TIMOTHY J MELLO (PA-C) – Physician Assistant, NPI 1093726366

TIMOTHY J MELLO (PA-C) is a healthcare provider. based in Springfield, Vermont. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 0550030562 (VT). The NPI Number for TIMOTHY J MELLO (PA-C) is 1093726366

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY J MELLO (PA-C)
NPI
1093726366
Phone
(802) 885-6373
Address
29 RIDGEWOOD RD
Enumeration Date
11 August 2006
Last Update Date
28 February 2008

Doctor Profile

Medical School Name
YALE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8028852151
Graduation Year
1999 (27 years ago)
PAC ID
8123029154
Group Practice PAC ID
6507760337
Professional Enrollment ID
I20070118000115
Address ID
VT051563050SP25XXXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

385 PHYSICIAN ASSISTANT in VT

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Provider Addresses for TIMOTHY J MELLO (PA-C)

  • 29, Ridgewood Road, Springfield, Windsor County, Vermont, 05156, United States

    SPRINGFIELD, VT 051563050

    Phone: (802) 885-6373

    Fax: (802) 885-6376

    Mailing address matches the actual address.

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 $150.

Total Amount is formed as General ($150) + Research ($0) + Ownership ($0) = $150.

Last reported payment date: 2023-09-20 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($150).

Total Amount

$150

General + Research + Ownership

Payments

1

Total payment records

General Amount

$150

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-20

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2007-08-07

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
I20070118000115IPhysician AssistantVTTBD
I20070807000782IPhysician AssistantNHTBD

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 05156)

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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: 6507760337View full group profile
NameSpecialtyState
General SurgeryNH
Emergency MedicineMA
-VT
Physical Therapist In Private PracticeVT
-WA
O T O L A R Y N G O L O G YVT
-VT
Emergency MedicineMA
U R O L O G YNH
Nurse PractitionerFL

Reviews

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Frequently asked questions

What is the 10-digit NPI for TIMOTHY J MELLO (PA-C)?
TIMOTHY J MELLO (PA-C) — NPI 1093726366 — is the standard way to identify this listing.
Is TIMOTHY J MELLO (PA-C) still practicing?
TIMOTHY J MELLO (PA-C) is currently listed as active in the public NPI registry.
What is TIMOTHY J MELLO (PA-C)'s specialty?
The listing groups TIMOTHY J MELLO (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Does TIMOTHY J MELLO (PA-C) list a practice location?
Patients near Springfield, Vermont may find TIMOTHY J MELLO (PA-C) in results; validate coverage separately.
Is the information about TIMOTHY J MELLO (PA-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."