JEREMIAH J MELTON (PA-C) – Surgical Physician Assistant, NPI 1366524134
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| C. R. Bard, Inc. & Subsidiaries | $125 |
| ATRICURE, INC. | $49 |
| Amgen Inc. | $18 |
| AstraZeneca Pharmaceuticals LP | $17 |
| Janssen Pharmaceuticals, Inc | $14 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20031212000496 | I | Physician Assistant | MO | TBD |
| I20230814000695 | I | Physician Assistant | FL | 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 64114)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | MO | 33533 | Heart artery bypass to repair one artery | 13 | 13 |
Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Physician Assistant | FL | |
| - | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Physician Assistant | FL | |
| Physician Assistant | PA | |
| Physician Assistant | NC |
Reviews
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