DR. MELANIE I HAMES DO
NPI 1992797716
Internal Medicine - Nephrology in Greenville, NC

Active since August 18, 2005PECOS EnrolledAccepts Medicare Assignment
98.33/100
CMS Quality Rating
2355 W ARLINGTON BLVD, GREENVILLE, NC 27834(252) 744-2545(252) 744-4887 Get Directions Write a Review

NPPES record last updated: February 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Melanie I Hames Do NPPES

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

DR. MELANIE I HAMES DO (NPI 1992797716) is an individual nephrology provider in Greenville, North Carolina, licensed in North Carolina (200000814) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with Ecu Health Medical Center, and is a graduate of Rowan University School Of Osteopathic Medicine (1995).

NPPES Registry Identity

NPI1992797716
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameDR. MELANIE I HAMESCredential: DO
Location Address2355 W ARLINGTON BLVDGreenville, NC 27834-2847
Mailing AddressPo Box 751069Charlotte, NC 28275-1069
Fax(252) 744-4887
Sole ProprietorNo
Medical School CMSRowan University School Of Osteopathic MedicineGraduated 1995
Enumeration DateAugust 18, 2005
Last NPPES UpdateFebruary 13, 2024
NPPES CertifiedFebruary 13, 2024
NPI 1992797716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in NC · 200000814
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.
2355 W ARLINGTON BLVD, Greenville, NC 27834

Other Identifiers 3

Medicaid8913151NC
Other13151NC · Bcbs Nc
Other390008330NC · Railroad Medicare

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

Dr. Melanie I Hames Do 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 ID9335284744
PECOS Enrollment IDI20100309000521
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 4

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.

Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
166 services28 patients
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.
41 services25 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
33 services16 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

Ecu Health Medical Center

Acute Care Hospitals · Greenville, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340040
Location2100 Stantonsburg RdGreenville, NC 27834 · Pitt County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27834 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

98.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.93
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 18

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

Internal Medicine (Nephrology)
2355 W ARLINGTON BLVD, NEPHROLOGY/HYPERTENSION CLINIC
GREENVILLE, NC 27834
Internal Medicine (Nephrology)
2355 W ARLINGTON BLVD
GREENVILLE, NC 27834
Physician Assistant (Medical)
2355 W ARLINGTON BLVD
GREENVILLE, NC 27834
Physician Assistant
2355 W ARLINGTON BLVD
GREENVILLE, NC 27834
Internal Medicine (Nephrology)
2355 W ARLINGTON BLVD
GREENVILLE, NC 27834
Internal Medicine (Nephrology)
2355 W ARLINGTON BLVD
GREENVILLE, NC 27834
Nurse Practitioner (Family)
2355 W ARLINGTON BLVD
GREENVILLE, NC 27834
Internal Medicine (Nephrology)
2355 W ARLINGTON BLVD
GREENVILLE, NC 27834

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 Hames's NPI number?

The NPI number for Melanie Hames is 1992797716. It was assigned to this individual provider in the NPPES registry on August 18, 2005.

Where is Melanie Hames located?

Melanie Hames practices at 2355 W Arlington Blvd, Greenville, NC 27834. The listed phone number is (252) 744-2545.

What is Melanie Hames's specialty?

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

Is Melanie Hames enrolled in Medicare?

Yes. Melanie Hames 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 Hames accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Melanie Hames 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 Hames affiliated with any hospitals?

According to CMS data, Melanie Hames is affiliated with Ecu Health Medical Center.

When was this NPI record last updated?

The NPPES record for Melanie Hames was last updated on February 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.