CLAIRE FRANCESCA MELO MD
NPI 1699390344
Family Medicine in Carbondale, IL
About Claire Francesca Melo Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLAIRE FRANCESCA MELO MD (NPI 1699390344) is an individual family medicine provider in Carbondale, Illinois, licensed in Illinois (125076155) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Presbyterian Hospital, and is a graduate of University Of New Mexico School Of Medicine (2020).
NPPES Registry Identity
Specialties & Licenses
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
Claire Francesca Melo Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Claire Melo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Clovis, NM 88101
- Reassigned Medicare billing, New Mexico enrollment
- 2,331 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 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Presbyterian Hospital
Acute Care Hospitals · Albuquerque, NMPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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.
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 Claire Melo's NPI number?
The NPI number for Claire Melo is 1699390344. It was assigned to this individual provider in the NPPES registry on June 9, 2020.
Where is Claire Melo located?
Claire Melo practices at 300 W Oak St, Carbondale, IL 62901. The listed phone number is (618) 536-6621.
What is Claire Melo's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Claire Melo enrolled in Medicare?
Yes. Claire Melo 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 organization bills Medicare for Claire Melo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Claire Melo reassigns Medicare benefits to Presbyterian Healthcare Services (Clovis, NM). The 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 Claire Melo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Claire Melo accept?
Health plans from UnitedHealthcare list Claire Melo 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 Claire Melo affiliated with any hospitals?
According to CMS data, Claire Melo is affiliated with Presbyterian Hospital.
When was this NPI record last updated?
The NPPES record for Claire Melo was last updated on June 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Claire Francesca Melo, MD · NPI 1699390344
Family Medicine physician in Carbondale, Illinois. Individual provider, active in the CMS NPPES registry since June 9, 2020.
## Identity
- **NPI:** 1699390344 (Entity type: Individual)
- **Enumerated:** June 9, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 125076155 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 300 W OAK ST, Carbondale, IL 62901-1400
- **Phone:** (618) 536-6621
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Presbyterian Healthcare Services (NPI 1629053509, Clovis, NM), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of New Mexico School Of Medicine, class of 2020
## Record status
- **NPPES last updated:** June 9, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1699390344) · Data from the CMS NPPES public registry.