MRS. MELISSA CARLTON PA-C
NPI 1740443670
Physician Assistant in Temecula, CA
NPI Status: Active since July 10, 2008
- Individual
- Female
- Physician Assistant
- PECOS Enrolled
- Medicare Quality Reporting
About MELISSA CARLTON
This page provides the complete NPI Profile along with additional information for Melissa Carlton, a primary care provider established in Temecula, California with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1740443670 assigned on July 2008. The practitioner's primary taxonomy code is 363A00000X with license number PA19418 (CA). The provider is registered as an individual and her NPI record was last updated 17 years ago.
- NPI
- 1740443670
- Provider Name
- MRS. MELISSA CARLTON PA-C
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 27450 YNEZ RD TEMECULA, CA 92591
- Location Phone
- (951) 693-2354
- Mailing Address
- 31940 BITTERROOT CT TEMECULA, CA 92592
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-10-2008
- Last Update Date
- 07-10-2008
- Code Navigator
A primary care provider (PCP) like Melissa Carlton 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
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- PA19418
- License State
- CA
- Taxonomy Description
- A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Medicare Participation & PECOS Enrollment Status
Melissa Carlton 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
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
Physician Visit Costs
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 92591 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $91.88
- Minimum New Patient Price $59.6
- Maximum New Patient Price $179.42
- Average New Patient Copayment $22.97
- Minimum New Patient Copayment $14.9
- Maximum New Patient Copayment $44.85
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $74.08
- Minimum Established Patient Price $19.37
- Maximum Established Patient Price $146.42
- Average Established Patient Copayment $18.52
- Minimum Established Patient Copayment $4.84
- Maximum Established Patient Copayment $36.6
* 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.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Implementation of an ASP | Yes | N/A |
| Change Activity Description to: Leadership of an Antimicrobial Stewardship Program (ASP) that includes implementation of an ASP that measures the appropriate use of antibiotics for several different conditions (such as but not limited to upper respiratory infection treatment in children, diagnosis of pharyngitis, bronchitis treatment in adults) according to clinical guidelines for diagnostics and therapeutics. Specific activities may include: • Develop facility-specific antibiogram and prepare report of findings with specific action plan that aligns with overall facility or practice strategic plan. • Lead the development, implementation, and monitoring of patient care and patient safety protocols for the delivery of ASP including protocols pertaining to the most appropriate setting for such services (i.e., outpatient or inpatient). • Assist in improving ASP service line efficiency and effectiveness by evaluating and recommending improvements in the management structure and workflow of ASP processes. • Manage compliance of the ASP policies and assist with implementation of corrective actions in accordance with facility or clinic compliance policies and hospital medical staff by-laws. • Lead the education and training of professional support staff for the purpose of maintaining an efficient and effective ASP. • Coordinate communications between ASP management and facility or practice personnel regarding activities, services, and operational/clinical protocols to achieve overall compliance and understanding of the ASP. • Assist, at the request of the facility or practice, in preparing for and responding to third-party requests, including but not limited to payer audits, governmental inquiries, and professional inquiries that pertain to the ASP service line. • Implementing and tracking an evidence-based policy or practice aimed at improving antibiotic prescribing practices for high-priority conditions. • Developing and implementing evidence-based protocols and decision-support for diagnosis and treatment of common infections. • Implementing evidence-based protocols that align with recommendations in the Centers for Disease Control and Prevention’s Core Elements of Outpatient Antibiotic Stewardship guidance | ||
| Implementation of formal quality improvement methods, practice changes, or other practice improvement processes | Yes | N/A |
