DR. MELISSA M ODERMANN (D.O.) – Internal Medicine Physician, NPI 1891081238

DR. MELISSA M ODERMANN (D.O.) is a healthcare provider. based in St petersburg, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials D.O.. They hold a License No. OS11990 (FL). The NPI Number for DR. MELISSA M ODERMANN (D.O.) is 1891081238

Main info

Female
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. MELISSA M ODERMANN (D.O.)
NPI
1891081238
Phone
(727) 521-4411
Address
6000 49TH ST N
Enumeration Date
23 June 2011
Last Update Date
27 November 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9419253427
Graduation Year
2011 (15 years ago)
PAC ID
0840420535
Group Practice PAC ID
2668549395
Professional Enrollment ID
I20140225000729
Address ID
FL342408803SA6150XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

12,368 INTERNAL MEDICINE in FL

Provider Addresses for DR. MELISSA M ODERMANN (D.O.)

  • 6000 49TH ST N

    ST PETERSBURG, FL 337092114

    Phone: (727) 521-4411

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2014-02-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20140225000729IInternal MedicineFLTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1,433192$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes493113$0
99291Critical care, first 30-74 minutes23257$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes127110$0
99239Hospital discharge day management, more than 30 minutes6360$0
View full utilization report →

Insurance plans in this area (ZIP 33709)

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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: 2668549395View full group profile
NameSpecialtyState
Nurse PractitionerFL
Internal MedicineFL
Nurse PractitionerFL
Family PracticeTN
Internal MedicineFL

Reviews

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Frequently asked questions

Does DR. MELISSA M ODERMANN (D.O.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. MELISSA M ODERMANN (D.O.) uses 1891081238.
Does the file indicate DR. MELISSA M ODERMANN (D.O.) is practicing under active NPI?
Directory data currently reports DR. MELISSA M ODERMANN (D.O.) as active.
What taxonomy line describes DR. MELISSA M ODERMANN (D.O.)?
For research purposes, treat DR. MELISSA M ODERMANN (D.O.) as Internal Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does DR. MELISSA M ODERMANN (D.O.) list a practice location?
Patients near St Petersburg, Florida may find DR. MELISSA M ODERMANN (D.O.) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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