MELANIE J ROHLOFF MD
NPI 1528002326
Family Medicine in Appleton, WI

NPI Status: Active since June 15, 2006

Contact Information

2500 E CAPITOL DR
APPLETON, WI
ZIP 54911
Phone: (920) 738-4600
Fax: (920) 738-4792

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  • Individual
  • Female
  • Years of Experience 21
  • Family Medicine
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About MELANIE ROHLOFF

This page provides the complete NPI Profile along with additional information for Melanie Rohloff, a primary care provider established in Appleton, Wisconsin with a medical specialization in Family Medicine and more than 21 years of experience. She graduated from Medical College Of Wisconsin in 2005. The healthcare provider is registered in the NPI registry with number 1528002326 assigned on June 2006. The practitioner's primary taxonomy code is 207Q00000X with license number 49597 (WI). The provider is registered as an individual and her NPI record was last updated 12 years ago.

NPI
1528002326
Provider Name
MELANIE J ROHLOFF MD
Gender
Female
Entity Type
Individual
Location Address
2500 E CAPITOL DR APPLETON, WI 54911
Location Phone
(920) 738-4600
Location Fax
(920) 738-4792
Mailing Address
PO BOX 8003 APPLETON, WI 54912
Mailing Phone
(608) 829-5247
Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Graduation Year
2005
Is Sole Proprietor?
No
Enumeration Date
06-15-2006
Last Update Date
09-18-2013
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A primary care provider (PCP) like Melanie Rohloff sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
49597
License State
WI
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • HMO Bronze $0 Medical Deductible - HMO
  • HMO Bronze 7500 - HMO
  • HMO Catstrophic 9200 with 3 Free PCP Visits - HMO
  • HMO Gold 1500 - HMO
  • HMO Gold 2400 - HMO
  • HMO HDHP Bronze 7200 - HMO
  • HMO HDHP Silver 5400 - HMO
  • HMO Silver 5000 - HMO
  • HMO Silver 6600 - HMO
  • POS Bronze 7500 - POS
  • POS HDHP Bronze 6250 - POS
  • POS Silver 5000 - POS
  • CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network - EPO
  • CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network (Vision Exam) - EPO
  • CGHC Bronze $9200 ($40 PCP Copay) - Envision Network - EPO
  • CGHC Bronze $9200 ($40 PCP Copay) - Envision Network (Vision Exam) - EPO
  • CGHC Bronze Standard $7500 - Envision Network - EPO
  • CGHC Bronze Standard $7500 - Envision Network (Vision Exam) - EPO
  • CGHC Catastrophic $9200 - Envision Network - EPO
  • CGHC Gold $0 Ded - Envision Network - EPO
  • CGHC Gold $0 Ded - Envision Network (Vision Exam) - EPO
  • CGHC Gold $3000 - Envision Network - EPO
  • CGHC Gold $3000 - Envision Network (Vision Exam) - EPO
  • CGHC Gold Standard $1500 - Envision Network - EPO
  • CGHC Gold Standard $1500 - Envision Network (Vision Exam) - EPO
  • CGHC Silver $4200 Ded / $5000 Rx Ded - Envision Network - EPO
  • CGHC Silver $4200 Ded / $5000 Rx Ded - Envision Network (Vision Exam) - EPO
  • CGHC Silver $4700 Ded / $6000 Rx Ded - Envision Network - EPO
  • CGHC Silver $4700 Ded / $6000 Rx Ded - Envision Network (Vision Exam) - EPO
  • CGHC Silver Standard $5000 - Envision Network - EPO
  • CGHC Silver Standard $5000 - Envision Network (Vision Exam) - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
057545003OTHER (01)WIMEDICARE PTAN

Medicare Participation & PECOS Enrollment Status

Melanie Rohloff is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Melanie Rohloff is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 2961576509

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20080731000110

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Adm sarscv2 30mcg trs-sucr b

This service involves the administration of a 30mcg dose of the SARS-CoV-2 vaccine, which helps protect against COVID-19. The 'trs-sucr b' indicates it's stabilized with sugars for effectiveness. It's a crucial step in maintaining your health during the pandemic.

This service was performed 13 times for 13 patients

Administration of influenza virus vaccine

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

This service was performed 24 times for 24 patients

Administration of pneumococcal vaccine

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

This service was performed 12 times for 12 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

This service was performed 58 times for 58 patients

Dxa bone density measurement of hip, pelvis, spine

A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.

This service was performed 12 times for 12 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 77 times for 59 patients

Established patient office or other outpatient visit, 40-54 minutes

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

This service was performed 69 times for 45 patients

Influenza vaccine split virus, preservative free

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

This service was performed 22 times for 22 patients

Insertion of needle into vein for collection of blood sample

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

This service was performed 112 times for 68 patients

Screening 3d breast mammography

Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.

