RICHARD WILSON MELLON (M.D.) – Obstetrics & Gynecology Physician, NPI 1770570301

RICHARD WILSON MELLON (M.D.) is a healthcare provider. based in Roanoke, Virginia. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. MD18831 (ME). The NPI Number for RICHARD WILSON MELLON (M.D.) is 1770570301

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
RICHARD WILSON MELLON (M.D.)
NPI
1770570301
Phone
(540) 985-9862
Address
902 S JEFFERSON ST
Enumeration Date
29 September 2005
Last Update Date
28 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5404844836
Graduation Year
1993 (33 years ago)
PAC ID
3779751383
Group Practice PAC ID
5890607253
Professional Enrollment ID
I20190927000438
Address ID
VA241511767RO390XXSTXX401

Contacts

Secure Messaging
rmellon117357@direct.carilionclinic.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

1,164 OBSTETRICS/GYNECOLOGY in VA

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Provider Addresses for RICHARD WILSON MELLON (M.D.)

  • 902, South Jefferson Street, Cedar Bluff, Roanoke, Virginia, 24016, United States

    ROANOKE, VA 240164404

    Phone: (540) 985-9862

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2019-09-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190927000438IObstetrics/GynecologyVATBD

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 24016)

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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: 5890607253View full group profile

Reviews

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Frequently asked questions

Where can patients find RICHARD WILSON MELLON (M.D.)'s NPI?
You can confirm RICHARD WILSON MELLON (M.D.) with NPI 1770570301; it appears in the national provider directory.
Is RICHARD WILSON MELLON (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does RICHARD WILSON MELLON (M.D.) treat or focus on?
Patients typically see RICHARD WILSON MELLON (M.D.) under the specialty Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for RICHARD WILSON MELLON (M.D.)?
The page summarizes Roanoke, Virginia for RICHARD WILSON MELLON (M.D.); expand the address list for detail.
Is RICHARD WILSON MELLON (M.D.) a real provider?
This page reflects official NPPES data for NPI 1770570301. Always confirm identity and privileges with the practice and licensing boards.

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