MELANIE TUGAOEN M.D.
NPI 1982953030
Internal Medicine in Columbus, OH

Active since September 05, 2012PECOS EnrolledAccepts Medicare Assignment
355 E CAMPUS VIEW BLVD, SUITE 180, COLUMBUS, OH 43235(614) 840-1688(614) 840-1689 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Melanie Tugaoen M.d. NPPES

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

MELANIE TUGAOEN M.D. (NPI 1982953030) is an individual internal medicine provider in Columbus, Ohio, licensed in Ohio (35061970) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS, is affiliated with Knox Community Hospital, and maintains a secondary practice location in Moraine.

NPPES Registry Identity

NPI1982953030
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMELANIE TUGAOENCredential: M.D.
Location Address355 E CAMPUS VIEW BLVD, SUITE 180Columbus, OH 43235-4825
Mailing AddressPo Box 639295 Dept 93394Cincinnati, OH 45263-9295 · (248) 824-6600 · Fax (248) 324-1477
Fax(614) 840-1689
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1990
Enumeration DateSeptember 5, 2012
Last NPPES UpdateMarch 25, 2024
NPPES CertifiedMarch 25, 2024
NPI 1982953030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in OH · 35061970
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 35061970 (OH)
355 E CAMPUS VIEW BLVD, Columbus, OH 43235

Secondary Practice Location 1

Location 13033 Kettering Blvd Ste 100Moraine, OH 45439-1948 · Phone (937) 293-2133

Accepted 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

Melanie Tugaoen 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 ID9537311220
PECOS Enrollment IDI20121203000386
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 24

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.

Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179
This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.
865 services295 patients
Established patient home visit, typically 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
620 services374 patients
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow G0181
This service involves a physician overseeing your care while you receive Medicare-covered services from a home health agency. The care you're receiving is complex and involves various disciplines. The physician isn't physically present but regularly supervises your treatment to ensure optimal health outcomes.
425 services194 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
287 services144 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
247 services215 patients
Established patient custodial care facility, group care, or assisted living visit, typically 40 minutes 99336
This is a routine visit for established patients residing in care facilities like nursing homes or assisted living. The visit typically lasts about 40 minutes, during which the healthcare provider checks your overall health, discusses any concerns, and adjusts care plans as needed.
104 services48 patients

Hospital Affiliations CMS Care Compare

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

Knox Community Hospital

Acute Care Hospitals · Mount Vernon, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360040
Location1330 Coshocton RoadMount Vernon, OH 43050 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43235 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
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 33

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 suppliers39 claims90 services$6.39 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers21 claims26 services$1.10 avg. paid by Medicare
Tracheostomy, inner cannula A4623
DME-Orthotic Devices · category DF000N
2 suppliers15 claims455 services$5.39 avg. paid by Medicare
Tracheal suction catheter, any type other than closed system, each A4624
DME-Other DME · category DE000N
1 supplier12 claims1,008 services$2.56 avg. paid by Medicare
Tracheostomy care kit for established tracheostomy A4629
DME-Orthotic Devices · category DF000N
2 suppliers14 claims373 services$4.50 avg. paid by Medicare
Tubing, used with suction pump, each A7002
DME-Other DME · category DE000N
2 suppliers11 claims34 services$3.70 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 11

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

Internal Medicine (Geriatric Medicine)
355 E CAMPUS VIEW BLVD, SUITE 180
COLUMBUS, OH 43235
Nurse Practitioner
355 E CAMPUS VIEW BLVD, SUITE 180
COLUMBUS, OH 43235
Counselor (Professional)
355 E CAMPUS VIEW BLVD, SUITE 240
COLUMBUS, OH 43235
Counselor (Mental Health)
355 E CAMPUS VIEW BLVD, SUITE 240
COLUMBUS, OH 43235
Counselor (Mental Health)
355 E CAMPUS VIEW BLVD, SUITE 240
COLUMBUS, OH 43235
Internal Medicine (Cardiovascular Disease)
355 E CAMPUS VIEW BLVD, SUITE 180
COLUMBUS, OH 43235
Internal Medicine
355 E CAMPUS VIEW BLVD, SUITE 180
COLUMBUS, OH 43235
Podiatrist
355 E CAMPUS VIEW BLVD, SUITE 175
COLUMBUS, OH 43235

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 Tugaoen's NPI number?

The NPI number for Melanie Tugaoen is 1982953030. It was assigned to this individual provider in the NPPES registry on September 5, 2012.

Where is Melanie Tugaoen located?

Melanie Tugaoen practices at 355 E Campus View Blvd Suite 180, Columbus, OH 43235. The listed phone number is (614) 840-1688.

What is Melanie Tugaoen's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Melanie Tugaoen enrolled in Medicare?

Yes. Melanie Tugaoen 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 Tugaoen accept?

Health plans from CareSource list Melanie Tugaoen 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 Tugaoen affiliated with any hospitals?

According to CMS data, Melanie Tugaoen is affiliated with Knox Community Hospital.

When was this NPI record last updated?

The NPPES record for Melanie Tugaoen was last updated on March 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.