Melissa Baughcum, APRN
NPI 1013276518 · Adult Health Nurse Practitioner · Athens, GA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Melissa Baughcum, APRN is a Adult Health Nurse Practitioner provider in Athens, GA (NPI 1013276518).
Provider details
- NPI number
- 1013276518
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- License
- APRN-NP203867 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
14 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
805 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 722 | $102 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 37 | $133 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 25 | $105 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 21 | $63 |
Typical Medicare-allowed amounts for these services range $63–$133 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 42 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Pantoprazole Sodium | 757 | 248 |
| Famotidine | 672 | 229 |
| Omeprazole | 393 | 136 |
| Esomeprazole Magnesium | 195 | 65 |
| Amitriptyline Hcl | 128 | 36 |
| Colestipol Hcl | 112 | 36 |
| Rifaximinbrand: Xifaxan | 103 | 51 |
| Sucralfate |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$5,231 across 159 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 740 Prince AveBuilding 15Athens, GA 30606-5908Phone: (706) 296-7688Fax: (706) 369-9673
Registry dates
- Enumerated
- 2012-05-04
- Last updated
- 2025-10-09
- Certified
- 2025-10-09
Frequently asked questions
- What is Melissa Baughcum's NPI number?
- Melissa Baughcum's National Provider Identifier (NPI) is 1013276518, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Melissa Baughcum's specialty?
- Melissa Baughcum is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Melissa Baughcum located?
- Melissa Baughcum's practice location on file with NPPES is 340 N Milledge Ave Ste B, Athens, GA 30601.
- What is Melissa Baughcum's phone number?
- The practice phone number listed in the NPPES registry for Melissa Baughcum is (706) 548-0008.
- Does Melissa Baughcum accept Medicare?
- Melissa Baughcum is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Melissa Baughcum's NPI active?
- Yes — Melissa Baughcum's NPI (1013276518) is active in the NPPES registry as of the last update on 2025-10-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.