MARCIA MELDA CRNA
NPI 1871569350
Nurse Anesthetist, Certified Registered in Dover, DE


Quality Rating: 88.57 out of 100 score

NPI Status: Active since February 24, 2006

Contact Information

640 S STATE ST
BAYHEALTH MEDICAL CENTER/DEPT. OF ANESTHESIA
DOVER, DE
ZIP 19901
Phone: (302) 744-7089
Fax: (302) 735-3239

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  • Individual
  • Female
  • Years of Experience 22
  • Nurse Anesthetist, Certified Registered
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • Medicare Quality Reporting

About MARCIA MELDA

This page provides the complete NPI Profile along with additional information for Marcia Melda, a provider established in Dover, Delaware with a medical specialization in Nurse Anesthetist, Certified Registered and more than 22 years of experience. The healthcare provider is registered in the NPI registry with number 1871569350 assigned on February 2006. The practitioner's primary taxonomy code is 367500000X with license number ARNP9229864 (FL). The provider is registered as an individual and her NPI record was last updated 17 years ago.

NPI
1871569350
Provider Name
MARCIA MELDA CRNA
Gender
Female
Entity Type
Individual
Location Address
640 S STATE ST BAYHEALTH MEDICAL CENTER/DEPT. OF ANESTHESIA DOVER, DE 19901
Location Phone
(302) 744-7089
Location Fax
(302) 735-3239
Mailing Address
119 W COMMERCE ST SMYRNA, DE 19977
Mailing Phone
(302) 388-8989
Medical School Name
OTHER
Graduation Year
2004
Is Sole Proprietor?
Yes
Enumeration Date
02-24-2006
Last Update Date
12-02-2008
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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

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
ARNP9229864
License State
FL
Taxonomy Description
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1367500000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Anesthetist, Certified Registered

L60A00430 (DE)

Insurance Plans Accepted

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

  • Bronze Classic 4700 - EPO
  • Bronze Classic Standard - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Gold Classic - EPO
  • Gold Classic Standard - EPO
  • Gold Elite - EPO
  • Silver Classic - EPO
  • Silver Classic Standard - EPO
  • Silver Simple PCP Saver - 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.

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
AA536UMEDICARE PIN (08)FL 
AA536TMEDICARE PIN (08)FL 
G3999OTHER (01)FLBCBS
307646600MEDICAID (05)FL 

Medicare Participation & PECOS Enrollment Status

Marcia Melda 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.

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.

  • PECOS PAC ID: 4688642275

    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: I20040921001244, I20070212000193

    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.

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.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

This service was performed 39 times for 39 patients

Anesthesia for other procedure on large bowel using an endoscope

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

This service was performed 23 times for 23 patients

Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and upper back

Anesthesia for procedures on skin, muscles, or nerves of the head, neck, and upper back involves using medication to numb the area or make you unconscious during the procedure. This ensures you don't feel pain or discomfort. It's safe and monitored by professionals.

This service was performed 12 times for 12 patients

Anesthesia for procedure on nerves, muscles, tendons, fascia, and bursae of shoulder and underarm

Anesthesia for a procedure on the shoulder and underarm area involves numbing these regions to prevent pain during the operation. It may be localized to the specific area or general, putting you to sleep. It ensures comfort and pain-free surgery on nerves, muscles, tendons, fascia, or bursae.

This service was performed 13 times for 13 patients

Anesthesia for procedure on small and large bowel using an endoscope

Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.

This service was performed 14 times for 14 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $32.78 for a new patient copayment and $17.79 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 19901 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $131.15
  • Minimum New Patient Price $57.12
  • Maximum New Patient Price $173.08
  • Average New Patient Copayment $32.78
  • Minimum New Patient Copayment $14.28
  • Maximum New Patient Copayment $43.27

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $71.19
  • Minimum Established Patient Price $18.36
  • Maximum Established Patient Price $141.05
  • Average Established Patient Copayment $17.79
  • Minimum Established Patient Copayment $4.59
  • Maximum Established Patient Copayment $35.26

* 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.

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 88.57, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 88.57 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 71.96

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 100

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

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
Participation in an AHRQ-listed patient safety organization.YesN/A
Participation in an AHRQ-listed patient safety organization.
Use of QCDR data for ongoing practice assessment and improvementsYesN/A
Use of QCDR data, for ongoing practice assessment and improvements in patient safety.
Use of QCDR to promote standard practices, tools and processes in practice for improvement in care coordinationYesN/A
Participation in a Qualified Clinical Data Registry, demonstrating performance of activities that promote use of standard practices, tools and processes for quality improvement (e.g., documented preventative screening and vaccinations that can be shared across MIPS eligible clinician or groups).

