CLAIRE FRANCESCA MELO MD
NPI 1699390344
Family Medicine in Carbondale, IL

Active since June 09, 2020PECOS EnrolledAccepts Medicare Assignment
83.84/100
CMS Quality Rating
300 W OAK ST, CARBONDALE, IL 62901(618) 536-6621 Get Directions Write a Review

NPPES record last updated: June 9, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1699390344
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCLAIRE FRANCESCA MELOCredential: MD
Location Address300 W OAK STCarbondale, IL 62901-1400
Mailing Address300 W Oak St Ste 200Carbondale, IL 62901-1400 · (618) 536-6621 · Fax (618) 453-1102
Sole ProprietorNo
Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 2020
Enumeration DateJune 9, 2020
NPPES CertifiedJune 9, 2020
NPI 1699390344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IL · 125076155
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.

300 W OAK ST, Carbondale, IL 62901

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

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.

PECOS PAC ID6103249768
PECOS Enrollment IDI20230905003900
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.

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, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320021
Location1100 Central Avenue SEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician 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.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

83.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.59
Promoting Interoperability100
Improvement Activities40
Cost58.63

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.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers13 claims13 services$7.42 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers45 claims45 services$95.48 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
2 suppliers43 claims43 services$34.37 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.

Physician Assistant
300 W OAK ST
CARBONDALE, IL 62901
Student in an Organized Health Care Education/Training Program
300 W OAK ST
CARBONDALE, IL 62901
Physician Assistant
300 W OAK ST
CARBONDALE, IL 62901
General Practice
300 W OAK ST
CARBONDALE, IL 62901
Physician Assistant
300 W OAK ST
CARBONDALE, IL 62901
Family Medicine
300 W OAK ST
CARBONDALE, IL 62901
Family Medicine
300 W OAK ST
CARBONDALE, IL 62901
Physician Assistant (Medical)
300 W OAK ST
CARBONDALE, IL 62901

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.

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 with the weekly NPPES data releases published by CMS.