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DR. MELANIE A KOEHLER MD
NPI 1740244755
Pediatrics in Tamaqua, PA

Active since April 14, 2006PECOS Enrolled
143 N RAILROAD ST, TAMAQUA, PA 18252(570) 645-1930 Get Directions Write a Review

NPPES record last updated: December 5, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Melanie A Koehler Md NPPES

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

DR. MELANIE A KOEHLER MD (NPI 1740244755) is an individual pediatrics provider in Tamaqua, Pennsylvania, licensed in Pennsylvania (MD057285L) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740244755
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. MELANIE A KOEHLERCredential: MD
Location Address143 N RAILROAD STTamaqua, PA 18252-1330
Mailing Address143 N Railroad StTamaqua, PA 18252-1330 · (706) 451-9305
Phone(570) 645-1930
Sole ProprietorNo
Enumeration DateApril 14, 2006
Last NPPES UpdateDecember 5, 2022
NPPES CertifiedDecember 5, 2022
✔ NPI 1740244755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in PA · MD057285L
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
143 N RAILROAD ST, Tamaqua, PA 18252
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Other Identifiers 1

Medicaid1007423240006PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Melanie A Koehler Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

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

Carbon - Schuylkill Community Hospital Inc
0.1 mi
Rural Health
34 S RAILROAD ST
Tamaqua, PA 18252
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 145 clinicians in this Medicare group
NPI 1285883553 (484) 526-4766
St. Luke's Physician Group Inc.
0.2 mi
Otolaryngology
120 PINE ST, SUITE B
Tamaqua, PA 18252
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: St Lukes Physician Group Inc
  • 2,851 clinicians in this Medicare group
NPI 1770028136 (570) 645-1580
Star Community Health, Inc
34 mi
General Practice
511 E 3RD ST STE 202
Bethlehem, PA 18015
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 318 clinicians in this Medicare group
NPI 1033686159 (484) 526-4700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18252 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

ST. LUKE'S PHYSICIAN GROUP, INC.
Family Medicine
143 N RAILROAD ST
TAMAQUA, PA 18252
Schuylkill County (484) 526-4000
SAMANTHA ROSE EROH PA-C
Physician Assistant
143 N RAILROAD ST
TAMAQUA, PA 18252
Schuylkill County (570) 645-1540
MARIE JAMIE FLUKE PA-C
Physician Assistant
143 N RAILROAD ST
TAMAQUA, PA 18252
Schuylkill County (570) 645-1540
SHANNON CLARE PIRICH CRNP
Nurse Practitioner
143 N RAILROAD ST
TAMAQUA, PA 18252
Schuylkill County (570) 645-1540
DR. DAVID F MCPHERSON MD
Family Medicine
143 N RAILROAD ST
TAMAQUA, PA 18252
Schuylkill County (484) 526-1000
JOANNE CALABRESE DO
Internal Medicine
143 N RAILROAD ST
TAMAQUA, PA 18252
Schuylkill County (570) 645-1540
LAURA JOSEPHINE D'AMATO PA-C
Physician Assistant
143 N RAILROAD ST
TAMAQUA, PA 18252
Schuylkill County (570) 645-1540
KRISTINA RENAE RAMDIAL MD
Family Medicine
143 N RAILROAD ST
TAMAQUA, PA 18252
Schuylkill County (570) 645-1540

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 Melanie Koehler's NPI number?

The NPI number for Melanie Koehler is 1740244755. It was assigned to this individual provider in the NPPES registry on April 14, 2006.

Where is Melanie Koehler located?

Melanie Koehler practices at 143 N Railroad St, Tamaqua, PA 18252. The listed phone number is (570) 645-1930.

What is Melanie Koehler's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Melanie Koehler enrolled in Medicare?

Yes. Melanie Koehler is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Melanie Koehler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melanie Koehler reassigns Medicare benefits to 3 organizations: Carbon - Schuylkill Community Hospital Inc (Tamaqua, PA), St. Luke's Physician Group Inc. (Tamaqua, PA) and Star Community Health, Inc (Bethlehem, PA). Each 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 Melanie Koehler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Melanie Koehler was last updated on December 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.