Mark Melendez, M.D., M.B.A
NPI 1982861860 · Plastic and Reconstructive Surgery Physician · Shelton, CT
Enrolled with Medicare as Practitioner - Plastic and Reconstructive Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mark Melendez, M.D., M.B.A is a Plastic and Reconstructive Surgery Physician provider in Shelton, CT (NPI 1982861860).
Provider details
- NPI number
- 1982861860
- Entity type
- Individual
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D., M.B.A
- Sex
- Male
- Sole proprietor
- No
- License
- 052225 (CT)
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
18 yrs in NPPES registry
- Profile completeness25% of score
83% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
55 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) |
|---|---|---|
| Removal of Skin and Tissue, 20.0 Sq Cm Or Less11042 | 29 | $63 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 26 | $36 |
Typical Medicare-allowed amounts for these services range $36–$63 (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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$18,868 across 19 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.
Mailing address
Additional practice locations (1)
- 2 Ivy Brook RdSuite 105Shelton, CT 06484-6416Phone: (203) 924-2900Fax: (203) 924-1300
Registry dates
- Enumerated
- 2008-05-19
- Last updated
- 2019-02-12
Frequently asked questions
- What is Mark Melendez's NPI number?
- Mark Melendez's National Provider Identifier (NPI) is 1982861860, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Melendez's specialty?
- Mark Melendez is listed in the NPPES registry with a primary specialty of Plastic and Reconstructive Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Mark Melendez located?
- Mark Melendez's practice location on file with NPPES is 4 Corporate Dr Ste 288, Shelton, CT 06484-6240.
- Does Mark Melendez accept Medicare?
- Mark Melendez is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mark Melendez's NPI active?
- Yes — Mark Melendez's NPI (1982861860) is active in the NPPES registry as of the last update on 2019-02-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.