Active NPI 1871735852 Individual Practitioner Female Practitioner

Dr. Melissa E Cloonan , MD

Surgery - Trauma Surgery • Tyler, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Melissa Cloonan, MD is a certified Surgery - Trauma Surgery practicing in Tyler, TX. With approximately 17 years of clinical experience since graduating from State University Of Ny Upstate Medical University in 2009, Dr. Cloonan delivers high-quality medical care to the local community at 910 E HOUSTON ST.

Dr. Cloonan is affiliated with Christus Trinity Clinic 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 straightforward or low-level medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

910 E Houston St
Ste. 530

Tyler, TX 757028369

Telephone 9035315560

Fax 9035315566

Associated Practice Facility / Clinic

🏢 Trinity Clinic Facility NPI 1356391734

Medicare Profile & Education

Medical School

State University Of Ny Upstate Medical University

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Trauma Surgery in Tyler, TX

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs -10.2 yrs vs City Avg

City Avg: 27.2 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

7 Specialists

Practicing in Tyler, TX (126 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

58.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cloonan (17 Years) 17 Yrs

Tyler Specialty Average (27.2 Years) 27.2 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	93	54	$159.00	$77.40
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	58	58	$300.00	$126.52
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	49	49	$441.00	$168.13
G0316 Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th	27	20	$111.00	$29.59
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	17	12	$229.18	$116.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	127	124	$300.00	$126.52
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	86	57	$159.00	$77.43
99291 Critical care, first 30-74 minutes	35	18	$624.00	$208.52
99231 Follow-up hospital inpatient care per day, typically 15 minutes	32	24	$86.00	$48.49
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$222.00	$80.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	96	61	$159.43	$64.26
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	87	87	$300.00	$127.50
99291 Critical care, first 30-74 minutes	29	13	$617.79	$201.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	109	73	$160.00	$70.24
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	102	100	$300.00	$129.87
99291 Critical care, first 30-74 minutes	46	19	$604.00	$215.01
99239 Hospital discharge day management, more than 30 minutes	15	15	$235.00	$103.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	161	95	$154.98	$71.88
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	86	86	$289.74	$135.80
99291 Critical care, first 30-74 minutes	25	18	$596.44	$221.53
99239 Hospital discharge day management, more than 30 minutes	20	20	$236.80	$106.13
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	17	15	$212.35	$103.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	172	95	$152.00	$71.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	72	72	$279.00	$133.18
99291 Critical care, first 30-74 minutes	68	23	$577.00	$219.21
99239 Hospital discharge day management, more than 30 minutes	39	39	$238.00	$105.18
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	39	33	$189.21	$102.27
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	31	$367.39	$198.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	178	80	$152.00	$71.01
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	67	66	$279.00	$133.30
99291 Critical care, first 30-74 minutes	61	30	$577.00	$217.31
99239 Hospital discharge day management, more than 30 minutes	29	29	$238.00	$102.21
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	17	$367.00	$197.74
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	17	15	$189.00	$101.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	218	120	$152.00	$69.86
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	104	101	$279.00	$132.67
99291 Critical care, first 30-74 minutes	52	32	$577.00	$216.97
99231 Follow-up hospital inpatient care per day, typically 15 minutes	22	22	$86.00	$36.75
99283 Emergency department visit with low level of medical decision making	21	21	$184.00	$60.26
99239 Hospital discharge day management, more than 30 minutes	15	15	$238.00	$103.99
99238 Hospital discharge day management, 30 minutes or less	11	11	$218.00	$70.13

Medical Specialties & State Licenses

Surgery - Trauma Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0127X

State License TX P9824

Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

349707501 (TX)

Medicaid State Provider ID

349707502 (TX)

Commercial Insurance / Payer ID Tricare

75-2616977-039 (TX)

Commercial Insurance / Payer ID Bcbs

8FG805 (TX)

Hospital & Practice Group Affiliations

Christus Trinity Clinic

800 E Dawson St, Tyler, TX 757012036

Phone: 9035101186

Christus Trinity Clinic

630 S Fleishel Ave, Tyler, TX 757012041

Phone: 9036065560

Christus Trinity Clinic

620 S Fleishel Ave, Tyler, TX 757012041

Phone: 9036064900

Christus Trinity Clinic

Po Box, Dallas, TX 752846098

Christus Trinity Clinic

2600 Saint Michael Dr, Texarkana, TX 755032372

Phone: 9036145250

Christus Trinity Clinic

3203 S Main St, Lindale, TX 757717727

Phone: 9032664000

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Robert Ellis , MD

Surgery - Trauma Surgery

NPI 1093864027

Doctor of Medicine (M.D.)

Dana Pillans , RN, ACNP

Nurse Practitioner - Acute Care

NPI 1417343526

Registered Nurse, ACNP

Dr. Kenneth Helmer , MD

Surgery

NPI 1497785356

Doctor of Medicine (M.D.)

Dr. Luis Fernandez , MD

Surgery - Trauma Surgery

NPI 1730131681

Doctor of Medicine (M.D.)

Dr. John Norris , MD

Surgery - Trauma Surgery

NPI 1982678694

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active May 06, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location May 06, 2016

Registered at 910 E HOUSTON ST, STE. 530, TYLER, TX 757028369 (Tel: 9035315560)

📍

Updated Business Mailing Address May 06, 2016

Registered at PO BOX 846098, DALLAS, TX 752846098 (Tel: 9033246400)

👤

Provider Name / Credentials Updated May 06, 2016

Recorded as MELISSA CLOONAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 06, 2016

Surgery (License #P9824 in TX)

🟢

Initial NPI Registration & Enumeration April 06, 2009

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: 1871735852

Entity Type:

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

Enumeration Date: April 06, 2009

Last Update: May 06, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 846098

Dallas, TX 752846098

Phone: 9033246400

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.