MS. MELANIE ANN STEARNS M.D.
NPI 1639531718
Physical Medicine & Rehabilitation in Wheaton, IL

Active since March 28, 2016PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
26W171 ROOSEVELT RD, WHEATON, IL 60187(630) 909-7000(630) 909-7001 Get Directions Write a Review

NPPES record last updated: September 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 3, 2020, Jul 13, 2020, Dec 7, 2018 and 1 more (4 updates tracked since 2016).

About Ms. Melanie Ann Stearns M.d. NPPES

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

MS. MELANIE ANN STEARNS M.D. (NPI 1639531718) is an individual physical medicine & rehabilitation provider in Wheaton, Illinois, licensed in Illinois (036152889) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with Palos Community Hospital, and maintains a secondary practice location in Aurora.

NPPES Registry Identity

NPI1639531718
Entity TypeIndividualFemale
Primary Taxonomy208100000X
Provider Legal NameMS. MELANIE ANN STEARNSCredential: M.D.
Location Address26W171 ROOSEVELT RDWheaton, IL 60187-6002
Mailing Address26w171 Roosevelt RdWheaton, IL 60187-6002 · (630) 909-7000 · Fax (630) 909-7001
Fax(630) 909-7001
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 28, 2016
Last NPPES UpdateSeptember 3, 20204 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2020
NPI 1639531718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License Licensed in IL · 036152889
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
26W171 ROOSEVELT RD, Wheaton, IL 60187

Other Names 1

Former Name (1)Melanie Ann Mackeben

Secondary Practice Location 1

Location 12020 Ogden Ave Ste 365Aurora, IL 60504-5897 · Phone (630) 909-6470 · Fax (630) 585-0042

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

Ms. Melanie Ann Stearns 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 ID4385939289
PECOS Enrollment IDI20200819000685
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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
19,500 services20 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
450 services140 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
290 services147 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
71 services57 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
49 services48 patients
Needle measurement of electrical activity in muscle with injection of chemical for paralysis of nerve muscle 95874
This procedure involves a needle that measures the electrical activity in your muscles. A chemical is then injected to temporarily paralyze the nerve muscle. This helps in diagnosing and treating certain muscle or nerve conditions.
45 services22 patients

Hospital Affiliations CMS Care Compare 5

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

Palos Community Hospital

Acute Care Hospitals · Palos Heights, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140062
Location12251 South 80th AvenuePalos Heights, IL 60463 · Cook County
Emergency services Birthing friendly

Northwestern Medicine Delnor Community Hospital

Acute Care Hospitals · Geneva, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140211
Location300 Randall RdGeneva, IL 60134 · Kane County
Emergency services Birthing friendly

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Loyola University Medical Center

Acute Care Hospitals · Maywood, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140276
Location2160 S 1st AvenueMaywood, IL 60153 · Cook County
Emergency services Birthing friendly

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140281
Location251 E Huron StChicago, IL 60611 · Cook County
Emergency services Birthing friendly

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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 9

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

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
2 suppliers11 claims309 services$6.23 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$14.44 avg. paid by Medicare
Manual wheelchair accessory, anti-tipping device, each E0971
DME-Wheelchairs · category DD021N
3 suppliers12 claims22 services$30.78 avg. paid by Medicare
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each E0973
DME-Wheelchairs · category DD021N
3 suppliers11 claims22 services$63.51 avg. paid by Medicare
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each E0978
DME-Wheelchairs · category DD021N
3 suppliers11 claims11 services$25.87 avg. paid by Medicare
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028
DME-Wheelchairs · category DD021N
1 supplier15 claims15 services$12.87 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.

Rehabilitation Practitioner
26W171 ROOSEVELT RD
WHEATON, IL 60187
Physical Medicine & Rehabilitation
26W171 ROOSEVELT RD
WHEATON, IL 60187
Clinic/Center (Multi-Specialty)
26W171 ROOSEVELT RD
WHEATON, IL 60187
Nurse Practitioner
26W171 ROOSEVELT RD
WHEATON, IL 60187
Physical Medicine & Rehabilitation
26W171 ROOSEVELT RD
WHEATON, IL 60187
Occupational Therapist
26W171 ROOSEVELT RD
WHEATON, IL 60187
Occupational Therapist
26W171 ROOSEVELT RD
WHEATON, IL 60187
Rehabilitation Practitioner
26W171 ROOSEVELT RD
WHEATON, IL 60187

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 Melanie Stearns's NPI number?

The NPI number for Melanie Stearns is 1639531718. It was assigned to this individual provider in the NPPES registry on March 28, 2016. The provider is also known as Melanie Ann Mackeben.

Where is Melanie Stearns located?

Melanie Stearns practices at 26w171 Roosevelt Rd, Wheaton, IL 60187. The listed phone number is (630) 909-7000.

What is Melanie Stearns's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Melanie Stearns enrolled in Medicare?

Yes. Melanie Stearns 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.

Is Melanie Stearns affiliated with any hospitals?

According to CMS data, Melanie Stearns is affiliated with Palos Community Hospital, Northwestern Medicine Delnor Community Hospital, Northwestern Medicine Central Dupage Hospital, Loyola University Medical Center and Northwestern Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Melanie Stearns was last updated on September 3, 2020. 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.