MELISSA MARIE BOMBERY (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1043474885

MELISSA MARIE BOMBERY (M.D.) is a healthcare provider. based in Ann arbor, Michigan. specializing in PATHOLOGY. They hold the professional credentials M.D.. They hold a License No. 4301091981 (MI). The NPI Number for MELISSA MARIE BOMBERY (M.D.) is 1043474885

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
MELISSA MARIE BOMBERY (M.D.)
NPI
1043474885
Phone
(734) 936-2047
Address
3621 SOUTH STATE ST
Enumeration Date
10 July 2008
Last Update Date
2 July 2012

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
6162672350
Graduation Year
2008 (18 years ago)
PAC ID
6002065364
Group Practice PAC ID
4789576414
Professional Enrollment ID
I20121001000368
Address ID
MI495032514GR35XXXNEXX404
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

573 PATHOLOGY in MI

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Provider Addresses for MELISSA MARIE BOMBERY (M.D.)

  • South State Street, Ann Arbor, Washtenaw County, Michigan, 48108-1774, United States

    700 KMS PLACE

    ANN ARBOR, MI 48108

    Phone: (734) 936-2047

    Type: Mailing

  • Mott Children's Hospital and Von Voigtlander Women's Hospital, 1500, East Medical Center Drive, Ann Arbor, Washtenaw County, Michigan, 48109, United States

    2ND FLOOR UNIVERSITY HOSPITAL RECP PATHOLOGY

    ANN ARBOR, MI 481095054

    Phone: (800) 862-7284

    Type: Location

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 $50.

Total Amount is formed as General ($50) + Research ($0) + Ownership ($0) = $50.

Last reported payment date: 2024-05-16 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($50).

Total Amount

$50

General + Research + Ownership

Payments

2

Total payment records

General Amount

$50

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-16

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$50
View all Open Payments →|Open Payments Risk Radar →

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: 2012-10-01

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20121001000368IPathologyMITBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity231132$0
88341Special stained specimen slides to examine tissue, each additional procedure12434$0
85060Blood smear interpretation by physician with written report9591$0
88360Microscopic genetic analysis of tumor, manual8134$0
88342Special stained specimen slides to examine tissue, initial procedure6142$0
View full utilization report →

Insurance plans in this area (ZIP 48108)

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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: 4789576414View full group profile
NameSpecialtyState
P A T H O L O G YMI
P A T H O L O G YMI
P A T H O L O G YVT
P A T H O L O G YMI
P A T H O L O G YMI
P A T H O L O G YNY
P A T H O L O G YMI
P A T H O L O G YMI
P A T H O L O G YMI
P A T H O L O G YOH

Reviews

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Frequently asked questions

Can I use this page to confirm MELISSA MARIE BOMBERY (M.D.)'s NPI?
Yes. MELISSA MARIE BOMBERY (M.D.) is listed with NPI 1043474885 in the public NPI dataset.
Does the file indicate MELISSA MARIE BOMBERY (M.D.) is practicing under active NPI?
Directory data currently reports MELISSA MARIE BOMBERY (M.D.) as active.
What taxonomy line describes MELISSA MARIE BOMBERY (M.D.)?
For research purposes, treat MELISSA MARIE BOMBERY (M.D.) as Anatomic Pathology & Clinical Pathology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for MELISSA MARIE BOMBERY (M.D.)?
MELISSA MARIE BOMBERY (M.D.)'s geographic hint is Ann Arbor, Michigan in our summary view.
Is the information about MELISSA MARIE BOMBERY (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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