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. Marcia Melda is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
HCA FLORIDA TRINITY HOSPITAL9330 SR 54
TRINITY, FL 34655
(727) 834-4900Acute Care Hospitals
HCA FLORIDA OAK HILL HOSPITAL11375 CORTEZ BLVD
BROOKSVILLE, FL 34613
(352) 596-6632Acute Care Hospitals

Reviews for MARCIA MELDA CRNA

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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.
1871569350
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2814110618310
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 4 + 1 + 1 + 0 + 6 + 1 + 8 + 3 + 1 + 0 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1871569350 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 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1841295136DR. WILLIAM A. ROSENFELD M.D.
Individual
Emergency Medicine (Emergency Medical Services)640 S STATE ST
DOVER, DE 19901
(302) 744-6274
1134100076MRS. CAROL FEINOUR CRNA
Individual
Nurse Anesthetist, Certified Registered640 S STATE ST
DOVER, DE 19901
(302) 744-6358
1053392340DR. DAVID SAMUEL BRENNER M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)640 S STATE ST
DOVER, DE 19901
(302) 744-7050
1487633665 CORAZON A BAHIA M.D.
Individual
Radiology (Diagnostic Radiology)640 S STATE ST
DOVER, DE 19901
(302) 744-7062
1457323875 TERESA K CRISAFULLI PAC
Individual
Nurse Practitioner640 S STATE ST
DOVER, DE 19901
(410) 398-4000
1841266236 RUSSELL EARNEST CRNA
Individual
Nurse Anesthetist, Certified Registered640 S STATE ST BAYHEALTH MEDICAL CENTER/DEPARTMENT OF ANESTHESIA
DOVER, DE 19901
(302) 744-7089
1417923988 VIRGINIA R. BEHAN C.R.N.A.
Individual
Nurse Anesthetist, Certified Registered640 S STATE ST BAYHEALTH MEDICAL CENTER, DEPT. OF ANESTHESIA
DOVER, DE 19901
(302) 744-7089
1851367320 BARBARA BEYER C.R.N.A.
Individual
Nurse Anesthetist, Certified Registered640 S STATE ST BAYHEALTH MEDICAL CENTER, DEPT. OF ANESTHESIA
DOVER, DE 19901
(302) 744-7089
1649246125 FRANK BIONDI C.R.N.A.
Individual
Nurse Anesthetist, Certified Registered640 S STATE ST BAYHEALTH MEDICAL CENTER, DEPT. OF ANESTHESIA
DOVER, DE 19901
(302) 744-7089
1679549158 JANET L. CLENDANIEL C.R.N.A.
Individual
Nurse Anesthetist, Certified Registered640 S STATE ST BAYHEALTH MEDICAL CENTER, DEPT. OF ANESTHESIA
DOVER, DE 19901
(302) 744-7089
1538135025 DALE J ROBERTSON CRNA
Individual
Nurse Anesthetist, Certified Registered640 S STATE ST BAY ANESTHESIA ASSOCIATES
DOVER, DE 19901
(302) 674-4700
1619943107 DANIEL T. DOLT C.R.N.A.
Individual
Nurse Anesthetist, Certified Registered640 S STATE ST BAYHEALTH MEDICAL CENTER, DEPT. OF ANESTHESIA
DOVER, DE 19901
(302) 744-7089
1568438059 CAROL A. DECKOFF C.R.N.A.
Individual
Nurse Anesthetist, Certified Registered640 S STATE ST BAYHEALTH MEDICAL CENTER, DEPT. OF ANESTHESIA
DOVER, DE 19901
(302) 744-7089
1811963309 LEE J. DECKOFF C.R.N.A.
Individual
Nurse Anesthetist, Certified Registered640 S STATE ST BAYHEALTH MEDICAL CENTER, DEPT. OF ANESTHESIA
DOVER, DE 19901
(302) 744-7089
1366418634MR. ROBERT A. HOUSE CRNA
Individual
Nurse Anesthetist, Certified Registered640 S STATE ST BAYHEALTH MEDICAL CENTER/DEPT. OF ANESTHESIA
DOVER, DE 19901
(302) 744-7093
1154397040 MARLENE H STRANG CRNA
Individual
Nurse Anesthetist, Certified Registered640 S STATE ST BAYHEALTH MEDICAL CENTER/DEPT OF ANESTHESIA
DOVER, DE 19901
(302) 744-7093
1396706404 JULIE GAREY RD
Individual
Dietitian, Registered640 S STATE ST
DOVER, DE 19901
(302) 744-6842
1073575239 MARIAM M BASMA RD
Individual
Dietitian, Registered640 S STATE ST
DOVER, DE 19901
(302) 744-6842
1992740625DR. KELLY LYNN ABBRESCIA DO
Individual
Emergency Medicine640 S STATE ST DEPT. OF EMERGENCY MEDICINE
DOVER, DE 19901
(302) 744-7122
1700801172 EVA DICKINSON M.D.
Individual
Emergency Medicine640 S STATE ST
DOVER, DE 19901
(302) 674-4700

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871569350, enumerated in the NPI registry as an "individual" on February 24, 2006

The provider is located at 640 S State St Bayhealth Medical Center/dept. Of Anesthesia Dover, De 19901 and the phone number is (302) 744-7089

The provider's speciality is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X

The provider has more than 22 years of experience.

The provider might be accepting Accepts: Oscar Insurance Company, Medicare, Medicaid and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider has an overall high rating in the following quality measures: uses technology to exchange and make use of healthcare information.

Medicare beneficiaries should expect a typical cost of $131.15 with an average copayment of $32.78 for new patient appointments. Established patients should expect a typical charge of $71.19 and an average copayment of 17.79. 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: Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope, Anesthesia for other procedure on large bowel using an endoscope, Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and upper back, Anesthesia for procedure on nerves, muscles, tendons, fascia, and bursae of shoulder and underarm and Anesthesia for procedure on small and large bowel using an endoscope.

The practitioner is affiliated to the following hospital(s): HCA FLORIDA TRINITY HOSPITAL and HCA FLORIDA OAK HILL HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on February 24, 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.