MELINDA DONELLE WONSICK M.D.
NPI 1619907334
Family Medicine in Jefferson, NC

Active since July 05, 2006PECOS Enrolled
90.48/100
CMS Quality Rating
200 HOSPITAL AVE, SUITE 3, JEFFERSON, NC 28640(336) 846-7433(336) 846-7878 Get Directions Write a Review

NPPES record last updated: June 13, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Melinda Donelle Wonsick M.d. NPPES

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

MELINDA DONELLE WONSICK M.D. (NPI 1619907334) is an individual family medicine provider in Jefferson, North Carolina, licensed in North Carolina (200400621) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Novant Health Forsyth Medical Center, and is a graduate of Wright State University Boonshoft School Of Medicine (2000).

NPPES Registry Identity

NPI1619907334
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMELINDA DONELLE WONSICKCredential: M.D.
Location Address200 HOSPITAL AVE, SUITE 3Jefferson, NC 28640-9244
Mailing Address200 Hospital AveJefferson, NC 28640-9244 · (336) 846-7433 · Fax (336) 846-7878
Fax(336) 846-7878
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2000
Enumeration DateJuly 5, 2006
Last NPPES UpdateJune 13, 2019
NPI 1619907334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NC · 200400621
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
200 HOSPITAL AVE, Jefferson, NC 28640

Other Identifiers 2

Medicaid891369HNC
OtherBCBSNC · 0173a

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 (PECOS)

Melinda Donelle Wonsick M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537062443
PECOS Enrollment IDI20040825001598
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 22

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.
301 services223 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.
178 services131 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
171 services171 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
105 services26 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
75 services74 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
70 services70 patients

Hospital Affiliations CMS Care Compare 3

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

Novant Health Forsyth Medical Center

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340014
Location3333 Silas Creek ParkwayWinston-Salem, NC 27103 · Forsyth County
Emergency services Birthing friendly

Watauga Medical Center

Acute Care Hospitals · Boone, NC
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340051
Location336 Deerfield RoadBoone, NC 28607 · Watauga County
Emergency services Birthing friendly

Ashe Memorial Hospital

Critical Access Hospitals · Jefferson, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number341325
Location200 Hospital AveJefferson, NC 28640 · Ashe County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28640 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

90.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.5
Promoting Interoperability95.74
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
81%328 patients4/55-star benchmark: 93%
Cervical Cancer Screening
75%336 patients4/55-star benchmark: 98%
Chlamydia Screening for Women
20%92 patients
Colorectal Cancer Screening
77%592 patients4/55-star benchmark: 88%
Diabetes: Eye Exam
41%171 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
16%171 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
97%2,851 patients4/55-star benchmark: 100%
HIV Screening
12%736 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
69%1,143 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
34%1,119 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 94% · 1,110 patients
Patients screened: 96% · 1,110 patients
87%150 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 27

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers94 claims216 services$5.66 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers22 claims24 services$1.10 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
1 supplier31 claims1,144 services$7.12 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing A6197
DME-Medical/Surgical Supplies · category DA023N
1 supplier20 claims660 services$15.62 avg. paid by Medicare
Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6203
DME-Medical/Surgical Supplies · category DA023N
1 supplier12 claims254 services$3.25 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402
DME-Medical/Surgical Supplies · category DA023N
1 supplier16 claims1,150 services$0.11 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.

Obstetrics & Gynecology
200 HOSPITAL AVE
JEFFERSON, NC 28640
Family Medicine
200 HOSPITAL AVE, SUITE 7
JEFFERSON, NC 28640
Internal Medicine
200 HOSPITAL AVE
JEFFERSON, NC 28640
Surgery
200 HOSPITAL AVE, SUITE 5
JEFFERSON, NC 28640
Orthopaedic Surgery
200 HOSPITAL AVE
JEFFERSON, NC 28640
Family Medicine
200 HOSPITAL AVE, SUITE 3
JEFFERSON, NC 28640
Specialist/Technologist, Pathology
200 HOSPITAL AVE
JEFFERSON, NC 28640
Clinic/Center (Ambulatory Surgical)
200 HOSPITAL AVE, SUITE 5
JEFFERSON, NC 28640

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 Melinda Wonsick's NPI number?

The NPI number for Melinda Wonsick is 1619907334. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Melinda Wonsick located?

Melinda Wonsick practices at 200 Hospital Ave Suite 3, Jefferson, NC 28640. The listed phone number is (336) 846-7433.

What is Melinda Wonsick's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Melinda Wonsick enrolled in Medicare?

Yes. Melinda Wonsick is registered in the Medicare PECOS enrollment system.

What insurance does Melinda Wonsick accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Melinda Wonsick 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 Melinda Wonsick affiliated with any hospitals?

According to CMS data, Melinda Wonsick is affiliated with Novant Health Forsyth Medical Center, Watauga Medical Center and Ashe Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Melinda Wonsick was last updated on June 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.