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DR. MARCO ANTONIO RODRIGUEZ MELO M.D.
NPI 1780248054
Internal Medicine in Blue Hill, ME

Active since April 23, 2019PECOS EnrolledAccepts Medicare Assignment
96.65/100
CMS Quality Rating
57 WATER ST, BLUE HILL, ME 04614(207) 374-3400 Get Directions Write a Review

NPPES record last updated: July 28, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 28, 2022, Jan 24, 2020, Apr 23, 2019 (3 updates tracked since 2019).

About Dr. Marco Antonio Rodriguez Melo M.d. NPPES

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

DR. MARCO ANTONIO RODRIGUEZ MELO M.D. (NPI 1780248054) is an individual internal medicine provider in Blue Hill, Maine, licensed in Maine (MD25341) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Medical Center Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1780248054
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MARCO ANTONIO RODRIGUEZ MELOCredential: M.D.
Location Address57 WATER STBlue Hill, ME 04614-5231
Mailing Address210 Fairview Ave N Apt 613Seattle, WA 98109-5396 · (480) 299-4683
Phone(207) 374-3400
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 23, 2019
Last NPPES UpdateJuly 28, 20223 updates tracked since enumeration
NPPES CertifiedJuly 28, 2022
✔ NPI 1780248054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in ME · MD25341
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.
57 WATER ST, Blue Hill, ME 04614
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.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

Dr. Marco Antonio Rodriguez Melo 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 ID4789069253
PECOS Enrollment IDI20251026000429
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 Marco Rodriguez Melo reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospital Medicine Services Of Maine LLC
13 mi
Hospitalist
50 UNION ST
Ellsworth, ME 04605
  • Reassigned Medicare billing, Maine enrollment
  • 99 clinicians in this Medicare group
NPI 1538638432 (865) 693-1000
Maine Medical Services LLC
13 mi
Hospitalist
50 UNION ST
Ellsworth, ME 04605
  • Reassigned Medicare billing, Maine enrollment
  • 85 clinicians in this Medicare group
NPI 1053878371 (865) 693-1000
Mch Professional Care Hospital Based
2,015 mi
Family Medicine
500 W 4TH ST
Odessa, TX 79761
  • Reassigned Medicare billing, Texas enrollment
  • 219 clinicians in this Medicare group
NPI 1447547773 (432) 640-2401

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 8

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 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
193 services86 patients
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.
166 services85 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.
126 services119 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
95 services90 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
33 services15 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Medical Center Hospital

Acute Care Hospitals · Odessa, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450132
Location500 W 4th StreetOdessa, TX 79761 · Ector County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04614 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
$123.23 typical visit price
range $53.26 – $162.77
Typical copayment $30.80 (range $13.31 – $40.69)
Most-billed visit code 99204
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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.

96.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.91
Promoting Interoperability100
Improvement Activities40

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.

MS. LAURIE FARLEY FNP
Nurse Practitioner (Family)
57 WATER ST
BLUE HILL, ME 04614
Hancock County (207) 374-2311
MS. CYNTHIA R DUBLIN-MORIN CNM
Advanced Practice Midwife
57 WATER ST
BLUE HILL, ME 04614
Hancock County (207) 374-3940
MR. KURT LAWRENCE JUDSON PA-C
Physician Assistant
57 WATER ST
BLUE HILL, ME 04614
Hancock County (207) 374-3943
MS. KARYN JESSIE HOWE FNP
Nurse Practitioner (Family)
57 WATER ST
BLUE HILL, ME 04614
Hancock County (207) 374-2311
SARAH FAITH CARTER
Physician Assistant
57 WATER ST
BLUE HILL, ME 04614
Hancock County (207) 374-3400
MS. SUZANNE B. NORGANG CNM
Advanced Practice Midwife
57 WATER ST
BLUE HILL, ME 04614
Hancock County (207) 374-3940
CHRIS P SCHLEIF FNP
Nurse Practitioner (Family)
57 WATER ST
BLUE HILL, ME 04614
Hancock County (207) 374-3930
DR. BURTON W PEARL MD
Orthopaedic Surgery
57 WATER ST
BLUE HILL, ME 04614
Hancock County (207) 374-3943

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 Marco Rodriguez Melo's NPI number?

The NPI number for Marco Rodriguez Melo is 1780248054. It was assigned to this individual provider in the NPPES registry on April 23, 2019.

Where is Marco Rodriguez Melo located?

Marco Rodriguez Melo practices at 57 Water St, Blue Hill, ME 04614. The listed phone number is (207) 374-3400.

What is Marco Rodriguez Melo's specialty?

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

Is Marco Rodriguez Melo enrolled in Medicare?

Yes. Marco Rodriguez 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.

Which organizations bill Medicare for Marco Rodriguez Melo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marco Rodriguez Melo reassigns Medicare benefits to 3 organizations: Hospital Medicine Services Of Maine LLC (Ellsworth, ME), Maine Medical Services LLC (Ellsworth, ME) and Mch Professional Care Hospital Based (Odessa, TX). 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 Marco Rodriguez Melo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marco Rodriguez Melo accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Marco Rodriguez 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 Marco Rodriguez Melo affiliated with any hospitals?

According to CMS data, Marco Rodriguez Melo is affiliated with Medical Center Hospital.

When was this NPI record last updated?

The NPPES record for Marco Rodriguez Melo was last updated on July 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.