NPI registry status
Active
2026 NPPES data Pediatrics Physician NPI 1851501670 M.D.
Verify on CMS → Melissa Cooley, M.D.
Pediatrics Physician in Jefferson City, Tennessee.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 81,773 in Pediatrics Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
10K
Medicare Part D claims · 516 beneficiaries · Pediatrics Physician avg: 818
Generic prescribing
87%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$299.15
18 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Melissa Cooley, M.D. filed 10,414 Medicare Part D claims in 2024 as a Pediatrics Physician in Jefferson City, Tennessee, prescribing 87% generic.
- 10K
- Part D claims, 2024
- 87%
- generic prescribing
- Likely
- board-certified (heuristic)
- ≥98th
- pct by Part D claim volume (lower-bound band)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Federal trust snapshot
What official records show about Melissa Cooley, M.D.
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1851501670), first enumerated 05/23/2007.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 10,414 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$299.15 in reported industry payments (18 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1851501670 · Pediatrics Physician
NPI-10 · ENUM-MID · TAX-MEGA · RX-HEAVY · BOOK-LIGHT · PHOTO-ENUM
- NPI-10 1851501670
- ENUM-MID 2007
- TAX-MEGA 82K Pediatrics Physician
- RX-HEAVY 10K claims
- BOOK-LIGHT 1,478 in Tennessee
- PHOTO-ENUM Julie Babineaux · 2007
Melissa Cooley, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
10,414 ≥ 98th percentile 98% of 1,416,883 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
✓
Board certification likely (heuristic, not verified)
Melissa Cooley, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Melissa Cooley, M.D.?
Quality data not reportedPrimary specialty
Pediatrics Physician
Medicare Part D claims
10,414 13× vs specialty avg
Specialty distribution in Tennessee
How Pediatrics Physician compares to other specialties among Tennessee providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Pediatrics Physician. Verify directly:
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Practice Address
Provider Details
| NPI | 1851501670 |
|---|---|
| Specialty | Pediatrics Physician |
| Credentials | M.D. |
| Gender | Female |
| NPI Issued | 05/23/2007 |
Hospital and facility affiliations
Facilities where Melissa Cooley, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Summit Medical Group, PLLC
Knoxville, TN
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Melissa Cooley, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$299
Largest payer
Novo Nordisk Inc
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
Brand vs generic prescribing mix · Typical
Melissa Cooley, M.D. - brand share 12.0%
Pediatrics Physician average
12% brand-name claims vs 87% generic, on 10,414 2024 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
10,414
Total Claims
$780K
Total Drug Cost
516
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 20,365.5
- Total Day Supply
- 581,659
- Brand vs Generic
- 12% brand / 87% generic
- Brand Drug Cost
- $656K
- Generic Drug Cost
- $121K
- Opioid Claims
- 273 (2.6% rate)
- Antibiotic Claims
- 180
Patient Demographics
- Average Patient Age
- 71.2 years
- Avg HCC Risk Score
- 1.43
- Gender Split
- 75% female / 25% male
- Age Distribution
- <65: 94, 65-74: 211, 75-84: 173, 85+: 38
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Melissa Cooley, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2024
- Levothyroxine Sodium
Levothyroxine Sodium
466 claims
- Atorvastatin Calcium
Atorvastatin Calcium
355 claims
- Lisinopril
Lisinopril
318 claims
- Gabapentin
Gabapentin
303 claims
- Alprazolam
Alprazolam
288 claims
- Omeprazole
Omeprazole
284 claims
- Amlodipine Besylate
Amlodipine Besylate
253 claims
- Losartan Potassium
Losartan Potassium
224 claims
| Drug | Claims |
|---|---|
| Levothyroxine Sodium | 466 |
| Atorvastatin Calcium | 355 |
| Lisinopril | 318 |
| Gabapentin | 303 |
| Alprazolam | 288 |
| Omeprazole | 284 |
| Amlodipine Besylate | 253 |
| Losartan Potassium | 224 |
| Pantoprazole Sodium | 207 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 187 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pediatrics Physician Overview
How Melissa Cooley, M.D. fits within the Pediatrics Physician landscape nationally.
81,773
Pediatrics Physician Providers in US
56
States with Pediatrics Physician
818
Avg Claims per Provider
Melissa Cooley, M.D.'s 10,414 claims are above the specialty average of 818.
Nationwide Pediatrics Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Cooley, both outside Tennessee so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2007)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Pediatrics Physician Providers in Tennessee
Other clinicians with the same primary specialty enrolled in Tennessee, drawn from the same CMS NPPES roster as Cooley.
One of 1,478 Pediatrics Physician providers enrolled in Tennessee, 5 are shown here.
Kristie Aamodt
Nashville, TN
Dr. Emad Abdel-Fattah
M.D.
Union City, TN
Dr. Faria Abdullah
M.D
Memphis, TN
Dr. Ma Irene Abillar
MD
Madison, TN
Dr. Angel Acevedo
MD
Knoxville, TN
Compare Pediatrics Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Melissa Cooley, M.D.'s specialty? ▼
Melissa Cooley, M.D. specializes in Pediatrics Physician and practices in Jefferson City, Tennessee. Credentials: M.D..
How much does Melissa Cooley, M.D. prescribe under Medicare Part D? ▼
In 2024, Melissa Cooley, M.D. wrote 10,414 Medicare Part D claims totaling $780K in drug costs for 516 beneficiaries.
Where is Melissa Cooley, M.D. located? ▼
Melissa Cooley, M.D. is located at 380 W BROADWAY BLVD, Jefferson City, TN, 37760. Phone: (865) 475-4742.
What is Melissa Cooley, M.D.'s NPI number? ▼
Melissa Cooley, M.D.'s National Provider Identifier (NPI) is 1851501670, issued on 05/23/2007.
Does Melissa Cooley, M.D. prescribe more brand-name or generic drugs? ▼
Melissa Cooley, M.D.'s prescribing is 12% brand-name and 87% generic drugs by claim count, with $656K in brand drug costs.
Does Melissa Cooley, M.D. prescribe opioids? ▼
Yes, Melissa Cooley, M.D. had 273 opioid claims in 2024 with an opioid prescribing rate of 2.6%.
How many Pediatrics Physician providers are there in the US? ▼
There are 81,773 Pediatrics Physician providers across 56 states in the US. The average Pediatrics Physician provider writes 818 Medicare Part D claims per year.
What drugs does Melissa Cooley, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Melissa Cooley, M.D.'s most frequently prescribed drugs include Levothyroxine Sodium, Atorvastatin Calcium, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Melissa Cooley, M.D. accept Medicare? ▼
Melissa Cooley, M.D. appears in CMS Medicare data with 10,414 Part D claims and 516 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Melissa Cooley, M.D.'s credentials? ▼
Melissa Cooley, M.D.'s NPI is 1851501670 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.