LARRY B MELTON M.D.
NPI 1922065812
Internal Medicine - Nephrology in Livingston, NJ

Active since April 26, 2006PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
94 OLD SHORT HILLS RD STE 305, LIVINGSTON, NJ 07039(973) 322-5065 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 3, 2025, May 26, 2022, Dec 15, 2021 (3 updates tracked since 2021).

About Larry B Melton M.d. NPPES

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

LARRY B MELTON M.D. (NPI 1922065812) is an individual nephrology provider in Livingston, New Jersey, licensed in New Jersey (25MA09809200) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Portland, and is a graduate of University Of Texas Medical School At San Antonio (1982).

NPPES Registry Identity

NPI1922065812
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameLARRY B MELTONCredential: M.D.
Location Address94 OLD SHORT HILLS RD STE 305Livingston, NJ 07039-5672
Mailing Address379 Campus Dr, Fl 4 CredentialingSomerset, NJ 08873-1161 · Fax (732) 418-8372
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 1982
Enumeration DateApril 26, 2006
Last NPPES UpdateApril 3, 20253 updates tracked since enumeration
NPPES CertifiedApril 3, 2025
✔ NPI 1922065812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses✔ Licensed in NJ · 25MA09809200✔ Licensed in ME · MD25258
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
94 OLD SHORT HILLS RD STE 305, Livingston, NJ 07039

Secondary Practice Location 1

Location 11600 Congress StPortland, ME 04102-2143 · Phone (207) 662-7180

Other Identifiers 3

Medicaid88182053NM
Medicaid122724103TX
Medicaid9000201221CO

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

Larry B Melton 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 ID9931205036
PECOS Enrollment IDI20160204001785
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

2

Medicare enrollment records show Larry Melton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Specialist
225 WILLIAMSON ST
Elizabeth, NJ 07202
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,894 clinicians in this Medicare group
Surgery
92 CAMPUS DRIVE, 3RD FLOOR
Scarborough, ME 04074
  • Reassigned Medicare billing, Maine enrollment
  • 264 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.

Areas of Expertise CMS Part B claims

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 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.
244 services154 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07039 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

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 Larry Melton's NPI number?

The NPI number for Larry Melton is 1922065812. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Where is Larry Melton located?

Larry Melton practices at 94 Old Short Hills Rd Ste 305, Livingston, NJ 07039. The listed phone number is (973) 322-5065.

What is Larry Melton's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Larry Melton enrolled in Medicare?

Yes. Larry 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 Larry Melton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Larry Melton reassigns Medicare benefits to 2 organizations: Barnabas Health Medical Group PC (Elizabeth, NJ) and Maine Medical Partners (Scarborough, ME). 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 Larry Melton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Larry Melton accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Larry 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.

When was this NPI record last updated?

The NPPES record for Larry Melton was last updated on April 3, 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.