KIERAN MELODY (M.D.) – Surgery Physician, NPI 1386949709

KIERAN MELODY (M.D.) is a healthcare provider. based in Anacortes, Washington. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. MD60942255 (WA). The NPI Number for KIERAN MELODY (M.D.) is 1386949709

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
KIERAN MELODY (M.D.)
NPI
1386949709
Phone
(360) 299-5142
Address
1211 24TH ST
Enumeration Date
14 January 2011
Last Update Date
19 July 2019

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Secondary Phone
3604935252
Graduation Year
2013 (13 years ago)
PAC ID
6204172877
Group Practice PAC ID
5395633572
Professional Enrollment ID
I20190815000998
Address ID
WA985065025OL3610XNEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

3,317 GENERAL SURGERY in CA

Provider Addresses for KIERAN MELODY (M.D.)

  • 1211 24TH ST

    ANACORTES, WA 982212562

    Phone: (360) 299-5142

    Type: Mailing

  • 2704 8TH ST

    BERKELEY, CA 947102604

    Phone: (510) 381-4542

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $39.

Total Amount is formed as General ($39) + Research ($0) + Ownership ($0) = $39.

Last reported payment date: 2024-07-18 • Largest payer in this snapshot: Braintree Laboratories, Inc. ($39).

Total Amount

$39

General + Research + Ownership

Payments

2

Total payment records

General Amount

$39

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-18

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: 2019-08-15

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
I20190815000998IGeneral SurgeryWATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99204New patient office or other outpatient visit, 45-59 minutes6565$0
45380Biopsy of large bowel using a flexible endoscope6060$0
G0105Colorectal cancer screening; colonoscopy on individual at high risk3736$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope3636$0
99212Established patient office or other outpatient visit, 10-19 minutes3626$0
View full utilization report →

Insurance plans in this area (ZIP 98221)

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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: 5395633572View full group profile
NameSpecialtyState
General SurgeryLA
General Surgery, Vascular SurgeryWA
General SurgeryWA
Nurse PractitionerNE
General Surgery, Vascular SurgeryWA
General SurgeryCO
-WA

Reviews

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Frequently asked questions

Can I verify KIERAN MELODY (M.D.) with an NPI only?
You can start verification with NPI 1386949709 for KIERAN MELODY (M.D.), then check state licensing separately.
Is KIERAN MELODY (M.D.) still practicing?
KIERAN MELODY (M.D.) is currently listed as active in the public NPI registry.
What taxonomy line describes KIERAN MELODY (M.D.)?
For research purposes, treat KIERAN MELODY (M.D.) as Surgery Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect KIERAN MELODY (M.D.) on a map?
Expect Anacortes, Washington as a primary anchor for KIERAN MELODY (M.D.) unless the record lists multiple sites.
Is the information about KIERAN MELODY (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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