Medicare Enrolled

Melissa Baughcum, APRN

Nurse Practitioner - Adult Health · Athens, GA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
340 N MILLEDGE AVE STE B, Athens, GA 30601
7065480008
Registered in NPPES since 2012
NPI: 1013276518 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Baughcum from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Baughcum

Melissa Baughcum is a nurse practitioner - adult health in Athens, GA, with 14 years of NPI registration. Based on federal Medicare data, Baughcum performed 822 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Baughcum received a total of $12,098 from 41 pharmaceutical and/or device companies across 501 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Baughcum is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 14 years of NPI registration ▲ Top 17% volume in GA $12,098 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
822
Medicare services
Top 17% in GA for nurse practitioner - adult health
Not available
Unique patients (not deduplicated)
$72
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
673 $72 $392
New patient office visit (45-59 min)
An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter.
63 $88 $507
Hospital follow-up visit, moderate complexity
Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service.
38 $51 $210
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
28 $42 $339
Initial hospital admission, moderate complexity
Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter.
20 $84 $400
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. These counts do not measure clinical quality or years of experience.

Industry Payment Transparency

Open Payments through 2024 ↗
$12,098
Total received (2021-2024)
Avg $3,024/year across 4 years
Top 2% in GA for nurse practitioner - adult health
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
41
Companies
501
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →

Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$5,231
2023
$3,200
2022
$2,252
2021
$1,414

Payments by company (2024)

Phathom Pharmaceuticals, Inc.
$2,117
ABBVIE INC.
$617
GENZYME CORPORATION
$274
Regeneron Healthcare Solutions, Inc.
$271
Ardelyx, Inc.
$225
Intercept Pharmaceuticals, Inc.
$222
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$218
QOL Medical, LLC
$175
Lilly USA, LLC
$170
Takeda Pharmaceuticals U.S.A., Inc.
$168
Celgene Corporation
$145
PFIZER INC.
$143
Janssen Biotech, Inc.
$70
Madrigal Pharmaceuticals
$69
Ortho Dermatologics, a division of Bausch Health US, LLC
$67
IRONWOOD PHARMACEUTICALS, INC
$59
Novartis Pharmaceuticals Corporation
$40
AIMMUNE THERAPEUTICS, INC.
$34
Organon Llc
$31
Celltrion USA Inc.
$28
Sandoz Inc.
$27
Ipsen Biopharmaceuticals, Inc
$24
Mallinckrodt Hospital Products Inc.
$21
Boehringer Ingelheim Pharmaceuticals, Inc.
$16
Top 3 companies account for 57.5% of 2024 payments
All-time payments by company (2021-2024) ›
Phathom Pharmaceuticals, Inc.
$2,117
ABBVIE INC.
$1,581
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$1,532
PFIZER INC.
$1,468
Celgene Corporation
$609
GENZYME CORPORATION
$568
Ardelyx, Inc.
$560
AbbVie Inc.
$524
Takeda Pharmaceuticals U.S.A., Inc.
$517
Regeneron Healthcare Solutions, Inc.
$393
Janssen Biotech, Inc.
$344
QOL Medical, LLC
$269
Intercept Pharmaceuticals, Inc.
$251
INTERCEPT PHARMACEUTICALS, INC.
$192
Lilly USA, LLC
$188
Ironwood Pharmaceuticals, Inc
$140
Ferring Pharmaceuticals Inc.
$109
Madrigal Pharmaceuticals
$69
Ortho Dermatologics, a division of Bausch Health US, LLC
$67
Sandoz Inc.
$62
IRONWOOD PHARMACEUTICALS, INC
$59
AIMMUNE THERAPEUTICS, INC.
$50
Merck Sharp & Dohme LLC
$46
Novartis Pharmaceuticals Corporation
$40
Gilead Sciences, Inc.
$33
Organon Llc
$31
EVOKE PHARMA, INC.
$28
Celltrion USA Inc.
$28
Braintree Laboratories, Inc.
$26
Ipsen Biopharmaceuticals, Inc
$24
VIVUS LLC
$22
Mallinckrodt Hospital Products Inc.
$21
Janssen Scientific Affairs, LLC
$17
Boehringer Ingelheim Pharmaceuticals, Inc.
$16
Fresenius Kabi USA, LLC
$16
Ethicon US, LLC
$15
UCB, Inc.
$15
Nestle HealthCare Nutrition Inc.
$14
Merck Sharp & Dohme Corporation
$14
Evoke Pharma, Inc.
$13
Mauna Kea Technologies, Inc.
$10
Top 3 companies account for 43.2% of all-time payments
Associated products mentioned in payments ›
CIMZIA · COSENTYX · CREON · CYLTEZO · Cabtreo · Cimzia · DIFICID · DUPIXENT · ENTYVIO · GATTEX · GIMOTI · HADLIMA · HUMIRA · HYRIMOZ · IBSRELA · IQIRVO · LINZESS · Linzess · MAVYRET · OCALIVA · OMVOH · Qsymia · REBYOTA · RENFLEXIS · RESMETIROM · RINVOQ · SKYRIZI · STELARA · SUCRAID · SUTAB · Sucraid · TERLIVAZ · TREMFYA · TRULANCE · VELSIPITY · VIBERZI · VOQUEZNA · VOWST · XELJANZ · XIFAXAN · ZENPEP · ZEPOSIA · ZYMFENTRA
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Looking for a nurse practitioner - adult health in Athens?
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Geographic Context

Adult-health nurse practitioners in nearby ZIP areas
32
County median income
$52,267
Nearest hospital to ZIP centroid (approximate)
ST MARY'S HOSPITAL
6.4 mi

Data Sources

Provider Registry NPPES NPPES snapshot; verify current record
Medicare Enrollment PECOS PECOS snapshot
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not included N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Baughcum is a clinical cardiology specialist, with above-average Medicare volume (top 17% in GA).

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Baughcum experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Baughcum performed 673 office visit, established patient (30-39 min) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Baughcum receive payments from pharmaceutical companies?
Yes. Baughcum received a total of $12,098 from 41 companies across 501 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Baughcum's costs compare to other adult-health nurse practitioners in Athens?
Baughcum's average Medicare payment per service is $72. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Baughcum) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
About this page

This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Industry payment disclosure alone establishes neither wrongdoing nor legality. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →