Melissa M Armstrong , PA
Physician Assistant โข Lehigh Acres, FL
1120 Homestead Rd N
Lehigh Acres, FL 339366044
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Melissa Armstrong is listed in NPPES under Physician Assistant.
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NPI assigned on November 29, 2016; this date does not establish years in practice.
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Published CMS data list 325 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99203 โ New patient outpatient office visit: 145 service units.
- 81002 โ Urinalysis, manual test: 42 service units.
- 99204 โ New patient outpatient office visit: 39 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 7 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 145 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) โ 29 prescription fills, including refills.
- Nitrofurantoin Mono-Macro (Nitrofurantoin Monohyd/M-Cryst) โ 23 prescription fills, including refills.
- Methylprednisolone โ 22 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 7 records in the table ยท Guide: How to read Medicare Part D prescriber data
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Close to the middle for Medicare Part B services among clinicians listed under Physician Assistant in Florida (2024, 4,397 clinicians with data). Median for this group: 252. Middle half: 82 to 807.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 48 in 2018 to 325 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2018โ2024.
Practice Location & Contact Primary Location
1120 Homestead Rd N
Lehigh Acres, FL 339366044
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Naples, FL. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Md Now Medical Centers Inc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2016
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
205 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $24,163 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $15,422 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
145 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$936 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $59.66 in 2023
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2023.
Years since graduation
10 years (graduated 2016)
CMS Doctors and Clinicians data list 2016 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2016
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Melissa Armstrong has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Melissa Armstrong as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Lehigh Acres and Florida
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Close to the middle for clinicians listed under Physician Assistant in Florida (2024, 4,397 clinicians with data). Median for this group: 252. Middle half: 82 to 807.
Too few clinicians listed under Physician Assistant in Lehigh Acres have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
Close to the middle for clinicians listed under Physician Assistant in Florida (2024, 4,397 clinicians with data). Median for this group: $19,984. Middle half: $7,371 to $51,670.
Too few clinicians listed under Physician Assistant in Lehigh Acres have Medicare Part B data for 2024 to compare.
Paid by Medicare
Close to the middle for clinicians listed under Physician Assistant in Florida (2024, 4,397 clinicians with data). Median for this group: $14,814. Middle half: $5,414 to $38,190.
Too few clinicians listed under Physician Assistant in Lehigh Acres have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
Fewer Part D prescriptions than 60% of clinicians listed under Physician Assistant in Florida (2024, 4,894 clinicians with data). Median for this group: 270. Middle half: 78 to 825.
Too few clinicians listed under Physician Assistant in Lehigh Acres have Medicare Part D data for 2024 to compare.
Part D drug cost
A lower Part D drug cost than 70% of clinicians listed under Physician Assistant in Florida (2024, 4,894 clinicians with data). Median for this group: $5,225. Middle half: $703 to $70,250.
Too few clinicians listed under Physician Assistant in Lehigh Acres have Medicare Part D data for 2024 to compare.
17 active clinicians are listed under Physician Assistant with a practice address in Lehigh Acres, FL (10,260 in Florida).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Lehigh Acres
17.6% of these 17 clinicians have the CMS telehealth indicator.
58.8% of these 17 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 577% from 48 in 2018 to 325 in 2024.
- 2018: 48
- 2019: 54
- 2020: 13
- 2021: 69
- 2024: 325
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Medicare-allowed amount
Medicare-allowed amount increased 347% from $5,409 in 2018 to $24,163 in 2024.
- 2018: $5,409
- 2019: $5,160
- 2020: $531
- 2021: $7,938
- 2024: $24,163
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Paid by Medicare
Paid by Medicare increased 257% from $4,321 in 2018 to $15,422 in 2024.
- 2018: $4,321
- 2019: $3,899
- 2020: $425
- 2021: $6,363
- 2024: $15,422
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Medicare Part D prescriptions
Medicare Part D prescriptions went from 18 in 2020 to 145 in 2024.
- 2020: 18
- 2021: 140
- 2022: 13
- 2024: 145
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30-day fills
30-day fills went from 18 in 2020 to 145 in 2024.
- 2020: 18
- 2021: 215
- 2022: 13
- 2024: 145
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Part D drug cost
Part D drug cost went from $240 in 2020 to $936 in 2024.
