DR. MELISSA KATHERINE HARTLEY (MD) – Emergency Medicine Physician, NPI 1164950671
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
886 EMERGENCY MEDICINE in KY
Provider Addresses for DR. MELISSA KATHERINE HARTLEY (MD)
PO BOX 776351
CHICAGO, IL 606776351
Phone: (502) 588-9490
Type: Mailing
200 E CHESTNUT ST
LOUISVILLE, KY 402021831
Phone: (502) 629-8000
Type: Location
301 Cedar St
Orofino, ID 835449029
Phone: (208) 476-5777
Fax: (208) 476-5385
Type: Location
1609 N WARREN AVE RM 118
TUCSON, AZ 857193761
Phone: (520) 626-5582
Type: Mailing
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: 2024-07-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20200925001914 | I | Emergency Medicine | WA | TBD |
| I20220202002938 | I | Emergency Medicine | ID | TBD |
| I20240702003241 | I | Emergency Medicine | KY | 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 |
|---|---|---|---|---|
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 190 | 179 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 150 | 150 | $0 |
| 99291 | Critical care, first 30-74 minutes | 88 | 88 | $0 |
| 93042 | Electrocardiogram (ecg) 1 to 3 leads with review by physician only | 74 | 73 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 69 | 68 | $0 |
Insurance plans in this area (ZIP 60677)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WA | |
| - | WA | |
| Nurse Practitioner | PA | |
| - | WA | |
| Emergency Medicine | MD | |
| - | CA | |
| - | ID | |
| Emergency Medicine | VA | |
| Emergency Medicine | TX | |
| Physician Assistant | CA |
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