MELANIE C RAFFOUL (MD) – Family Medicine Physician, NPI 1639465586
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,674 EMERGENCY MEDICINE in OH
Provider Addresses for MELANIE C RAFFOUL (MD)
1911 OLD FAIRFIELD RD STE 110A
BEAVERCREEK, OH 454322754
Phone: (937) 429-4826
Fax: (937) 429-4575
Type: Mailing
5800 E LOVERS LN
DALLAS, TX 752062901
Phone: (972) 817-6260
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $19.
Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.
Last reported payment date: 2023-12-20 • Largest payer in this snapshot: PFIZER INC. ($19).
Total Amount
$19
General + Research + Ownership
Payments
1
Total payment records
General Amount
$19
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $19 |
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: 2025-05-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20160420002423 | I | Family Practice | NY | TBD |
| I20220804001336 | I | Family Practice | TX | TBD |
| I20250502002768 | I | Family Practice | CT | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 45 | 44 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 30 | 30 | $0 |
Insurance plans in this area (ZIP 45432)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CT | |
| - | CT | |
| Nurse Practitioner | CT | |
| - | PA | |
| Nurse Practitioner | CT | |
| Physician Assistant | CT | |
| Physician Assistant | CT | |
| Nurse Practitioner | CT | |
| Physician Assistant | MA | |
| Physician Assistant | NY |
Reviews
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