This service was performed 27 times for 27 patients

Screening mammography

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

This service was performed 35 times for 35 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $20.73 for a new patient copayment and $23.85 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 54911 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $82.92
  • Minimum New Patient Price $53.9
  • Maximum New Patient Price $163.24
  • Average New Patient Copayment $20.73
  • Minimum New Patient Copayment $13.47
  • Maximum New Patient Copayment $40.81

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $95.41
  • Minimum Established Patient Price $17.4
  • Maximum Established Patient Price $133.76
  • Average Established Patient Copayment $23.85
  • Minimum Established Patient Copayment $4.35
  • Maximum Established Patient Copayment $33.44

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Melanie Rohloff is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
THEDACARE REGIONAL MED CTR - NEENAH130 2ND ST
NEENAH, WI 54956
(920) 729-3100Acute Care Hospitals

Reviews for MELANIE J ROHLOFF MD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1528002326
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
254800434
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 4 + 8 + 0 + 0 + 4 + 3 + 4 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1528002326 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1053317594 DEBORAH A IHDE MD
Individual
Internal Medicine2500 E CAPITOL DR
APPLETON, WI 54911
(920) 731-5811
1427023084 CRAIG S HENDEL M.D.
Individual
Family Medicine2500 E CAPITOL DR
APPLETON, WI 54911
(920) 738-4600
1285679860 CHRISTINE NEWTON MD
Individual
Family Medicine2500 E CAPITOL DR
APPLETON, WI 54911
(920) 738-4600
1750318523 DAVID ANDERLA MD
Individual
Family Medicine2500 E CAPITOL DR
APPLETON, WI 54911
(920) 738-4600
1295762680 TIMOTHY WYCOFF MD
Individual
Family Medicine2500 E CAPITOL DR
APPLETON, WI 54911
(920) 738-4600
1093742488 KELLI HEINDEL MD
Individual
Family Medicine2500 E CAPITOL DR
APPLETON, WI 54911
(920) 738-4600
1992737522 JACK ANDERSON MD
Individual
Internal Medicine2500 E CAPITOL DR
APPLETON, WI 54911
(920) 731-5811
1780616136 IFTIKHAR A MALIK MD
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)2500 E CAPITOL DR
APPLETON, WI 54911
(920) 358-1223
1811916075VALLEY UROLOGIC ASSOCIATES
Organization
Urology2500 E CAPITOL DR SUITE 2600
APPLETON, WI 54911
(920) 739-3537
1609067388 NANCY L BUCHHOLZ APNP
Individual
Nurse Practitioner (Adult Health)2500 E CAPITOL DR
APPLETON, WI 54911
(920) 738-4600
1811245210 KATHRYN M HANSON APNP
Individual
Nurse Practitioner2500 E CAPITOL DR
APPLETON, WI 54911
(920) 738-4600
1134220254 ZAHEERUDDIN SHEIKH MD
Individual
Internal Medicine (Rheumatology)2500 E CAPITOL DR THEDACARE ORTHO PLUS
APPLETON, WI 54911
(920) 831-5050
1225281264 JENNIFER R JACKAN APNP
Individual
Nurse Practitioner (Family)2500 E CAPITOL DR SUITE 2600
APPLETON, WI 54911
(920) 739-3537
1194814285DR. ORLANDO ANGELO LIZARDO TALEON MD
Individual
Internal Medicine (Geriatric Medicine)2500 E CAPITOL DR
APPLETON, WI 54911
(920) 731-5811
1922242445 LACHIN HAJHOSSEINI MD
Individual
Family Medicine2500 E CAPITOL DR
APPLETON, WI 54911
(920) 738-4600
1841434362 TIFFANY JO SCHRAUFNAGEL DO
Individual
Family Medicine2500 E CAPITOL DR
APPLETON, WI 54911
(920) 738-4600
1306873146 ELIZABETH J LANDMANN PA
Individual
Physician Assistant2500 E CAPITOL DR
APPLETON, WI 54911
(920) 738-4600
1497823694 MARIA T ARISTIGUETA M.D.
Individual
Internal Medicine (Pulmonary Disease)2500 E CAPITOL DR SUITE1700
APPLETON, WI 54911
(920) 734-9600
1982004420MS. AMBER LEE CARLSEN AGNP
Individual
Nurse Practitioner (Adult Health)2500 E CAPITOL DR SUITE 700
APPLETON, WI 54911
(902) 734-9600
1649671181 JESSICA L VAN LANNEN APNP
Individual
Nurse Practitioner2500 E CAPITOL DR
APPLETON, WI 54911
(920) 738-4600

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528002326, enumerated in the NPI registry as an "individual" on June 15, 2006

The provider is located at 2500 E Capitol Dr Appleton, Wi 54911 and the phone number is (920) 738-4600

The provider's speciality is Family Medicine with taxonomy code 207Q00000X

The provider has more than 21 years of experience. She graduated from Medical College Of Wisconsin in 2005.

The provider might be accepting Accepts: Aspirus Health Plan, Common Ground Healthcare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $82.92 with an average copayment of $20.73 for new patient appointments. Established patients should expect a typical charge of $95.41 and an average copayment of 23.85. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Adm sarscv2 30mcg trs-sucr b, Administration of influenza virus vaccine, Administration of pneumococcal vaccine, Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, Dxa bone density measurement of hip, pelvis, spine, Established patient office or other outpatient visit, 30-39 minutes, Established patient office or other outpatient visit, 40-54 minutes, Influenza vaccine split virus, preservative free, Insertion of needle into vein for collection of blood sample, Screening 3d breast mammography and Screening mammography.

The practitioner is affiliated to the following hospital(s): THEDACARE REGIONAL MED CTR - NEENAH. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on June 15, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.