GERARDO R MELGAR MD
NPI 1619903820
Internal Medicine in Longview, WA

Active since June 23, 2006PECOS Enrolled
784 14TH AVE, LONGVIEW, WA 98632(360) 703-6400(360) 353-6411 Get Directions Write a Review

NPPES record last updated: July 25, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 25, 2022, Jul 23, 2020 (2 updates tracked since 2020).

About Gerardo R Melgar Md NPPES

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

GERARDO R MELGAR MD (NPI 1619903820) is an individual internal medicine provider in Longview, Washington, licensed in Washington (MD00034077) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Peacehealth St John Medical Center, and maintains a secondary practice location in Longview.

NPPES Registry Identity

NPI1619903820
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameGERARDO R MELGARCredential: MD
Location Address784 14TH AVELongview, WA 98632-2315
Mailing Address1057 12th AveLongview, WA 98632-2509 · (360) 636-3892 · Fax (360) 414-1114
Fax(360) 353-6411
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateJune 23, 2006
Last NPPES UpdateJuly 25, 20222 updates tracked since enumeration
NPPES CertifiedJuly 25, 2022
✔ NPI 1619903820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WA · MD00034077
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
784 14TH AVE, Longview, WA 98632

Secondary Practice Location 1

Location 11057 12th AveLongview, WA 98632-2509 · Phone (360) 636-3892 · Fax (360) 414-1114

Other Identifiers 2

Medicaid1033177WA
Medicaid7086523WA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gerardo R Melgar Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537176920
PECOS Enrollment IDI20060309000300
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.

Medicare Billing Reassignment

Medicare enrollment records show Gerardo Melgar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
784 14TH AVE
Longview, WA 98632
  • Reassigned Medicare billing, Washington enrollment
  • 18 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

Peacehealth St John Medical Center

Acute Care Hospitals · Longview, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500041
Location1615 Delaware StreetLongview, WA 98632 · Cowlitz County
Emergency services Birthing friendly

Ocean Beach Hospital

Critical Access Hospitals · Ilwaco, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501314
Location174 First Avenue NorthIlwaco, WA 98624 · Pacific County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98632 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers17 claims17 services$5.78 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 16

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

Nurse Practitioner (Family)
784 14TH AVE
LONGVIEW, WA 98632
Pediatrics (Adolescent Medicine)
784 14TH AVE
LONGVIEW, WA 98632
Pediatrics (Adolescent Medicine)
784 14TH AVE
LONGVIEW, WA 98632
Pediatrics (Adolescent Medicine)
784 14TH AVE
LONGVIEW, WA 98632
Registered Nurse
784 14TH AVE
LONGVIEW, WA 98632
Nurse Practitioner (Family)
784 14TH AVE
LONGVIEW, WA 98632
Pediatrics
784 14TH AVE
LONGVIEW, WA 98632
Family Medicine
784 14TH AVE
LONGVIEW, WA 98632

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 Gerardo Melgar's NPI number?

The NPI number for Gerardo Melgar is 1619903820. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Where is Gerardo Melgar located?

Gerardo Melgar practices at 784 14th Ave, Longview, WA 98632. The listed phone number is (360) 703-6400.

What is Gerardo Melgar's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Gerardo Melgar enrolled in Medicare?

Yes. Gerardo Melgar is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gerardo Melgar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gerardo Melgar reassigns Medicare benefits to Cowlitz Family Health Center (Longview, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gerardo Melgar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gerardo Melgar accept?

Health plans from Ambetter Health, Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Gerardo Melgar 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 Gerardo Melgar affiliated with any hospitals?

According to CMS data, Gerardo Melgar is affiliated with Peacehealth St John Medical Center and Ocean Beach Hospital.

When was this NPI record last updated?

The NPPES record for Gerardo Melgar was last updated on July 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.