DR. JAMES C MELLONE M.D.
NPI 1730591942
Internal Medicine in Clermont, FL

Q: What is James Mellone's NPI number?

The NPI number for James Mellone is 1730591942. It was assigned to this individual provider in the NPPES registry on May 21, 2014.

Q: What is James Mellone's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for James Mellone was last updated on March 23, 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.

Active since May 21, 2014PECOS EnrolledAccepts Medicare Assignment

1900 DON WICKHAM DR, CLERMONT, FL 34711(352) 536-8840(352) 536-8841 Get Directions Write a Review

NPPES record last updated: March 23, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 23, 2021, Jul 18, 2017 (2 updates tracked since 2017).

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About Dr. James C Mellone M.d. NPPES

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

DR. JAMES C MELLONE M.D. (NPI 1730591942) is an individual internal medicine provider in Clermont, Florida, licensed in Florida (ME131395) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with Orlando Health South Lake Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1730591942

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. JAMES C MELLONECredential: M.D.

Location Address1900 DON WICKHAM DRClermont, FL 34711-1979

Mailing Address1900 Don Wickham DrClermont, FL 34711-1979 · (352) 536-8840 · Fax (352) 536-8841

Phone(352) 536-8840

Fax(352) 536-8841

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateMay 21, 2014

Last NPPES UpdateMarch 23, 20212 updates tracked since enumeration

NPPES CertifiedMarch 23, 2021

✔ NPI 1730591942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in FL · ME131395

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.

1900 DON WICKHAM DR, Clermont, FL 34711

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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

Dr. James C Mellone 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 ID7315218898

PECOS Enrollment IDI20170801003281

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 Reassignments

Medicare enrollment records show James Mellone reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Orlando Health Medical Group Inc

21 mi

Internal Medicine

52 W UNDERWOOD ST
Orlando, FL 32806

Reassigned Medicare billing, Florida enrollment
3,290 clinicians in this Medicare group

NPI 1669429577 (321) 841-2452

Inpatient Care Specialists LLC

25 mi

Hospitalist

525 TECHNOLOGY PARK STE 109
Lake Mary, FL 32746

Reassigned Medicare billing, Florida enrollment
214 clinicians in this Medicare group

NPI 1679817134 (407) 647-2346

Florida Health Care LLC

30 mi

Infectious Disease

929 N US HWY 441, STE 102
Lady Lake, FL 32159

Reassigned Medicare billing, Florida enrollment
39 clinicians in this Medicare group

NPI 1952848913 (352) 350-2474

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.

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.

49 services37 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

16 services16 patients

Hospital Affiliations CMS Care Compare

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

Orlando Health South Lake Hospital

Acute Care Hospitals · Clermont, FL

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100051

Location1900 Don Wickham DrClermont, FL 34711 · Lake County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34711 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%574 patients5/55-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.

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.

DR. APRIL LOUISE OXFORD MD

Internal Medicine