DR. DAVID MICHAEL MELLMAN (MD) – Diagnostic Radiology Physician, NPI 1629002621

DR. DAVID MICHAEL MELLMAN (MD) is a healthcare provider. based in Windermere, Florida. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 0101247031 (VA). The NPI Number for DR. DAVID MICHAEL MELLMAN (MD) is 1629002621

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID MICHAEL MELLMAN (MD)
NPI
1629002621
Phone
(352) 365-2583
Address
11442 VIA LUCERNA CIR
Enumeration Date
10 July 2006
Last Update Date
9 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8664825419
Graduation Year
2000 (26 years ago)
PAC ID
8527066299
Group Practice PAC ID
7113915281
Professional Enrollment ID
I20080807000162
Address ID
FL327462223LA527XXPLXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

3,168 DIAGNOSTIC RADIOLOGY in FL

Provider Addresses for DR. DAVID MICHAEL MELLMAN (MD)

  • 11442 VIA LUCERNA CIR

    WINDERMERE, FL 347866076

    Phone: (352) 365-2583

    Fax: (352) 728-6749

    Type: Mailing

  • 734 N. 3RD STREET SUITE 115

    LEESBURG, FL 34748

    Phone: (352) 365-2583

    Fax: (352) 728-6749

    Type: Location

  • 460 Andes Rd

    Delhi, NY 13753

    Phone: (607) 746-0550

    Type: Location

  • 1 Atwell Rd

    Cooperstown, NY 13326

    Phone: (607) 547-3456

    Type: Location

  • PO BOX 71183

    CHARLOTTE, NC 282721183

    Phone: (540) 616-1600

    Fax: (540) 686-1601

    Type: Mailing

  • 160 EXETER DR STE 103

    WINCHESTER, VA 226038614

    Phone: (540) 686-1600

    Fax: (540) 686-1601

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $135.

Total Amount is formed as General ($135) + Research ($0) + Ownership ($0) = $135.

Last reported payment date: 2024-08-07 • Largest payer in this snapshot: Novo Nordisk Inc ($135).

Total Amount

$135

General + Research + Ownership

Payments

6

Total payment records

General Amount

$135

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$135
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-04-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080109000622IDiagnostic RadiologyMDTBD
I20080227000058IDiagnostic RadiologyDCTBD
I20080807000162IDiagnostic RadiologyFLTBD
I20120814000618IDiagnostic RadiologyNYTBD
I20250430003618IDiagnostic RadiologyVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml6,55079$0
A9577Injection, gadobenate dimeglumine (multihance), per ml1,28186$0
71045X-ray of chest, 1 view1,090848$0
A9579Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml851114$0
70450Ct scan head or brain without contrast349331$0
View full utilization report →

Insurance plans in this area (ZIP 34786)

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Provider's Procedures

DR. DAVID MICHAEL MELLMAN (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYFL71250CT scan chest9695
DIAGNOSTIC RADIOLOGYFL73110X-ray of wrist, minimum of 3 views2827
DIAGNOSTIC RADIOLOGYFL74177CT scan of abdomen and pelvis with contrast234230
DIAGNOSTIC RADIOLOGYFL93922Ultrasound study of arteries of both arms and legs1515
DIAGNOSTIC RADIOLOGYFL93926Ultrasound study of arteries and arterial grafts of one leg or limited1414
DIAGNOSTIC RADIOLOGYFL93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers2828

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7113915281View full group profile
NameSpecialtyState
Diagnostic RadiologyHI
Diagnostic RadiologyVA
-VA
Diagnostic RadiologyVA
Diagnostic RadiologyWV
Diagnostic RadiologyVA
Diagnostic RadiologyWV
-VA
Diagnostic RadiologyVA
Diagnostic RadiologyMN

Reviews

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Frequently asked questions

Can I cross-check DR. DAVID MICHAEL MELLMAN (MD) using NPI 1629002621?
NPI 1629002621 belongs to DR. DAVID MICHAEL MELLMAN (MD); compare other details if you need extra assurance.
Is there an active status for DR. DAVID MICHAEL MELLMAN (MD)?
For scheduling context, DR. DAVID MICHAEL MELLMAN (MD) is shown as active in the registry.
What kind of doctor is DR. DAVID MICHAEL MELLMAN (MD)?
DR. DAVID MICHAEL MELLMAN (MD) is associated with Diagnostic Radiology Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. DAVID MICHAEL MELLMAN (MD) associated with Windermere?
Public fields place DR. DAVID MICHAEL MELLMAN (MD) around Windermere, Florida. Always confirm the exact site before visiting.
Can I trust this NPI listing for DR. DAVID MICHAEL MELLMAN (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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