THOMAS JEROME MELTON
NPI 1811314222
Orthopaedic Surgery - Sports Medicine in Seneca, SC
About Thomas Jerome Melton NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THOMAS JEROME MELTON (NPI 1811314222) is an individual sports medicine provider in Seneca, South Carolina, licensed in South Carolina (86652) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS, is affiliated with Prisma Health Oconee Memorial Hospital, and maintains a secondary practice location in Apo.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Accepted 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
Thomas Jerome Melton 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.
Medicare Billing Reassignments
2Medicare enrollment records show Thomas Melton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Seneca, SC 29678
- Reassigned Medicare billing, South Carolina enrollment
- 3,281 clinicians in this Medicare group
Mc Daniels, KY 40152
- Reassigned Medicare billing, Kentucky enrollment
- 33 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Prisma Health Oconee Memorial Hospital
Acute Care Hospitals · Seneca, SCPrisma Health Greenville Memorial Hospital
Acute Care Hospitals · Greenville, SCOther Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SENECA, SC 29678
SENECA, SC 29678
SENECA, SC 29678
SENECA, SC 29678
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 Thomas Melton's NPI number?
The NPI number for Thomas Melton is 1811314222. It was assigned to this individual provider in the NPPES registry on March 24, 2014.
Where is Thomas Melton located?
Thomas Melton practices at 10630 Clemson Blvd Ste 100, Seneca, SC 29678. The listed phone number is (864) 482-6000.
What is Thomas Melton's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.
Is Thomas Melton enrolled in Medicare?
Yes. Thomas 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.
Which organizations bill Medicare for Thomas Melton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Melton reassigns Medicare benefits to 2 organizations: Prisma Health University Medical Group (Seneca, SC) and Breckinridge Health Inc (Mc Daniels, KY). 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 Thomas Melton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Thomas Melton accept?
Health plans from BlueCross BlueShield of South Carolina and InStil Health list Thomas 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 Thomas Melton affiliated with any hospitals?
According to CMS data, Thomas Melton is affiliated with Prisma Health Oconee Memorial Hospital and Prisma Health Greenville Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Thomas Melton was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.