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MELISSA A GILLEN DO
NPI 1700231578
Internal Medicine in Midlothian, VA

Active since April 29, 2016PECOS EnrolledAccepts Medicare Assignment
13540 HULL STREET RD, MIDLOTHIAN, VA 23112(804) 739-6142(804) 739-8923 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 9, 2025, Jul 1, 2019 (2 updates tracked since 2019).

About Melissa A Gillen Do NPPES

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

MELISSA A GILLEN DO (NPI 1700231578) is an individual internal medicine provider in Midlothian, Virginia, licensed in North Carolina (2020-02437) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and maintains a secondary practice location in Richmond.

NPPES Registry Identity

NPI1700231578
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMELISSA A GILLENCredential: DO
Location Address13540 HULL STREET RDMidlothian, VA 23112-2107
Mailing Address13540 Hull Street RdMidlothian, VA 23112-2107 · (804) 739-6142 · Fax (804) 739-8923
Phone(804) 739-6142
Fax(804) 739-8923
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 29, 2016
Last NPPES UpdateDecember 9, 20252 updates tracked since enumeration
NPPES CertifiedDecember 9, 2025
✔ NPI 1700231578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NC · 2020-02437
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
13540 HULL STREET RD, Midlothian, VA 23112
Open in Google Maps ↗

Secondary Practice Location 1

Location 11250 E. Marshall St., Box 980509Richmond, VA 23298 · Phone (804) 828-8786 · Fax (804) 828-5466

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.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

Melissa A Gillen Do 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 ID244523082
PECOS Enrollment IDI20200803000322
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 Reassignment

Medicare enrollment records show Melissa Gillen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Duke University Affiliated Physicians, Inc.
86 mi
Family Medicine
480 RUIN CREEK RD
Henderson, NC 27536
  • Reassigned Medicare billing, North Carolina enrollment
  • 636 clinicians in this Medicare group
NPI 1932137676 (252) 492-3152

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 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.

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.
467 services222 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
135 services45 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.
131 services103 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.
130 services130 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
79 services78 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
75 services37 patients

Hospital Affiliations CMS Care Compare

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23112 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers12 claims67 services$1.79 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers17 claims17 services$32.00 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.

DAN ANNA TEDDY
Hospitalist
13540 HULL STREET RD
MIDLOTHIAN, VA 23112
Chesterfield County (804) 739-6142
SABA NAZ M.D.
Family Medicine
13540 HULL STREET RD, ST. FRANCIS FAMILY MEDICINE
MIDLOTHIAN, VA 23112
Chesterfield County (804) 739-6142
DR. STEPHANIE A. CRAWFORD DO
Family Medicine
13540 HULL STREET RD
MIDLOTHIAN, VA 23112
Chesterfield County (804) 739-6142
GRACE ELIZABETH MINER LE MD
Student in an Organized Health Care Education/Training Program
13540 HULL STREET RD
MIDLOTHIAN, VA 23112
Chesterfield County (804) 739-6142
JOHN P. SHERROD M.D.
Family Medicine
13540 HULL STREET RD
MIDLOTHIAN, VA 23112
Chesterfield County (804) 739-6142
KENNY S LE M.D.
Family Medicine
13540 HULL STREET RD, ST. FRANCIS FAMILY MEDICINE CENTER
MIDLOTHIAN, VA 23112
Chesterfield County (804) 739-6142
VICTORIA E WITT DO
Family Medicine
13540 HULL STREET RD
MIDLOTHIAN, VA 23112
Chesterfield County (804) 739-6142
AARON DAVID CLAMPITT
Family Medicine
13540 HULL STREET RD
MIDLOTHIAN, VA 23112
Chesterfield County (804) 739-6142

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 Melissa Gillen's NPI number?

The NPI number for Melissa Gillen is 1700231578. It was assigned to this individual provider in the NPPES registry on April 29, 2016.

Where is Melissa Gillen located?

Melissa Gillen practices at 13540 Hull Street Rd, Midlothian, VA 23112. The listed phone number is (804) 739-6142.

What is Melissa Gillen's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Melissa Gillen enrolled in Medicare?

Yes. Melissa Gillen 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 Melissa Gillen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Gillen reassigns Medicare benefits to Duke University Affiliated Physicians, Inc. (Henderson, NC). 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 Melissa Gillen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melissa Gillen accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 1 other insurer list Melissa Gillen 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 Melissa Gillen affiliated with any hospitals?

According to CMS data, Melissa Gillen is affiliated with Duke University Hospital.

When was this NPI record last updated?

The NPPES record for Melissa Gillen was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.