THOMAS CHARLES MELILLO (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1619085479
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
213 PODIATRY in OR
Provider Addresses for THOMAS CHARLES MELILLO (DPM)
Legacy Laboratory Services, 9900, Southwest Hall Boulevard, Metzger, Tigard, Washington County, Oregon, 97223, United States
SUITE 100
TIGARD, OR 97223
Phone: (503) 245-2420
Type: Mailing
9115 SW OLESON RD STE 205
PORTLAND, OR 972236877
Phone: (503) 245-2420
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $527.
Total Amount is formed as General ($527) + Research ($0) + Ownership ($0) = $527.
Last reported payment date: 2024-10-24 • Largest payer in this snapshot: Paragon 28, Inc. ($121).
Total Amount
$527
General + Research + Ownership
Payments
19
Total payment records
General Amount
$527
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Paragon 28, Inc. | $121 |
| TREACE MEDICAL CONCEPTS, INC. | $82 |
| Organogenesis Inc. | $75 |
| Smith+Nephew, Inc. | $58 |
| Nevro Corp. | $53 |
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: 2004-04-14
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 |
|---|---|---|---|---|
| I20040414000811 | I | Podiatry | OR | 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 | 258 | 119 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 186 | 102 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 147 | 88 | $0 |
| 11056 | Removal of noncancer thickened skin growth, 2-4 growths | 78 | 49 | $0 |
| 11057 | Removal of noncancer thickened skin growth, more than 4 growths | 72 | 24 | $0 |
Insurance plans in this area (ZIP 97223)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PODIATRY | OR | 73630 | X-ray of foot, minimum of 3 views | 47 | 33 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | OR | |
| P O D I A T R Y | CA | |
| P O D I A T R Y | AZ | |
| P O D I A T R Y | OR | |
| P A T H O L O G Y | OR | |
| P O D I A T R Y | OR | |
| Physical Therapist In Private Practice | OR | |
| P O D I A T R Y | OR | |
| Physical Therapist In Private Practice | OR | |
| P O D I A T R Y | OR |
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