JEREMIAH J MELTON (PA-C) – Surgical Physician Assistant, NPI 1366524134

JEREMIAH J MELTON (PA-C) is a healthcare provider. based in Kansas city, Missouri. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 2003025135 (MO). The NPI Number for JEREMIAH J MELTON (PA-C) is 1366524134

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
JEREMIAH J MELTON (PA-C)
NPI
1366524134
Phone
(816) 943-7600
Address
1000 CARONDELET DR
Enumeration Date
20 October 2006
Last Update Date
1 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9547718000
Graduation Year
2003 (23 years ago)
PAC ID
3678479268
Group Practice PAC ID
1658688304
Professional Enrollment ID
I20230814000695
Address ID
FL333084603FO4725XHWYX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience90
Completeness75
Years active:19State licenses:3Digital endpointsOther names

1,853 PHYSICIAN ASSISTANT in MO

Provider Addresses for JEREMIAH J MELTON (PA-C)

  • Saint Joseph Medical Center, 1000, Carondelet Drive, Dallas, Kansas City, Jackson County, Missouri, 64114, United States

    PROVIDER ENROLLMENT/ MED STAFF OFFICE

    KANSAS CITY, MO 64114

    Phone: (816) 943-7600

    Fax: (816) 941-7456

    Type: Mailing

  • 1000 Carondelet Dr Ste 201B

    Kansas City, MO 641144673

    Phone: (816) 943-7600

    Fax: (816) 941-7456

    Type: Location

  • 3450 11th Ct # 206

    Vero Beach, FL 329605012

    Phone: (772) 563-4580

    Fax: (772) 563-4690

    Type: Location

  • 3200 NE Ralph Powell Rd

    Lee's Summit, MO 64064

    Phone: (816) 525-1600

    Fax: (816) 525-0173

    Type: Location

  • 8929 Parallel Pkwy

    Kansas City, KS 661121689

    Phone: (913) 596-4000

    Fax: (816) 943-2620

    Type: Location

  • 1000 CARONDELET DR STE 201B

    KANSAS CITY, MO 641144673

    Phone: (816) 943-7600

    Fax: (816) 941-7456

    Type: Mailing

  • 1000 36TH ST

    VERO BEACH, FL 329604862

    Phone: (772) 563-4580

    Fax: (772) 563-4690

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $223.

Total Amount is formed as General ($223) + Research ($0) + Ownership ($0) = $223.

Last reported payment date: 2024-08-13 • Largest payer in this snapshot: C. R. Bard, Inc. & Subsidiaries ($125).

Total Amount

$223

General + Research + Ownership

Payments

5

Total payment records

General Amount

$223

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-13

Latest reported date

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: 2023-08-14

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
I20031212000496IPhysician AssistantMOTBD
I20230814000695IPhysician AssistantFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 64114)

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Provider's Procedures

JEREMIAH J MELTON (PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTMO33533Heart artery bypass to repair one artery1313

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: 1658688304View full group profile
NameSpecialtyState
-FL
Physician AssistantFL
-FL
Physician AssistantFL
Physician AssistantFL
Nurse PractitionerFL
-FL
Physician AssistantFL
Physician AssistantPA
Physician AssistantNC

Reviews

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Frequently asked questions

What number should I use to identify JEREMIAH J MELTON (PA-C) for billing?
Administrative and clinical systems typically use NPI 1366524134 for JEREMIAH J MELTON (PA-C).
Should I treat JEREMIAH J MELTON (PA-C) as an active provider?
Patients and plans typically see JEREMIAH J MELTON (PA-C) as active in the national extract.
How should patients interpret JEREMIAH J MELTON (PA-C)'s specialty?
The extract shows Surgical Physician Assistant for JEREMIAH J MELTON (PA-C). Clinical services aligned with this taxonomy classification.
Is JEREMIAH J MELTON (PA-C) tied to Kansas City, Missouri?
If you are local to Kansas City, Missouri, JEREMIAH J MELTON (PA-C) may be relevant to your search.
Who maintains JEREMIAH J MELTON (PA-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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