MELISSA A SCHMALZ DO
NPI 1790906261
Family Medicine in Grand Jct, CO

Active since May 01, 2007PECOS EnrolledAccepts Medicare Assignment
743 HORIZON CT STE 100, GRAND JCT, CO 81506(970) 241-7600(970) 263-4831 Get Directions Write a Review

NPPES record last updated: October 1, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Melissa A Schmalz Do NPPES

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

MELISSA A SCHMALZ DO (NPI 1790906261) is an individual family medicine provider in Grand Jct, Colorado, licensed in Colorado (DR46810) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Kansas City College Of Medicine And Surgery (2005).

NPPES Registry Identity

NPI1790906261
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMELISSA A SCHMALZCredential: DO
Location Address743 HORIZON CT STE 100Grand Jct, CO 81506-8715
Mailing AddressPo Box 1727Grand Jct, CO 81502-1727 · (970) 241-7600 · Fax (970) 263-4831
Fax(970) 263-4831
Sole ProprietorNo
Medical School CMSKansas City College Of Medicine And SurgeryGraduated 2005
Enumeration DateMay 1, 2007
Last NPPES UpdateOctober 1, 2021
NPPES CertifiedOctober 1, 2021
NPI 1790906261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in CO · DR46810 Licensed in SD · RL-0464
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
743 HORIZON CT STE 100, Grand Jct, CO 81506

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

Melissa A Schmalz Do 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 ID7012076268
PECOS Enrollment IDI20081104000104
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 13

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 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.
403 services222 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.
332 services168 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
201 services155 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
118 services48 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
118 services118 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
61 services46 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81506 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

Referred Medical Equipment & Supplies CMS DME claims 10

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers29 claims57 services$6.27 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers12 claims12 services$1.09 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
4 suppliers16 claims16 services$15.26 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers21 claims108 services$2.32 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers21 claims21 services$17.14 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers11 claims11 services$3.93 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 6

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

Nurse Practitioner (Family)
743 HORIZON CT STE 100
GRAND JUNCTION, CO 81506
Nurse Practitioner (Psychiatric/Mental Health)
743 HORIZON CT STE 100
GRAND JUNCTION, CO 81506
Physician Assistant
743 HORIZON CT STE 100
GRAND JUNCTION, CO 81506
Clinic/Center (Multi-Specialty)
743 HORIZON CT STE 100
GRAND JUNCTION, CO 81506
Family Medicine
743 HORIZON CT STE 100
GRAND JCT, CO 81506
Family Medicine
743 HORIZON CT STE 100
GRAND JCT, CO 81506

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 Melissa Schmalz's NPI number?

The NPI number for Melissa Schmalz is 1790906261. It was assigned to this individual provider in the NPPES registry on May 1, 2007.

Where is Melissa Schmalz located?

Melissa Schmalz practices at 743 Horizon Ct Ste 100, Grand Jct, CO 81506. The listed phone number is (970) 241-7600.

What is Melissa Schmalz's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Melissa Schmalz enrolled in Medicare?

Yes. Melissa Schmalz 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 Melissa Schmalz accept?

Health plans from University of Utah Health Plans list Melissa Schmalz 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 Melissa Schmalz was last updated on October 1, 2021. 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.