2006
Last NPPES UpdateJanuary 6, 2021
NPPES CertifiedJanuary 6, 2021
NPI 1619085479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in OR · DP00334
9115 SW OLESON RD STE 205, Portland, OR 97223

Other Identifiers 1

Medicaid228835OR

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

Thomas Charles Melillo Dpm 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 ID8729071741
PECOS Enrollment IDI20040414000811
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 13

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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
247 services124 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.
144 services92 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
122 services89 patients
Removal of noncancer thickened skin growth, more than 4 growths 11057
This procedure involves the removal of more than four noncancerous, thickened skin growths. It's a simple process where a healthcare professional uses a specialized tool to carefully remove these growths, promoting healthier skin.
72 services16 patients
Removal of noncancer thickened skin growth, 1 growth 11055
This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.
71 services50 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
62 services38 patients

Hospital Affiliations CMS Care Compare

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

Providence St Vincent Medical Center

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380004
Location9205 SW Barnes RoadPortland, OR 97225 · Washington County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 5

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

Podiatrist (Foot & Ankle Surgery)
9115 SW OLESON RD STE 205
PORTLAND, OR 97223
Podiatrist
9115 SW OLESON RD STE 205
PORTLAND, OR 97223
Podiatrist (Foot & Ankle Surgery)
9115 SW OLESON RD STE 205
PORTLAND, OR 97223
Physical Therapist
9115 SW OLESON RD STE 205
PORTLAND, OR 97223
Podiatrist
9115 SW OLESON RD STE 205
PORTLAND, OR 97223

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 Thomas Melillo's NPI number?

The NPI number for Thomas Melillo is 1619085479. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Thomas Melillo located?

Thomas Melillo practices at 9115 SW Oleson Rd Ste 205, Portland, OR 97223. The listed phone number is (503) 245-2420.

What is Thomas Melillo's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Thomas Melillo enrolled in Medicare?

Yes. Thomas Melillo 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 Thomas Melillo accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Thomas Melillo 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 Thomas Melillo affiliated with any hospitals?

According to CMS data, Thomas Melillo is affiliated with Providence St Vincent Medical Center.

When was this NPI record last updated?

The NPPES record for Thomas Melillo was last updated on January 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.