MELISSA BIENACKER BAUGHCUM (APRN) – Adult Health Nurse Practitioner, NPI 1013276518
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
Provider Addresses for MELISSA BIENACKER BAUGHCUM (APRN)
740 Prince Ave
Building 15
Athens, GA 306065908
Phone: (706) 296-7688
Fax: (706) 369-9673
Type: Location
1355 PEACHTREE ST NE STE 1600
ATLANTA, GA 303093276
Phone: (678) 223-7774
Fax: (678) 223-7799
Type: Mailing
340 N MILLEDGE AVE STE B
ATHENS, GA 30601
Phone: (706) 548-0008
Fax: (706) 369-9673
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 276 Open Payments records for all available years, with a total value of $8,431.
Total Amount is formed as General ($8,431) + Research ($0) + Ownership ($0) = $8,431.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Phathom Pharmaceuticals, Inc. ($2,117).
Total Amount
$8,431
General + Research + Ownership
Payments
276
Total payment records
General Amount
$8,431
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Phathom Pharmaceuticals, Inc. | $2,117 |
| PFIZER INC. | $1,173 |
| ABBVIE INC. | $1,088 |
| GENZYME CORPORATION | $454 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | $410 |
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: 2015-03-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150323000388 | I | Nurse Practitioner | GA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 673 | 460 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 63 | 63 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 38 | 29 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 28 | 28 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 20 | 20 | $0 |
Insurance plans in this area (ZIP 30606)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Gastroenterology, Internal Medicine | GA | |
| Physician Assistant | GA | |
| Gastroenterology, Internal Medicine | GA | |
| Gastroenterology, Internal Medicine | GA | |
| Physician Assistant | GA | |
| G A S T R O E N T E R O L O G Y | GA | |
| Nurse Practitioner | GA | |
| Gastroenterology, Internal Medicine | GA | |
| Nurse Practitioner | GA |
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