MELANIE S. GRGURICH (D.O.) – Family Medicine Physician, NPI 1316922214
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,330 FAMILY PRACTICE in MO
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Provider Addresses for MELANIE S. GRGURICH (D.O.)
1416, Crown Drive, Kingsridge, Kirksville, Adair County, Missouri, 63501, United States
KIRKSVILLE, MO 635012548
Phone: (660) 627-5757
Fax: (660) 627-5802
Type: Mailing
1506, Crown Drive, Kingsridge, Kirksville, Adair County, Missouri, 63501, United States
KIRKSVILLE, MO 635012553
Phone: (660) 627-4493
Fax: (660) 627-4288
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 42 Open Payments records for all available years, with a total value of $658.
Total Amount is formed as General ($658) + Research ($0) + Ownership ($0) = $658.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Lilly USA, LLC ($192).
Total Amount
$658
General + Research + Ownership
Payments
42
Total payment records
General Amount
$658
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2007-05-10
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 |
|---|---|---|---|---|
| I20070510000220 | I | Family Practice | MO | 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 |
|---|---|---|---|---|
| 81003 | Automated urinalysis test | 77 | 56 | $0 |
| 83036 | Hemoglobin a1c level | 76 | 40 | $0 |
| 93005 | Routine electrocardiogram (ecg) using at least 12 leads with tracing | 18 | 18 | $0 |
Insurance plans in this area (ZIP 63501)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | MO | 85610 | Blood test, clotting time | 171 | 22 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| - | MO | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | MO | |
| Registered Dietitian Or Nutrition Professional | MO | |
| - | MO | |
| Family Practice | KS |
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