DR. CASEY WAYNE MELTON MD
NPI 1790718658
Internal Medicine - Pulmonary Disease in Mobile, AL

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment
81.73/100
CMS Quality Rating
5955 AIRPORT BLVD, MOBILE, AL 36608(251) 633-0573(251) 633-7367 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 21, 2022, Oct 2, 2018, Jul 6, 2018 and 2 more (5 updates tracked since 2018).

About Dr. Casey Wayne Melton Md NPPES

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

DR. CASEY WAYNE MELTON MD (NPI 1790718658) is an individual pulmonary disease provider in Mobile, Alabama, licensed in Alabama (25927) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with George Regional Health System, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1790718658
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. CASEY WAYNE MELTONCredential: MD
Location Address5955 AIRPORT BLVDMobile, AL 36608
Mailing AddressPo Box 7987Mobile, AL 36670-0987 · (251) 633-0573 · Fax (251) 633-7367
Fax(251) 633-7367
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1998
Enumeration DateJuly 7, 2006
Last NPPES UpdateMarch 19, 20245 updates tracked since enumeration
NPPES CertifiedMarch 19, 2024
NPI 1790718658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in AL · 25927
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 25927 (AL)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 25927 (AL)
5955 AIRPORT BLVD, Mobile, AL 36608

Secondary Practice Locations 2

Location 18725 County Road 64Daphne, AL 36526-6061 · Phone (251) 625-1370 · Fax (251) 625-1380
Location 2141 Tuscaloosa StMobile, AL 36607-3422 · Phone (251) 433-3344 · Fax (251) 433-4052

Other Identifiers 15

Other6888933AL · Cigna Hc
Other09872501MS · Ms Medicaid
Other512-07812AL · Bcbs
Other515-91165AL · Bcbs
OtherP00620269AL · Rr Medicare
OtherI09368AL · Viva Health
Medicaid101717AL
Other102I113605AL · Medicare
Medicaid215552AL
Medicaid220633AL
Medicaid221415AL
Medicaid214754AL
Other9127183AL · Aetna
Other518-07813AL · Bcbs
Other2930459AL · Uhc

Accepted 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

Dr. Casey Wayne Melton Md 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 ID3173593837
PECOS Enrollment IDI20040729000589, I20210303000400
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 25

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.
494 services326 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
220 services194 patients
Test to measure rate of airflow 94375
This test, known as spirometry, measures how much air you can breathe in and out, and how quickly you can do so. It helps assess your lung function and can be used to diagnose or monitor conditions like asthma or COPD.
216 services194 patients
Test to measure largest amount of air breathed in an out 94200
This test, called spirometry, measures your lung capacity. It involves taking a deep breath and then exhaling as forcefully as possible into a machine. The results help assess how well your lungs function.
215 services193 patients
Test to determine lung volumes using gas dilution or washout 94727
This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.
213 services195 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
213 services195 patients

Hospital Affiliations CMS Care Compare

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

George Regional Health System

Acute Care Hospitals · Lucedale, MS
OwnershipGovernment - Local
CMS Certification Number250036
Location859 Winter StreetLucedale, MS 39452 · George County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36608 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

81.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality85.98
Improvement Activities40
Cost60.12

Reported Quality Measures

Advance Care Plan
100%873 patients5/55-star benchmark: 100%
Chronic Obstructive Pulmonary Disease (COPD): Long-Acting Inhaled Bronchodilator Therapy
100%86 patients
Documentation of Current Medications in the Medical Record
100%3,734 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
98%2,170 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 779 patients
Patients screened: 100% · 779 patients
99%132 patients4/55-star benchmark: 100%
Sleep Apnea: Assessment of Adherence to Positive Airway Pressure Therapy
100%412 patients
Sleep Apnea: Severity Assessment at Initial Diagnosis
100%160 patients
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
82%220 patients3/55-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.

Referred Medical Equipment & Supplies CMS DME claims 32

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
15 suppliers101 claims101 services$38.11 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
5 suppliers67 claims125 services$1.50 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005
DME-Other DME · category DE000N
6 suppliers21 claims21 services$13.37 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
18 suppliers93 claims93 services$90.45 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
19 suppliers87 claims240 services$34.61 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
20 suppliers96 claims519 services$20.41 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.

Internal Medicine (Pulmonary Disease)
5955 AIRPORT BLVD
MOBILE, AL 36608
Nurse Practitioner (Acute Care)
5955 AIRPORT BLVD
MOBILE, AL 36608
Clinical Nurse Specialist (Acute Care)
5955 AIRPORT BLVD
MOBILE, AL 36608
Internal Medicine (Pulmonary Disease)
5955 AIRPORT BLVD
MOBILE, AL 36608
Nurse Practitioner (Family)
5955 AIRPORT BLVD
MOBILE, AL 36608
Internal Medicine (Pulmonary Disease)
5955 AIRPORT BLVD
MOBILE, AL 36608
Internal Medicine (Pulmonary Disease)
5955 AIRPORT BLVD
MOBILE, AL 36608
Internal Medicine (Pulmonary Disease)
5955 AIRPORT BLVD
MOBILE, AL 36608

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 Casey Melton's NPI number?

The NPI number for Casey Melton is 1790718658. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Casey Melton located?

Casey Melton practices at 5955 Airport Blvd, Mobile, AL 36608. The listed phone number is (251) 633-0573.

What is Casey Melton's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Casey Melton enrolled in Medicare?

Yes. Casey Melton 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 Casey Melton accept?

Health plans from Blue Cross and Blue Shield of Alabama list Casey Melton 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 Casey Melton affiliated with any hospitals?

According to CMS data, Casey Melton is affiliated with George Regional Health System.

When was this NPI record last updated?

The NPPES record for Casey Melton was last updated on March 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.