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DR. MARK EDWARD MELTON D.O.
NPI 1801854617
Obstetrics & Gynecology in Ardmore, OK

Active since May 02, 2006PECOS EnrolledAccepts Medicare Assignment
1505 N COMMERCE ST, SUITE #204, ARDMORE, OK 73401(580) 226-3003(580) 798-3124 Get Directions Write a Review

NPPES record last updated: September 16, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mark Edward Melton D.o. NPPES

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

DR. MARK EDWARD MELTON D.O. (NPI 1801854617) is an individual obstetrics & gynecology provider in Ardmore, Oklahoma, licensed in Oklahoma (2962) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Ardmore, Inc, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1801854617
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. MARK EDWARD MELTONCredential: D.O.
Location Address1505 N COMMERCE ST, SUITE #204Ardmore, OK 73401-1863
Mailing Address1505 N Commerce St, Suite #204Ardmore, OK 73401-1863 · (580) 226-3003 · Fax (580) 798-3124
Phone(580) 226-3003
Fax(580) 798-3124
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateMay 2, 2006
Last NPPES UpdateSeptember 16, 2016
✔ NPI 1801854617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in OK · 2962
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1505 N COMMERCE ST, Ardmore, OK 73401
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Other Identifiers 4

Medicare PIN$$$$$$$$$ROK
Medicaid100130510BOK
OtherP00300469OK · Railroad Medicare Part B
Medicare UPINF01134

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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

Dr. Mark Edward Melton D.o. 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 ID1850380668
PECOS Enrollment IDI20100503000408
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 2

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.

Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
29 services26 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
24 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Hospital Ardmore, Inc

Acute Care Hospitals · Ardmore, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370047
Location1011 14th Ave NWArdmore, OK 73401 · Carter County
Emergency services Birthing friendly

O U Medical Center

Acute Care Hospitals · Oklahoma City, OK
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370093
Location700 NE 13th StreetOklahoma City, OK 73104 · Oklahoma County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73401 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

Other Providers at the Same Location NPPES 2

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

ROBERT DEAN HANNA P.A.
Physician Assistant
1505 N COMMERCE ST, STE 203
ARDMORE, OK 73401
Carter County (580) 223-6555
COVENANT WOMEN'S CARE LLC
Obstetrics & Gynecology
1505 N COMMERCE ST, SUITE 204
ARDMORE, OK 73401
Carter County (580) 226-3003

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 Mark Melton's NPI number?

The NPI number for Mark Melton is 1801854617. It was assigned to this individual provider in the NPPES registry on May 2, 2006.

Where is Mark Melton located?

Mark Melton practices at 1505 N Commerce St Suite #204, Ardmore, OK 73401. The listed phone number is (580) 226-3003.

What is Mark Melton's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Mark Melton enrolled in Medicare?

Yes. Mark 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 Mark Melton accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Mark 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 Mark Melton affiliated with any hospitals?

According to CMS data, Mark Melton is affiliated with Mercy Hospital Ardmore, Inc and O U Medical Center.

When was this NPI record last updated?

The NPPES record for Mark Melton was last updated on September 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.