CYNTHIA D MELTON DBH, MSW, LCSW,
NPI 1952718330
Social Worker - Clinical in Springfield, MO

Active since July 17, 2014PECOS EnrolledAccepts Medicare Assignment
86.53/100
CMS Quality Rating
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804(417) 761-5000 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 4, 2026, Dec 29, 2025, Dec 14, 2023 and 2 more (5 updates tracked since 2020).

About Cynthia D Melton Dbh, Msw, Lcsw, NPPES

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

CYNTHIA D MELTON DBH, MSW, LCSW, (NPI 1952718330) is an individual clinical provider in Springfield, Missouri, licensed in California (112471) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1952718330
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCYNTHIA D MELTONCredential: DBH, MSW, LCSW,
Location Address1300 E BRADFORD PKWYSpringfield, MO 65804-4264
Mailing Address1300 E Bradford PkwySpringfield, MO 65804-4264 · (417) 761-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 17, 2014
Last NPPES UpdateMarch 4, 20265 updates tracked since enumeration
NPPES CertifiedMarch 4, 2026
✔ NPI 1952718330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in CA · 112471✔ Licensed in WA · LW61329711✔ Licensed in AR · 8630-C✔ Licensed in HI · LCSW-4975-0✔ Licensed in AZ · LCSW-21148✔ Licensed in MD · 29280✔ Licensed in MO · 2016042116✔ Licensed in ME · LC17620✔ Licensed in WI · 12529-123✔ Licensed in MI · 6801120294✔ Licensed in PA · CW026356✔ Licensed in MA · LICSW1141321✔ Licensed in OR · L14742✔ Licensed in FL · SW20346✔ Licensed in MN · 35056
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1300 E BRADFORD PKWY, Springfield, MO 65804

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

Cynthia D Melton Dbh, Msw, Lcsw, 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 ID1658709811
PECOS Enrollment IDI20200322000051, I20260216002396, I20260715002746
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

5

Medicare enrollment records show Cynthia Melton reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychologist
2332 GALIANO ST FL 2
Coral Gables, FL 33134
  • Reassigned Medicare billing, District of Columbia, Iowa and Missouri enrollments
  • 38 clinicians in this Medicare group
Psychologist
201 S BISCAYNE BLVD STE 2867
Miami, FL 33131
  • Reassigned Medicare billing, Oregon enrollment
  • 12 clinicians in this Medicare group
Psychologist
201 S BISCAYNE BLVD STE 2867
Miami, FL 33131
  • Reassigned Medicare billing, California enrollment
  • 30 clinicians in this Medicare group
Psychologist
201 S BISCAYNE BLVD STE 2867
Miami, FL 33131
  • Reassigned Medicare billing, New Jersey enrollment
  • 34 clinicians in this Medicare group
Psychologist
201 S BISCAYNE BLVD STE 2867
Miami, FL 33131
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Sailor Health Medical Of New York PC
  • 35 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65804 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
$0.00 typical visit price
range $52.28 – $161.24
Typical copayment $0.00 (range $13.07 – $40.31)
Most-billed visit code NA
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
Most-billed visit code 99213
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.

86.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.8
Promoting Interoperability100
Improvement Activities40
Cost80.31

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.

Psychiatry & Neurology (Psychiatry)
1300 E BRADFORD PKWY
SPRINGFIELD, MO 65804
Counselor (Professional)
1300 E BRADFORD PKWY
SPRINGFIELD, MO 65804
Social Worker (Clinical)
1300 E BRADFORD PKWY
SPRINGFIELD, MO 65804
Counselor (Professional)
1300 E BRADFORD PKWY, BURRELL BEHAVIORAL HEALTH
SPRINGFIELD, MO 65804
Counselor (Professional)
1300 E BRADFORD PKWY
SPRINGFIELD, MO 65804
Psychiatry & Neurology (Psychiatry)
1300 E BRADFORD PKWY
SPRINGFIELD, MO 65804
Counselor (Professional)
1300 E BRADFORD PKWY
SPRINGFIELD, MO 65804
Counselor (Professional)
1300 E BRADFORD PKWY, BURRELL BEHAVIORAL HEALTH
SPRINGFIELD, MO 65804

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 Cynthia Melton's NPI number?

The NPI number for Cynthia Melton is 1952718330. It was assigned to this individual provider in the NPPES registry on July 17, 2014.

Where is Cynthia Melton located?

Cynthia Melton practices at 1300 E Bradford Pkwy, Springfield, MO 65804. The listed phone number is (417) 761-5000.

What is Cynthia Melton's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Cynthia Melton enrolled in Medicare?

Yes. Cynthia 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 Cynthia Melton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cynthia Melton reassigns Medicare benefits to 5 organizations: Sailor Health Medical PA (Coral Gables, FL), Sailor Health Medical Group Of Oregon PC (Miami, FL), Sailor Health Medical Of California, P.C. (Miami, FL), Sailor Health Medical Of New Jersey, P.C. (Miami, FL) and Sailor Health Medical Of New York, P.C. (Miami, FL). 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 Cynthia Melton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cynthia Melton accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Kansas City and HMSA and 7 other insurers list Cynthia 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 Cynthia Melton was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.