DR. MELANIE LYNN CARLSON MD
NPI 1932179272
Family Medicine in Chardon, OH

Q: What is Melanie Carlson's NPI number?

The NPI number for Melanie Carlson is 1932179272. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Q: What is Melanie Carlson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Melanie Carlson was last updated on December 3, 2020. 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.

Active since January 26, 2006PECOS EnrolledAccepts Medicare Assignment

13221 RAVENNA RD, SUITE 8, CHARDON, OH 44024(440) 286-6155(440) 286-6156 Get Directions Write a Review

NPPES record last updated: December 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 3, 2020, Apr 30, 2019 (2 updates tracked since 2019).

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About Dr. Melanie Lynn Carlson Md NPPES

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

DR. MELANIE LYNN CARLSON MD (NPI 1932179272) is an individual family medicine provider in Chardon, Ohio, licensed in Ohio (35077011) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Uh Regional Hospitals, and is a graduate of Wright State University Boonshoft School Of Medicine (1998).

NPPES Registry Identity

NPI1932179272

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MELANIE LYNN CARLSONCredential: MD

Location Address13221 RAVENNA RD, SUITE 8Chardon, OH 44024-9047

Mailing Address8055 Mayfield Rd, Ste 105Chesterland, OH 44026-2447 · (440) 214-8027 · Fax (216) 201-8173

Phone(440) 286-6155

Fax(440) 286-6156

Sole ProprietorNo

Medical School CMSWright State University Boonshoft School Of MedicineGraduated 1998

Enumeration DateJanuary 26, 2006

Last NPPES UpdateDecember 3, 20202 updates tracked since enumeration

NPPES CertifiedDecember 3, 2020

✔ NPI 1932179272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OH · 35077011

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.

13221 RAVENNA RD, Chardon, OH 44024

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Other Identifiers 3

Other080175491Railroad Medicare

Other000000201060OH · Anthem

Medicaid2270279OH

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

Dr. Melanie Lynn Carlson Md 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 ID3870514649

PECOS Enrollment IDI20051208000782

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 16

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.

499 services241 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

185 services185 patients

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.

132 services110 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

86 services43 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

81 services58 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

73 services73 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

73 services73 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

38 services38 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

36 services34 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

21 services20 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

20 services17 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

17 services17 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

17 services17 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

16 services16 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

14 services13 patients

Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report G0403

An Electrocardiogram (ECG) with 12 leads is a non-invasive test that measures the electrical activity of your heart. It's performed during your initial physical examination to screen for heart conditions. The results are interpreted and compiled into a report for further evaluation.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Uh Regional Hospitals

Acute Care Hospitals · Chardon, OH

3/5 CMS rating

OwnershipProprietary

CMS Certification Number360075

Location13207 Ravenna RoadChardon, OH 44024 · Geauga County

Emergency services Birthing friendly

Lake Health

Acute Care Hospitals · Concord, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360098

Location7590 Auburn RoadConcord, OH 44077 · Lake County

Emergency services

Uh Cleveland Medical Center

Acute Care Hospitals · Cleveland, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360137

Location11100 Euclid AvenueCleveland, OH 44106 · Cuyahoga County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44024 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

11 suppliers53 claims100 services$6.16 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

7 suppliers25 claims25 services$1.11 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers26 claims26 services$13.16 avg. paid by Medicare

Stationary oxygen contents, liquid, 1 month's supply = 1 unit E0442

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$34.54 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers23 claims23 services$62.29 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

3 suppliers19 claims19 services$195.83 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 13

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

GEAUGA FAMILY PHYSICIANS, INC

Family Medicine

13221 RAVENNA RD, SUITE 8
CHARDON, OH 44024

Geauga County (440) 286-6155

DR. KEVIN MICHAEL CHARTRAND M.D.

Family Medicine

13221 RAVENNA RD, SUITE 9
CHARDON, OH 44024

Geauga County (440) 286-7420

STEPHANIE PESICEK RN, APRN, CNP

Nurse Practitioner (Women's Health)

13221 RAVENNA RD
CHARDON, OH 44024

Geauga County (440) 286-9238

CHARLES CASSADY, M.D., INC.

Otolaryngology

13221 RAVENNA RD
CHARDON, OH 44024

Geauga County (440) 286-9421

MEDINA SLEEP CENTER

Specialist

13221 RAVENNA RD, SUITE 13
CHARDON, OH 44024

Geauga County (440) 285-9598

SOUTHWEST LAS VEGAS SLEEP CENTER

Specialist

13221 RAVENNA RD, SUITE 13
CHARDON, OH 44024

Geauga County (440) 285-9598

UHHS-GENEVA SLEEP CENTER

Specialist

13221 RAVENNA RD, SUITE 13
CHARDON, OH 44024

Geauga County (440) 285-9598

JOHN MILAN URBANCIC MD

Family Medicine

13221 RAVENNA RD, SUITE 8
CHARDON, OH 44024

Geauga County (440) 286-6155

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 Carlson's NPI number?

The NPI number for Melanie Carlson is 1932179272. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Where is Melanie Carlson located?

Melanie Carlson practices at 13221 Ravenna Rd Suite 8, Chardon, OH 44024. The listed phone number is (440) 286-6155.

What is Melanie Carlson's specialty?

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

Is Melanie Carlson enrolled in Medicare?

Yes. Melanie Carlson 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 Melanie Carlson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and CareSource and 1 other insurer list Melanie Carlson 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 Melanie Carlson affiliated with any hospitals?

According to CMS data, Melanie Carlson is affiliated with Uh Regional Hospitals, Lake Health and Uh Cleveland Medical Center.

When was this NPI record last updated?

The NPPES record for Melanie Carlson was last updated on December 3, 2020. 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.