| Adopt a formal model for quality improvement and create a culture in which all staff actively participates in improvement activities that could include one or more of the following such as: • Multi-Source Feedback; • Train all staff in quality improvement methods; • Integrate practice change/quality improvement into staff duties; • Engage all staff in identifying and testing practices changes; • Designate regular team meetings to review data and plan improvement cycles; • Promote transparency and accelerate improvement by sharing practice level and panel level quality of care, patient experience and utilization data with staff; and/or • Promote transparency and engage patients and families by sharing practice level quality of care, patient experience and utilization data with patients and families, including activities in which clinicians act upon patient experience data. | ||
| Measurement and Improvement at the Practice and Panel Level | Yes | N/A |
| Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level. | ||
| Participation in an AHRQ-listed patient safety organization. | Yes | N/A |
| Participation in an AHRQ-listed patient safety organization. | ||
Reviews for MRS. MELISSA CARLTON PA-C
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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. | |||||||||
| 1 | 7 | 4 | 0 | 4 | 4 | 3 | 6 | 7 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 8 | 0 | 8 | 4 | 6 | 6 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 8 + 0 + 8 + 4 + 6 + 6 + 1 + 4 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1740443670 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 19 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1366429623 | WAYNE D CHASE OT Individual | Occupational Therapist | 27450 YNEZ RD STE 120 TEMECULA, CA 92591 (951) 695-5144 |
| 1255395323 | DR. BRENT W. KAY M.D. Individual | Internal Medicine | 27450 YNEZ RD TEMECULA, CA 92591 (714) 935-0073 |
| 1063463396 | OUCH MEDICAL CENTER Organization | Clinic/Center (Urgent Care) | 27450 YNEZ RD #128 TEMECULA, CA 92591 (951) 693-2354 |
| 1962582296 | BACK TO HEALTH CHIROPRACTIC, INC. Organization | Chiropractor | 27450 YNEZ RD 116 TEMECULA, CA 92591 (951) 587-2225 |
| 1841476298 | KENNETH PATRICK BROWN DDS Individual | Dentist (General Practice) | 27450 YNEZ RD SUITE 204 TEMECULA, CA 92591 (951) 695-6269 |
| 1780964478 | JOCELYN MIEKO SHINAGAWA L.AC. Individual | Acupuncturist | 27450 YNEZ RD SUITE 110-C TEMECULA, CA 92591 (951) 836-6446 |
| 1780960211 | CAMILLE HARRISON CMT Individual | Massage Therapist | 27450 YNEZ RD SUITE 110-C TEMECULA, CA 92591 (951) 836-6446 |
| 1003150657 | AZIM U. AZHAND, M.D. PROFESSIONAL CORPORATION Organization | Clinic/Center (Primary Care) | 27450 YNEZ RD SUITE 108 TEMECULA, CA 92591 (951) 695-4333 |
| 1841534922 | MARCO ARTURO AYALA DPT Individual | Physical Therapist | 27450 YNEZ RD STE. 120 TEMECULA, CA 92591 (951) 695-5144 |
| 1497730055 | JENNIFER NOEL BUTLER MPT, DPT Individual | Physical Therapist | 27450 YNEZ RD STE 120 TEMECULA, CA 92591 (951) 695-5144 |
| 1245563295 | MICHELLE LEANNE MCCLURE-SMITH PT, DPT Individual | Physical Therapist | 27450 YNEZ RD SUITE 120 TEMECULA, CA 92591 (951) 695-5144 |
| 1952482200 | DR. DONNA CATHERINE RUIZ M.D. Individual | Pediatrics | 27450 YNEZ RD STE 100 TEMECULA, CA 92591 (951) 383-4333 |
| 1538534979 | TEMECULA ACUPUNCTURE INC. Organization | Acupuncturist | 27450 YNEZ RD SUITE 109 TEMECULA, CA 92591 (951) 676-8640 |
| 1376705723 | DR. ROJA NARAYAN MD Individual | Family Medicine | 27450 YNEZ RD SUITE 100 TEMECULA, CA 92591 (951) 383-4333 |
| 1699215996 | DR. LUCAS KASEN HAYES D.C. Individual | Chiropractor | 27450 YNEZ RD SUITE 116 TEMECULA, CA 92591 (951) 694-9200 |
| 1144649682 | ERIK LUNDQUIST MD INC Organization | Family Medicine | 27450 YNEZ RD SUITE 100 TEMECULA, CA 92591 (951) 383-4333 |
| 1669891834 | TEMECULA CENTER OF INTEGRATIVE MEDICINE LLC Organization | Family Medicine | 27450 YNEZ RD 100 TEMECULA, CA 92591 (951) 383-4333 |
| 1679898704 | MRS. MELYNDA RAE MYERS-MALLORY NP Individual | Nurse Practitioner (Family) | 27450 YNEZ RD 100 TEMECULA, CA 92591 (951) 383-4333 |
| 1073332516 | CHRISTOPHER THOMAS REVELS Individual | Massage Therapist | 27450 YNEZ RD TEMECULA, CA 92591 (951) 676-8640 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1740443670, enumerated in the NPI registry as an "individual" on July 10, 2008
The provider is located at 27450 Ynez Rd Temecula, Ca 92591 and the phone number is (951) 693-2354
The provider's speciality is Physician Assistant with taxonomy code 363A00000X
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 $91.88 with an average copayment of $22.97 for new patient appointments. Established patients should expect a typical charge of $74.08 and an average copayment of 18.52. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on July 10, 2008. 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].
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