DR. JOHN EDWARD MELBA M.D.
NPI 1649229923
Family Medicine in Greenville, SC

Active since May 06, 2006PECOS EnrolledAccepts Medicare Assignment
96.08/100
CMS Quality Rating
12 ARBORLAND WAY, GREENVILLE, SC 29615(864) 297-6010(864) 458-7673 Get Directions Write a Review

NPPES record last updated: February 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John Edward Melba M.d. NPPES

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

DR. JOHN EDWARD MELBA M.D. (NPI 1649229923) is an individual family medicine provider in Greenville, South Carolina, licensed in South Carolina (21806) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Spartanburg Medical Center, and is a graduate of Medical University Of South Carolina College Of Medicine (1999).

NPPES Registry Identity

NPI1649229923
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOHN EDWARD MELBACredential: M.D.
Location Address12 ARBORLAND WAYGreenville, SC 29615
Mailing Address12 Arborland WayGreenville, SC 29615 · (864) 297-6010 · Fax (864) 458-7673
Fax(864) 458-7673
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 1999
Enumeration DateMay 6, 2006
Last NPPES UpdateFebruary 5, 2021
NPPES CertifiedFebruary 5, 2021
NPI 1649229923 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 SC · 21806
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 21806 (SC)
12 ARBORLAND WAY, Greenville, SC 29615

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 and accepts Medicare assignment

Dr. John Edward Melba 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 ID345224903
PECOS Enrollment IDI20040614000622
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 12

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
474 services244 patients
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.
341 services177 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.
326 services193 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test 85027
A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.
314 services215 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.
205 services205 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
38 services22 patients

Hospital Affiliations CMS Care Compare 5

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

Spartanburg Medical Center

Acute Care Hospitals · Spartanburg, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420007
Location101 E Wood StSpartanburg, SC 29303 · Spartanburg County
Emergency services Birthing friendly

St Francis-Downtown

Acute Care Hospitals · Greenville, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420023
LocationOne St Francis DrGreenville, SC 29601 · Greenville County
Emergency services Birthing friendly

Prisma Health Greenville Memorial Hospital

Acute Care Hospitals · Greenville, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420078
Location701 Grove RoadGreenville, SC 29605 · Greenville County
Birthing friendly

Prisma Health Patewood Hospital

Acute Care Hospitals · Greenville, SC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420102
Location175 Patewood DriveGreenville, SC 29615 · Greenville County
Birthing friendly

Pelham Medical Center

Acute Care Hospitals · Greer, SC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420103
Location250 Westmoreland RoadGreer, SC 29651 · Greenville County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29615 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

96.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality92.17
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
74%190 patients3/55-star benchmark: 100%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
27%51 patients1/55-star benchmark: 100%
Medication Reconciliation Post-Discharge
The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing…
90%20 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
21%236 patients1/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
70%213 patients3/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
65%100 patients3/55-star benchmark: 98%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
2%110 patients1/55-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 3

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
10 suppliers20 claims42 services$5.11 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers26 claims26 services$32.39 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers32 claims32 services$201.32 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 8

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

Family Medicine
12 ARBORLAND WAY
GREENVILLE, SC 29615
Family Medicine
12 ARBORLAND WAY
GREENVILLE, SC 29615
Family Medicine
12 ARBORLAND WAY
GREENVILLE, SC 29615
Family Medicine
12 ARBORLAND WAY
GREENVILLE, SC 29615
Family Medicine
12 ARBORLAND WAY
GREENVILLE, SC 29615
Nurse Practitioner
12 ARBORLAND WAY
GREENVILLE, SC 29615
Family Medicine
12 ARBORLAND WAY
GREENVILLE, SC 29615
Family Medicine
12 ARBORLAND WAY
GREENVILLE, SC 29615

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 John Melba's NPI number?

The NPI number for John Melba is 1649229923. It was assigned to this individual provider in the NPPES registry on May 6, 2006.

Where is John Melba located?

John Melba practices at 12 Arborland Way, Greenville, SC 29615. The listed phone number is (864) 297-6010.

What is John Melba's specialty?

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

Is John Melba enrolled in Medicare?

Yes. John Melba 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.

What insurance does John Melba accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and InStil Health and 1 other insurer list John Melba 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 John Melba affiliated with any hospitals?

According to CMS data, John Melba is affiliated with Spartanburg Medical Center, St Francis-Downtown, Prisma Health Greenville Memorial Hospital, Prisma Health Patewood Hospital and Pelham Medical Center.

When was this NPI record last updated?

The NPPES record for John Melba was last updated on February 5, 2021. 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.