STEVENS D MELTON MD
NPI 1629062203
Pediatrics in Dyersburg, TN

Q: What is Stevens Melton's NPI number?

The NPI number for Stevens Melton is 1629062203. It was assigned to this individual provider in the NPPES registry on September 9, 2005.

Q: What is Stevens Melton's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Stevens Melton was last updated on January 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since September 09, 2005PECOS Enrolled

1700 WOODLAWN AVE, DYERSBURG, TN 38024(731) 287-4500(731) 287-4804 Get Directions Write a Review

NPPES record last updated: January 20, 2015. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Stevens D Melton Md NPPES

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

STEVENS D MELTON MD (NPI 1629062203) is an individual pediatrics provider in Dyersburg, Tennessee, licensed in Tennessee (MD014213) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629062203

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameSTEVENS D MELTONCredential: MD

Location Address1700 WOODLAWN AVEDyersburg, TN 38024

Mailing Address1700 Woodlawn AveDyersburg, TN 38024 · (731) 287-4500 · Fax (731) 287-4804

Phone(731) 287-4500

Fax(731) 287-4804

Sole ProprietorNo

Enumeration DateSeptember 9, 2005

Last NPPES UpdateJanuary 20, 2015

✔ NPI 1629062203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in TN · MD014213

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 14213 (TN)

1700 WOODLAWN AVE, Dyersburg, TN 38024

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Other Identifiers 12

Other0052428Blue Cross

Other7161Tlc (memphis Managed Care

Other8203648Cigna

Other370008023Palmetto Gba

Other4176802TN · Bcbs

Other1240124United Health Care

Other4673227Aetna

Medicare PIN30156601TN

Other116249Better Health Plan

Medicare UPINF24128

Medicaid3015669TN

Medicare ID-Type Unspecified3015660

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stevens D Melton Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Stevens Melton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wt Medical Associates

Same address

Rural Health

1720 WOODLAWN AVE STE 1
Dyersburg, TN 38024

Reassigned Medicare billing, Tennessee enrollment
109 clinicians in this Medicare group

NPI 1427604198 (731) 287-4500

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38024 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

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.

LAURA M MULVANY SLP

Speech-Language Pathologist