MELISSA GULOSH (DPM) – Podiatrist, NPI 1104266220
Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
953 PODIATRY in OH
Provider Addresses for MELISSA GULOSH (DPM)
2250 PAR LN APT 603
WILLOUGHBY HILLS, OH 440942927
Phone: (860) 714-5911
Fax: (440) 255-9400
Type: Mailing
7482 CENTER ST UNIT 100
MENTOR, OH 440605847
Phone: (440) 357-8418
Fax: (440) 255-9400
Type: Location
1500 DIXON ST STE 201
FREDERICKSBURG, VA 224017231
Phone: (540) 374-5261
Fax: (540) 374-5066
Type: Mailing
114 Woodland St
Hartford, CT 061051208
Phone: (860) 714-5911
Fax: (860) 714-8885
Type: Location
5105 Som Center Rd
Willoughby, OH 440944203
Phone: (440) 357-8418
Fax: (440) 255-9400
Type: Location
325 Center St Ste 1
Chardon, OH 440241193
Phone: (440) 285-2666
Fax: (440) 285-2456
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 70 Open Payments records for all available years, with a total value of $1,466.
Total Amount is formed as General ($1,466) + Research ($0) + Ownership ($0) = $1,466.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Organogenesis Inc. ($304).
Total Amount
$1,466
General + Research + Ownership
Payments
70
Total payment records
General Amount
$1,466
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organogenesis Inc. | $304 |
| Stryker Corporation | $255 |
| Paratek Pharmaceuticals, Inc. | $225 |
| Hydrofera LLC | $120 |
| Averitas Pharma Inc. | $76 |
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: 2018-09-04
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170811002824 | I | Podiatry | OH | TBD |
| I20180904001267 | I | Podiatry | VA | 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 |
|---|---|---|---|---|
| 11721 | Removal of fingernails or toenails, 6 or more nails | 115 | 68 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 108 | 80 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 106 | 32 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 77 | 48 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 57 | 44 | $0 |
Insurance plans in this area (ZIP 44094)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | MD | |
| P O D I A T R Y | MD | |
| P O D I A T R Y | MD | |
| - | PA | |
| P O D I A T R Y | VA | |
| P O D I A T R Y | VA | |
| P O D I A T R Y | NC | |
| P O D I A T R Y | PA | |
| P O D I A T R Y | VA | |
| - | NC |
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