Melissa Paules, PA-C
NPI 1255645180 · Physician Assistant · Frederick, MD
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Melissa Paules, PA-C is a Physician Assistant provider in Frederick, MD (NPI 1255645180).
Provider details
- NPI number
- 1255645180
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
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 tenure28% of score
15 yrs in NPPES registry
- Profile completeness28% of score
83% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
460 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Emergency Department Visit With High Level of Medical Decision Making99285 | 225 | $145 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report Only93010 | 125 | $7 |
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 85 | $99 |
| Critical Care, First 30-74 Minutes99291 | 13 | $177 |
| Emergency Department Visit With Low Level of Medical Decision Making99283 | 12 | $59 |
Typical Medicare-allowed amounts for these services range $7–$177 (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 · 3 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Cephalexin | 19 | 19 |
| Oxycodone Hcl | 13 | 13 |
| Tramadol Hcl | 12 | 12 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-08-03
- Last updated
- 2014-01-29
Frequently asked questions
- What is Melissa Paules's NPI number?
- Melissa Paules's National Provider Identifier (NPI) is 1255645180, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Melissa Paules's specialty?
- Melissa Paules is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Melissa Paules located?
- Melissa Paules's practice location on file with NPPES is 400 W 7th St, Frederick, MD 21701-4506.
- What is Melissa Paules's phone number?
- The practice phone number listed in the NPPES registry for Melissa Paules is (240) 566-3300.
- Does Melissa Paules accept Medicare?
- Melissa Paules is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Melissa Paules's NPI active?
- Yes — Melissa Paules's NPI (1255645180) is active in the NPPES registry as of the last update on 2014-01-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.