AMELIE MEDLEY (MD) – Surgery Physician, NPI 1669967691
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
729 GENERAL SURGERY in IN
Provider Addresses for AMELIE MEDLEY (MD)
801 N STATE ST
GREENFIELD, IN 461401270
Phone: (317) 462-5544
Type: Location
Naab Road, Indianapolis, Indiana, 46260, United States
INDIANAPOLIS, IN 462601972
Phone: (317) 338-7510
Fax: (317) 338-7783
Type: Location
3740 INDIGO BLUE BLVD
WHITESTOWN, IN 460759721
Phone: (317) 730-0885
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $44.
Total Amount is formed as General ($44) + Research ($0) + Ownership ($0) = $44.
Last reported payment date: 2024-08-05 • Largest payer in this snapshot: Davol Inc. ($24).
Total Amount
$44
General + Research + Ownership
Payments
2
Total payment records
General Amount
$44
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Davol Inc. | $24 |
| AstraZeneca Pharmaceuticals LP | $20 |
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: 2025-03-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250325000807 | I | General Surgery | IN | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46140)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | IN | |
| Radiation Oncology | CO | |
| H E M A T O L O G Y/ O N C O L O G Y | NM | |
| Nurse Practitioner | IN | |
| Medical Oncology | IN | |
| Internal Medicine | OH | |
| Internal Medicine | IN | |
| A N E S T H E S I O L O G Y | IN | |
| Nurse Practitioner | IN | |
| Nephrology, Hospice/Palliative Care | IN |
Reviews
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