Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MELODY ANNE MUMFORD M.D.
NPI 1629242078
Family Medicine in Greenfield, WI

Active since April 16, 2008PECOS Enrolled
6901 W EDGERTON AVE, GREENFIELD, WI 53220(414) 325-5244 Get Directions Write a Review

NPPES record last updated: November 2, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Melody Anne Mumford M.d. NPPES

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

MELODY ANNE MUMFORD M.D. (NPI 1629242078) is an individual family medicine provider in Greenfield, Wisconsin, licensed in Wisconsin (82787) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS, is affiliated with Aurora St Lukes Medical Center, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1629242078
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMELODY ANNE MUMFORDCredential: M.D.
Location Address6901 W EDGERTON AVEGreenfield, WI 53220-4420
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateApril 16, 2008
Last NPPES UpdateNovember 2, 2026
NPPES CertifiedNovember 2, 2026
✔ NPI 1629242078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 82787
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 036127994 (IL)
6901 W EDGERTON AVE, Greenfield, WI 53220

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Melody Anne Mumford M.d. 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 ID2365609674
PECOS Enrollment IDI20231220002087
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 Reassignments

4

Medicare enrollment records show Melody Mumford reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obstetrics & Gynecology
8905 W LINCOLN AVE, SUITE 515
West Allis, WI 53227
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group
Family Medicine
2000 E LAYTON AVE STE 100
Saint Francis, WI 53235
  • Reassigned Medicare billing, Wisconsin enrollment
  • 960 clinicians in this Medicare group
Family Medicine
3003 W GOOD HOPE RD
Milwaukee, WI 53209
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,615 clinicians in this Medicare group
Student Health
840 BLACKHAWK BLVD
South Beloit, IL 61080
  • Reassigned Medicare billing, Illinois enrollment
  • 2,127 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.

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 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.
159 services154 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
50 services50 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
25 services25 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
21 services21 patients

Hospital Affiliations CMS Care Compare

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

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53220 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Durable Medical Equipment & Medical Supplies
6901 W EDGERTON AVE
MILWAUKEE, WI 53220
Family Medicine
6901 W EDGERTON AVE
GREENFIELD, WI 53220
Nurse Practitioner
6901 W EDGERTON AVE
GREENFIELD, WI 53220
Internal Medicine (Critical Care Medicine)
6901 W EDGERTON AVE
GREENFIELD, WI 53220
Nurse Practitioner
6901 W EDGERTON AVE
GREENFIELD, WI 53220
Internal Medicine
6901 W EDGERTON AVE
GREENFIELD, WI 53220
Pediatrics
6901 W EDGERTON AVE
GREENFIELD, WI 53220
Physician Assistant
6901 W EDGERTON AVE
GREENFIELD, WI 53220

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 Melody Mumford's NPI number?

The NPI number for Melody Mumford is 1629242078. It was assigned to this individual provider in the NPPES registry on April 16, 2008.

Where is Melody Mumford located?

Melody Mumford practices at 6901 W Edgerton Ave, Greenfield, WI 53220. The listed phone number is (414) 325-5244.

What is Melody Mumford's specialty?

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

Is Melody Mumford enrolled in Medicare?

Yes. Melody Mumford 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.

Which organizations bill Medicare for Melody Mumford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melody Mumford reassigns Medicare benefits to 4 organizations: Aurora Medical Group, Inc. (West Allis, WI), Lakeshore Medical Clinic, LLC (Saint Francis, WI), Aurora Advanced Healthcare, Inc. (Milwaukee, WI) and The Board Of Trustees Of The University Of Illinois (South Beloit, IL). Each 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 Melody Mumford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melody Mumford accept?

Health plans from CareSource (Common Ground Healthcare) and UnitedHealthcare list Melody Mumford 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 Melody Mumford affiliated with any hospitals?

According to CMS data, Melody Mumford is affiliated with Aurora St Lukes Medical Center.

When was this NPI record last updated?

The NPPES record for Melody Mumford was last updated on November 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.