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MARK ANDREW MELROSE D.O.
NPI 1861492985
Emergency Medicine in New York, NY

Active since July 29, 2005PECOS EnrolledAccepts Medicare Assignment
85.4/100
CMS Quality Rating
199 AMSTERDAM AVE, URGENT CARE MANHATTAN, NEW YORK, NY 10023(212) 721-4200(212) 721-4201 Get Directions Write a Review

NPPES record last updated: July 23, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mark Andrew Melrose D.o. NPPES

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

MARK ANDREW MELROSE D.O. (NPI 1861492985) is an individual emergency medicine provider in New York, New York, licensed in New York (174682) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Philadelphia College Of Osteopathic Medicine (1984).

NPPES Registry Identity

NPI1861492985
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMARK ANDREW MELROSECredential: D.O.
Location Address199 AMSTERDAM AVE, URGENT CARE MANHATTANNew York, NY 10023
Mailing Address199 Amsterdam Ave, Urgent Care ManhattanNew York, NY 10023 · (212) 721-4200 · Fax (212) 721-4201
Phone(212) 721-4200
Fax(212) 721-4201
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1984
Enumeration DateJuly 29, 2005
Last NPPES UpdateJuly 23, 2014
✔ NPI 1861492985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in NY · 174682✔ Licensed in NJ · 25MB04846900
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
199 AMSTERDAM AVE, New York, NY 10023
Open in Google Maps ↗

Other Identifiers 4

Medicare UPINC63270
Medicare PIN561005NJ
Medicaid2291401NJ
OtherA400049212NY · Medicare Ptan

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

Mark Andrew Melrose 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 ID5597750638
PECOS Enrollment IDI20191211002322
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Mark Melrose reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Memorial Urgent Care Group
1.7 mi
Emergency Medicine
1275 YORK AVE
New York, NY 10021
  • Reassigned Medicare billing, New York enrollment
  • 74 clinicians in this Medicare group
NPI 1053364539 (646) 227-3813
Emergency Physician Associates Of North Jersey P C
20 mi
Emergency Medicine
99 BEAUVOIR AVE
Summit, NJ 07901
  • Reassigned Medicare billing, New Jersey enrollment
  • 436 clinicians in this Medicare group
NPI 1497783419 (908) 522-2000
Msk Harrison
22 mi
Medical Oncology
500 WESTCHESTER AVE
West Harrison, NY 10604
  • Reassigned Medicare billing, New York enrollment
  • 328 clinicians in this Medicare group
NPI 1174923593 (212) 639-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
220 services214 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
112 services109 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
35 services35 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
32 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10023 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

85.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.71
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

KELSEY GRIFFIN PA-C
Physician Assistant
199 AMSTERDAM AVE
NEW YORK, NY 10023
New York County (212) 721-4200
CHRISTINE HUANG MD
Emergency Medicine
199 AMSTERDAM AVE
NEW YORK, NY 10023
New York County (212) 721-4200
DR. DANIELA LIPOVIC DO
Emergency Medicine
199 AMSTERDAM AVE
NEW YORK, NY 10023
New York County (212) 721-4200
MELROSE SHIPLEY URGENT CARE PLLC
Emergency Medicine
199 AMSTERDAM AVE
NEW YORK, NY 10023
New York County (212) 721-4200

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 Melrose's NPI number?

The NPI number for Mark Melrose is 1861492985. It was assigned to this individual provider in the NPPES registry on July 29, 2005.

Where is Mark Melrose located?

Mark Melrose practices at 199 Amsterdam Ave Urgent Care Manhattan, New York, NY 10023. The listed phone number is (212) 721-4200.

What is Mark Melrose's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Mark Melrose enrolled in Medicare?

Yes. Mark Melrose 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 Mark Melrose's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Melrose reassigns Medicare benefits to 3 organizations: Memorial Urgent Care Group (New York, NY), Emergency Physician Associates Of North Jersey P C (Summit, NJ) and Msk Harrison (West Harrison, NY). 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 Mark Melrose's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mark Melrose was last updated on July 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.