DR. MELANIE RENEE NUKALA (M.D.) – Vascular Surgery Physician, NPI 1578828612
Vascular Surgery Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
240 VASCULAR SURGERY in IL
Provider Addresses for DR. MELANIE RENEE NUKALA (M.D.)
4600 MEMORIAL DR STE 120
BELLEVILLE, IL 622265359
Phone: (618) 222-1020
Fax: (618) 222-1039
Type: Mailing
4705 ALT 19 STE B
PALM HARBOR, FL 346831424
Phone: (727) 787-4875
Type: Mailing
4600 Memorial Dr Ste 120
Belleville, IL 622265359
Phone: (618) 222-1020
Fax: (618) 222-1039
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 78 Open Payments records for all available years, with a total value of $9,313.
Total Amount is formed as General ($9,313) + Research ($0) + Ownership ($0) = $9,313.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Penumbra, Inc. ($5,031).
Total Amount
$9,313
General + Research + Ownership
Payments
78
Total payment records
General Amount
$9,313
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Penumbra, Inc. | $5,031 |
| Inari Medical, Inc. | $2,837 |
| AngioDynamics, Inc. | $251 |
| Medtronic, Inc. | $180 |
| Bioventus LLC | $141 |
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: 2022-08-01
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 |
|---|---|---|---|---|
| I20220801000584 | I | Vascular Surgery | FL | 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 | 102 | 63 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 76 | 76 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 38 | 25 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 29 | 28 | $0 |
| 93970 | Ultrasound study of arm or leg veins with compression and maneuvers | 23 | 23 | $0 |
Insurance plans in this area (ZIP 62226)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| Hospitalist, Internal Medicine | FL | |
| - | FL | |
| H O S P I T A L I S T | CA | |
| Hospitalist, Internal Medicine | FL | |
| - | FL |
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