Melanie Smith, DO
NPI 1568579779 · Family Medicine Physician · Waterford, WI
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Melanie Smith, DO is a Family Medicine Physician provider in Waterford, WI (NPI 1568579779).
Provider details
- NPI number
- 1568579779
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- License
- 39961 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 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
56 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 | 56 | $109 |
Typical Medicare-allowed amounts for these services range $109–$109 (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 · 8 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Tirzepatidebrand: Mounjaro | 59 | — |
| Semaglutidebrand: Ozempic | 45 | — |
| Metformin Hcl | 30 | 11 |
| Bupropion Hclbrand: Bupropion Hcl Sr | 26 | — |
| Topiramate | 20 | — |
| Semaglutidebrand: Wegovy | 19 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$366 across 4 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)
- 248 Mchenry StBurlington, WI 53105Phone: (262) 767-8250Fax: (262) 767-8212
Registry dates
- Enumerated
- 2006-08-24
- Last updated
- 2023-03-07
- Certified
- 2022-02-01
Frequently asked questions
- What is Melanie Smith's NPI number?
- Melanie Smith's National Provider Identifier (NPI) is 1568579779, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Melanie Smith's specialty?
- Melanie Smith is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Melanie Smith located?
- Melanie Smith's practice location on file with NPPES is 818 Forest Ln, Waterford, WI 53185-4585.
- What is Melanie Smith's phone number?
- The practice phone number listed in the NPPES registry for Melanie Smith is (262) 514-3700.
- Does Melanie Smith accept Medicare?
- Melanie Smith is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Melanie Smith's NPI active?
- Yes — Melanie Smith's NPI (1568579779) is active in the NPPES registry as of the last update on 2023-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.