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MELANIA VELASQUEZ PA
NPI 1770917833
Physician Assistant in Augusta, GA

Active since August 26, 2013PECOS EnrolledAccepts Medicare Assignment
77.82/100
CMS Quality Rating
3675 J DEWEY GRAY CIR, STE. 300, AUGUSTA, GA 30909(706) 863-9595(706) 868-8375 Get Directions Write a Review

NPPES record last updated: August 22, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 22, 2019, Sep 29, 2016 (2 updates tracked since 2016).

About Melania Velasquez Pa NPPES

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

MELANIA VELASQUEZ PA (NPI 1770917833) is an individual physician assistant in Augusta, Georgia and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1770917833
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMELANIA VELASQUEZCredential: PA
Location Address3675 J DEWEY GRAY CIR, STE. 300Augusta, GA 30909-1868
Mailing Address1120 15th St, Ste Bi1056Augusta, GA 30912-0004 · (706) 721-3813
Phone(706) 863-9595
Fax(706) 868-8375
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateAugust 26, 2013
Last NPPES UpdateAugust 22, 20192 updates tracked since enumeration
✔ NPI 1770917833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3675 J DEWEY GRAY CIR, Augusta, GA 30909
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., BlueCross BlueShield of South Carolina, Molina Healthcare and more.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

Melania Velasquez Pa 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 ID2567698608
PECOS Enrollment IDI20131120001731
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.

Areas of Expertise CMS Part B claims 10

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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
3,100 services12 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.
326 services194 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
89 services87 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
75 services75 patients
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.
57 services54 patients
Fitting and insertion of vaginal support device 57160
A vaginal support device is a medical tool used to provide support to pelvic organs. During the procedure, a healthcare professional will gently place the device into the appropriate area. This is typically done in a clinical setting and can help with various health conditions.
37 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30909 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
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.

77.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.04
Promoting Interoperability92
Improvement Activities40
Cost60.7

Referred Medical Equipment & Supplies CMS DME claims

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

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
3 suppliers23 claims4,140 services$1.66 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 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DENA MARIE HAMMOND PA-C
Physician Assistant (Surgical)
3675 J DEWEY GRAY CIR, STE 300
AUGUSTA, GA 30909
Richmond County (706) 863-9595
MRS. SHAUNTAE MCLAMORE JOHNSON PHYSICIAN ASST CERTI
Physician Assistant (Surgical)
3675 J DEWEY GRAY CIR, SUITE 300
AUGUSTA, GA 30909
Richmond County (706) 863-9595
BOUNTHAVY HOMSOMBATH MD
Surgery (Surgical Critical Care)
3675 J DEWEY GRAY CIR, SUITE 300
AUGUSTA, GA 30909
Richmond County (706) 863-9595
DR. SHAWN P FAGAN M.D.
Surgery
3675 J DEWEY GRAY CIR, STE. 300
AUGUSTA, GA 30909
Richmond County (706) 863-9595
MRS. SHAY ALISA WHITE PA
Physician Assistant
3675 J DEWEY GRAY CIR, STE 300
AUGUSTA, GA 30909
Richmond County (706) 863-9595
ERIN KRENZ PA-C
Physician Assistant
3675 J DEWEY GRAY CIR, SUITE 300
AUGUSTA, GA 30909
Richmond County (706) 863-9595
JOSE RAUL PONTE JR. MD
Pediatrics (Pediatric Critical Care Medicine)
3675 J DEWEY GRAY CIR, SUITE 300
AUGUSTA, GA 30909
Richmond County (706) 863-9595
MRS. CRYSTAL WHITAKER HELMLY FNP
Nurse Practitioner (Family)
3675 J DEWEY GRAY CIR, SUITE 300
AUGUSTA, GA 30909
Richmond County (706) 863-9595

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 Melania Velasquez's NPI number?

The NPI number for Melania Velasquez is 1770917833. It was assigned to this individual provider in the NPPES registry on August 26, 2013.

Where is Melania Velasquez located?

Melania Velasquez practices at 3675 J Dewey Gray Cir Ste. 300, Augusta, GA 30909. The listed phone number is (706) 863-9595.

What is Melania Velasquez's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Melania Velasquez enrolled in Medicare?

Yes. Melania Velasquez 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 Melania Velasquez accept?

Health plans from Alliant Health Plans, Inc., BlueCross BlueShield of South Carolina, Molina Healthcare and UnitedHealthcare list Melania Velasquez 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.

When was this NPI record last updated?

The NPPES record for Melania Velasquez was last updated on August 22, 2019. 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.