LARRY B MELTON (M.D.) – Nephrology Physician, NPI 1922065812

LARRY B MELTON (M.D.) is a healthcare provider. based in Portland, Maine. specializing in NEPHROLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 25MA09809200 (NJ). The NPI Number for LARRY B MELTON (M.D.) is 1922065812

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
LARRY B MELTON (M.D.)
NPI
1922065812
Phone
(207) 662-7180
Address
1600 Congress St
Enumeration Date
26 April 2006
Last Update Date
3 April 2025

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Secondary Phone
8887247123
Graduation Year
1982 (44 years ago)
PAC ID
9931205036
Group Practice PAC ID
9537316955
Professional Enrollment ID
I20160204001785
Address ID
NJ076611933RI10XXXSTXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

60 NEPHROLOGY in ME

Provider Addresses for LARRY B MELTON (M.D.)

  • 1600 Congress St

    Portland, ME 041022143

    Phone: (207) 662-7180

    Type: Location

  • 379 CAMPUS DR

    FL 4 CREDENTIALING

    SOMERSET, NJ 088731161

    Phone:

    Fax: (732) 418-8372

    Type: Mailing

  • 94 OLD SHORT HILLS RD STE 305

    LIVINGSTON, NJ 070395672

    Phone: (973) 322-5065

    Type: Location

  • 1010 THREE SPRINGS BLVD STE 255

    DURANGO, CO 813018296

    Phone: (970) 764-3825

    Fax: (970) 764-3839

    Type: Mailing

  • Hackensack University Medical Center, 30, Prospect Avenue, Hackensack, Bergen County, New Jersey, 07601, United States

    HACKENSACK, NJ 076011915

    Phone: (551) 996-2608

    Fax: (551) 996-0826

    Type: Mailing

  • 20, Prospect Avenue, Hackensack, Bergen County, New Jersey, 07601, United States

    SUITE 404

    HACKENSACK, NJ 076011997

    Phone: (551) 996-2608

    Fax: (551) 996-0826

    Type: Location

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: 2023-04-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20160204001785INephrologyNJTBD
I20230404000784INephrologyMETBD

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
99214Established patient office or other outpatient visit, 30-39 minutes264173$0
View full utilization report →

Insurance plans in this area (ZIP 04102)

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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: 9537316955View full group profile
NameSpecialtyState
-MA
Nurse PractitionerNJ
Nurse PractitionerNJ
Critical Care (Intensivists), Pulmonary DiseaseNJ
-NJ
General SurgeryNJ
O B S T E T R I C S/ G Y N E C O L O G YNJ
O B S T E T R I C S/ G Y N E C O L O G YNJ
General SurgeryNY
General SurgeryNJ

Reviews

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Frequently asked questions

What identifier follows LARRY B MELTON (M.D.) across health systems?
The NPI 1922065812 uniquely identifies LARRY B MELTON (M.D.) in U.S. healthcare data.
Is LARRY B MELTON (M.D.)'s NPI status active today?
Active status means LARRY B MELTON (M.D.)'s NPI record is not deactivated in the public file.
What type of care does LARRY B MELTON (M.D.) provide?
LARRY B MELTON (M.D.)'s profile centers on Nephrology Physician. Clinical services aligned with this taxonomy classification.
Is LARRY B MELTON (M.D.) tied to Portland, Maine?
If you are local to Portland, Maine, LARRY B MELTON (M.D.) may be relevant to your search.
Can I export LARRY B MELTON (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.