DR. MELANIE L HEBERT M.D.
NPI 1861768012
Family Medicine in Highlands Ranch, CO

Active since March 31, 2012PECOS EnrolledAccepts Medicare Assignment
78.34/100
CMS Quality Rating
9285 HEPBURN ST, HIGHLANDS RANCH, CO 80129(303) 338-4545 Get Directions Write a Review

NPPES record last updated: March 13, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Melanie L Hebert M.d. NPPES

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

DR. MELANIE L HEBERT M.D. (NPI 1861768012) is an individual family medicine provider in Highlands Ranch, Colorado, licensed in Colorado (0053084) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS and is a graduate of New York Medical College (2012).

NPPES Registry Identity

NPI1861768012
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MELANIE L HEBERTCredential: M.D.
Location Address9285 HEPBURN STHighlands Ranch, CO 80129-2262
Mailing Address9285 Hepburn StHighlands Ranch, CO 80129-2262 · (303) 338-4545
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 2012
Enumeration DateMarch 31, 2012
Last NPPES UpdateMarch 13, 2021
NPPES CertifiedMarch 13, 2021
NPI 1861768012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CO · 0053084
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.
9285 HEPBURN ST, Highlands Ranch, CO 80129

Other Identifiers 2

Medicaid57826340CO
Other026521CO · Kaiser Commercial Number

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. Melanie L Hebert 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 ID3072761212
PECOS Enrollment IDI20151006000816
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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
113 services61 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
47 services45 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
37 services24 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
34 services34 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80129 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.

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.

78.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality54.94
Promoting Interoperability99
Improvement Activities40
Cost73.69

Other Providers at the Same Location NPPES 20

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

Family Medicine
9285 HEPBURN ST
HIGHLANDS RANCH, CO 80129
Licensed Practical Nurse
9285 HEPBURN ST
HIGHLANDS RANCH, CO 80129
Specialist
9285 HEPBURN ST
HIGHLANDS RANCH, CO 80129
Optometrist
9285 HEPBURN ST
HIGHLANDS RANCH, CO 80129
Clinic/Center (Primary Care)
9285 HEPBURN ST
HIGHLANDS RANCH, CO 80129
General Practice
9285 HEPBURN ST
HIGHLANDS RANCH, CO 80129
Clinical Medical Laboratory
9285 HEPBURN ST
HIGHLANDS RANCH, CO 80129
Pharmacist
9285 HEPBURN ST
HIGHLANDS RANCH, CO 80129

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 Melanie Hebert's NPI number?

The NPI number for Melanie Hebert is 1861768012. It was assigned to this individual provider in the NPPES registry on March 31, 2012.

Where is Melanie Hebert located?

Melanie Hebert practices at 9285 Hepburn St, Highlands Ranch, CO 80129. The listed phone number is (303) 338-4545.

What is Melanie Hebert's specialty?

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

Is Melanie Hebert enrolled in Medicare?

Yes. Melanie Hebert 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.

When was this NPI record last updated?

The NPPES record for Melanie Hebert was last updated on March 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.