Active NPI 1255646782 Individual Practitioner Female Practitioner

Melanie T Stapleton , PA-C

Physician Assistant • Saint Paul, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Melanie Stapleton, PA-C is a certified Physician Assistant practicing in Saint Paul, MN. With approximately 17 years of clinical experience since completing medical education in 2009, Melanie Stapleton delivers high-quality medical care to the local community at 205 WABASHA ST S.

Melanie Stapleton is affiliated with Group Health Plan Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least, hemodialysis procedure with physician evaluation. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

205 Wabasha St S

Saint Paul, MN 55107

Telephone 6512938100

Fax 6512938106

Associated Practice Facility / Clinic

🏢 Group Health Plan Inc Facility NPI 1992866800

Medicare Profile & Education

Medical School

Other

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Saint Paul, MN

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs +7.1 yrs vs City Avg

City Avg: 9.9 Yrs

State Avg: 10.9 Yrs

Regional Practice Density

386 Specialists

Practicing in Saint Paul, MN (4026 Statewide)

Telehealth Adoption Rate

13.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Stapleton (17 Years) 17 Yrs

Saint Paul Specialty Average (9.9 Years) 9.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	308	86	$377.40	$94.62
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	64	48	$549.10	$134.37
90935 Hemodialysis procedure with physician evaluation	35	28	$281.35	$57.00
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	14	$250.75	$63.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	244	67	$294.95	$98.22
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	55	44	$571.20	$143.17
90935 Hemodialysis procedure with physician evaluation	34	29	$262.65	$59.01
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	13	13	$205.70	$65.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	355	78	$277.00	$84.38
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	65	53	$536.25	$158.51
90935 Hemodialysis procedure with physician evaluation	34	32	$245.75	$58.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	272	74	$282.20	$85.98
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	54	46	$548.25	$166.58
90935 Hemodialysis procedure with physician evaluation	26	23	$249.05	$61.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	206	70	$266.90	$87.74
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	46	42	$518.50	$169.59
36415 Insertion of needle into vein for collection of blood sample	24	16	$20.21	$2.98
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	18	$186.15	$60.54
81001 Manual urinalysis test with examination using microscope, automated	15	15	$12.00	$3.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	74	41	$255.85	$85.98
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	45	33	$178.50	$59.59
36415 Insertion of needle into vein for collection of blood sample	20	16	$25.00	$2.94
81001 Manual urinalysis test with examination using microscope, automated	15	13	$37.00	$3.45
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	12	$497.25	$169.41
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$334.90	$114.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	29	$308.58	$64.49
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	30	18	$384.61	$86.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	21	$297.48	$62.26

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IA 002118

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.

Hospital & Practice Group Affiliations

Group Health Plan Inc

555 Park St, Saint Paul, MN 551032192

Phone: 6512913246

Group Health Plan Inc

640 Jackson St, Saint Paul, MN 551012502

Phone: 6512213456

Group Health Plan Inc

8600 Nicollet Ave, Bloomington, MN 554202824

Phone: 9528841148

Secondary Practice Locations

200 Hawkins Dr

Iowa City, IA 522421007

Phone: 3193561334

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Michelle Hicks , FNP

Nurse Practitioner - Family

NPI 1003232273

Family Nurse Practitioner

Dr. Bruce Johnson , MD

Internal Medicine

NPI 1023077658

Doctor of Medicine (M.D.)

Samantha Zarske , PA-C

Physician Assistant

NPI 1023522877

Physician Assistant (Certified)

Dr. Emily Thompson , MD

Emergency Medicine

NPI 1043693393

Doctor of Medicine (M.D.)

Dr. Salvador Calaf , MD

Orthopaedic Surgery

NPI 1053572156

Doctor of Medicine (M.D.)

Dr. Michael Eastman , DO

Internal Medicine - Nephrology

NPI 1053707760

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location September 12, 2018

Registered at 205 WABASHA ST S, SAINT PAUL, MN 55107 (Tel: 6512938100)

📍

Updated Business Mailing Address September 12, 2018

Registered at 8170 33RD AVE S # MS 21110Q, MINNEAPOLIS, MN 554254516 (Tel: 6512938100)

✅

NPI Profile Active August 09, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location August 09, 2010

Registered at 200 HAWKINS DR, IOWA CITY, IA 522421007 (Tel: 3193561334)

📍

Updated Business Mailing Address August 09, 2010

Registered at 200 HAWKINS DR, IOWA CITY, IA 522421007 (Tel: 3193561334)

👤

Provider Name / Credentials Updated August 09, 2010

Recorded as MELANIE STAPLETON, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2010

Physician Assistant (License #002118 in IA)

🟢

Initial NPI Registration & Enumeration August 09, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255646782

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 09, 2010

Last Update: September 12, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

8170 33rd Ave S # Ms 21110q

Minneapolis, MN 554254516

Phone: 6512938100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.