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MELISSA ANN DENIEL M.D.
NPI 1821026667
Orthopaedic Surgery - Sports Medicine in Big Rapids, MI

Active since June 29, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
705 OAK ST, SUITE 11, BIG RAPIDS, MI 49307(231) 592-1002(231) 305-3093 Get Directions Write a Review

NPPES record last updated: October 24, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Melissa Ann Deniel M.d. NPPES

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

MELISSA ANN DENIEL M.D. (NPI 1821026667) is an individual sports medicine provider in Big Rapids, Michigan, licensed in Michigan (4301061790) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Corewell Health Big Rapids Hospital, and is a graduate of University Of Wisconsin School Of Medicine (1993).

NPPES Registry Identity

NPI1821026667
Entity TypeIndividualFemale
Primary Taxonomy207XX0005X
Provider Legal NameMELISSA ANN DENIELCredential: M.D.
Location Address705 OAK ST, SUITE 11Big Rapids, MI 49307-3107
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560 · (616) 486-6790
Phone(231) 592-1002
Fax(231) 305-3093
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1993
Enumeration DateJune 29, 2006
Last NPPES UpdateOctober 24, 2024
NPPES CertifiedOctober 24, 2024
✔ NPI 1821026667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in MI · 4301061790
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 4301061790 (MI)
705 OAK ST, Big Rapids, MI 49307
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Other Names 1

Former Name (1)Melissa Ann Stephens M.d.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Melissa Ann Deniel 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 ID9931130796
PECOS Enrollment IDI20050822001307
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 5

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.
19 services13 patients
Shaving of part of shoulder bone and repair of ligament using an endoscope 29826
This procedure involves using a tiny camera, called an endoscope, to view and repair a damaged shoulder ligament. Simultaneously, a small portion of the shoulder bone is shaved to alleviate discomfort and improve movement. It's a minimally invasive technique that aids in a quicker recovery.
18 services18 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
18 services18 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.
17 services16 patients
Repair of shoulder rotator cuff using an endoscope 29827
This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Corewell Health Big Rapids Hospital

Acute Care Hospitals · Big Rapids, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230093
Location605 Oak StreetBig Rapids, MI 49307 · Mecosta County
Emergency services Birthing friendly

Corewell Health Reed City Hospital

Critical Access Hospitals · Reed City, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231323
Location300 N Patterson, PO Box 75Reed City, MI 49677 · Osceola County
Emergency services

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

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.

Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L0637
DME-Orthotic Devices · category DF007N
5 suppliers91 claims91 services$1,052.63 avg. paid by Medicare
Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf L0648
DME-Orthotic Devices · category DF007N
2 suppliers13 claims13 services$611.68 avg. paid by Medicare
Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf L0650
DME-Orthotic Devices · category DF007N
11 suppliers20 claims20 services$725.75 avg. paid by Medicare
Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces intracavitary pressure to reduce load on the intervertebral discs, overall strength is provided by overlapping rigid material and stabilizing closures, includes straps, closures, may include soft interface, pendulous abdomen design, prefabricated, off-the-shelf L0651
DME-Orthotic Devices · category DF007N
5 suppliers56 claims56 services$791.13 avg. paid by Medicare
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf L1833
DME-Orthotic Devices · category DF011N
3 suppliers27 claims29 services$461.22 avg. paid by Medicare
Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L1843
DME-Orthotic Devices · category DF011N
3 suppliers83 claims159 services$741.11 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 9

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

THE HEARING CLINIC, INC
Audiologist
705 OAK ST
BIG RAPIDS, MI 49307
Mecosta County (231) 592-4356
MICHIGAN MEDICAL PATIENT CARE
Internal Medicine (Pulmonary Disease)
705 OAK ST
BIG RAPIDS, MI 49307
Mecosta County (616) 949-8244
MHS SURGICAL SPECIALISTS
Surgery
705 OAK ST, SUITE 12
BIG RAPIDS, MI 49307
Mecosta County (231) 796-7607
MECOSTA COUNTY MEDICAL CENTER
Surgery
705 OAK ST
BIG RAPIDS, MI 49307
Mecosta County (231) 796-7607
MRS. MARCIA KAY BULL MSW
Social Worker (Clinical)
705 OAK ST
BIG RAPIDS, MI 49307
Mecosta County (231) 629-5220
MARK E HAAN MD
Surgery
705 OAK ST, SUITE 12
BIG RAPIDS, MI 49307
Mecosta County (231) 796-7607
PETER ZADVINSKIS MD PC
Specialist
705 OAK ST, SUITE #5
BIG RAPIDS, MI 49307
Mecosta County (231) 592-5507
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Internal Medicine (Sleep Medicine)
705 OAK ST
BIG RAPIDS, MI 49307
Mecosta County (616) 391-3759

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 Deniel's NPI number?

The NPI number for Melissa Deniel is 1821026667. It was assigned to this individual provider in the NPPES registry on June 29, 2006. The provider is also known as Melissa Ann Stephens M.D..

Where is Melissa Deniel located?

Melissa Deniel practices at 705 Oak St Suite 11, Big Rapids, MI 49307. The listed phone number is (231) 592-1002.

What is Melissa Deniel's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Melissa Deniel enrolled in Medicare?

Yes. Melissa Deniel 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 Deniel accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Melissa Deniel 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 Melissa Deniel affiliated with any hospitals?

According to CMS data, Melissa Deniel is affiliated with Corewell Health Big Rapids Hospital and Corewell Health Reed City Hospital.

When was this NPI record last updated?

The NPPES record for Melissa Deniel was last updated on October 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.