- 2020: $240
- 2021: $1,322
- 2022: $101
- 2024: $936
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $200.38 in 2021 to $59.66 in 2023.
- 2021: $200.38
- 2022: $27.29
- 2023: $59.66
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2023 (payments made January 1 โ December 31, 2023): fewer than 11 records totaling $59.66.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Kestra Medical Technology Services, Inc. |
Food and Beverage
Cash or cash equivalent
|
Assure WCD | General | $59.66 |
Source: CMS Open Payments, program year 2023, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2017โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2018โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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145 | 145 | $200.61 | $96.46 |
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81002
Urinalysis, manual test
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42 | 39 | $30.00 | $3.41 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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39 | 39 | $304.00 | $140.91 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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35 | 31 | $158.57 | $77.86 |
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87804
Detection test by immunoassay with direct visual observation for influenza virus
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29 | 28 | $30.00 | $16.22 |
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87811
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)
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22 | 22 | $50.00 | $40.55 |
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87426
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus
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13 | 13 | $100.00 | $34.62 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 29 | 204 | $311.59 | 29 |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 23 | 121 | $196.58 | 23 |
| Methylprednisolone | Methylprednisolone | 22 | 132 | $132.90 | 22 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 21 | 157 | $74.65 | 21 |
| Azithromycin | Azithromycin | 20 | 78 | $45.71 | 19 |
| Cephalexin | Cephalexin | 19 | 111 | $92.64 | 19 |
| Doxycycline Hyclate | Doxycycline Hyclate | 11 | 93 | $81.59 | 11 |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2025-08-14NUCC Taxonomy Code: 363A00000X
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.
NUCC Taxonomy Code: 363AS0400X
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20170330000635
FL
2264717404
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Md Now Medical Centers Inc
1120 Homestead Rd N, Lehigh Acres, FL 339366044
Phone: 2393035020
Md Now Medical Centers Inc
4570 Lantana Rd, Lake Worth, FL 334636908
Phone: 5619639881
Md Now Medical Centers Inc
19985 S Tamiami Trl, Estero, FL 339282268
Phone: 2394953317
Secondary Practice Locations
399 9th St N
Naples, FL 341025820
Phone: 2396244299
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Family
DNPFNP
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 1120 HOMESTEAD RD N, LEHIGH ACRES, FL 339366044 (Tel: 2393035020)
Registered at 8065 MARSH CIR, LABELLE, FL 339355468 (Tel: 2392907676)
Recorded as MELISSA ARMSTRONG, P.A
Physician Assistant (license number reported to NPPES: FL PA9110073)
Physician Assistant (license number reported to NPPES: FL PA9110073)
Registered at 399 9TH ST N, NAPLES, FL 341025820 (Tel: 2396244299)
Registered at PO BOX 8569, NAPLES, FL 341018569 (Tel: 2396240437)
Registered at 350 7TH ST N, NAPLES, FL 341025754 (Tel: 2396240310)
Registered at 350 7TH ST N, NAPLES, FL 341025754 (Tel: 2396240310)
Physician Assistant (license number reported to NPPES: FL PA9110073)
NPI status registered as active in NPPES database
Registered at 8251 W BROWARD BLVD, STE 300, PLANTATION, FL 333242703 (Tel: 9544759535)
Registered at 8251 W BROWARD BLVD, STE 300, PLANTATION, FL 333242703 (Tel: 9544759535)
Recorded as MELISSA GUZMAN, P.A
Physician Assistant (license number reported to NPPES: FL PA9110073)
NPI status registered as active in NPPES database
Registered at 8171 SW 7TH ST, NORTH LAUDERDALE, FL 330682021 (Tel: 2392650992)
Registered at 8171 SW 7TH ST, NORTH LAUDERDALE, FL 330682021 (Tel: 2392650992)
Recorded as MELISSA GUZMAN, P.A
Physician Assistant
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Lehigh Acres
- Vandana Patel, PA-C
- Joseph Santini, PA-C
- Tony Chan, PA-C
- Shari Lagodzinski, PA
- Melissa Becker, PA-C
- Soledad Triana, PA-C
Mailing Address
8065 Marsh Cir
Labelle, FL 339355468
Phone: 2392907676