Melissa Kathleen Telfer , ARNP
Nurse Practitioner • Punta Gorda, FL
517 Tamiami Trl
Punta Gorda, FL 339505520
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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NPI assigned on September 22, 2010; this date does not establish years in practice.
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Published CMS data list 40 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99213 — Established patient outpatient office visit: 24 service units.
- 99214 — Established patient outpatient office visit: 16 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See the full table · Guide: How to read Medicare Part B data
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Published CMS data list 282 Medicare Part D prescriptions, including refills, in 2023.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2023. Published rows only; this is not a quality measure.
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Published Part D records, 2023:
- Gabapentin — 72 prescription fills, including refills.
- Nabumetone — 49 prescription fills, including refills.
- Cyclobenzaprine Hcl — 31 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2023. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 9 records in the table · Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 85% of clinicians listed under Nurse Practitioner in Florida (2024, 3,093 clinicians with data). Median for this group: 281. Middle half: 98 to 758.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 567 in 2020 to 40 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
517 Tamiami Trl
Punta Gorda, FL 339505520
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
67 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 – by Provider, 2024.
Medicare-allowed amount
About $3,577 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 – by Provider and Service, 2024.
Paid by Medicare
About $1,338 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 – by Provider and Service, 2024.
30-day fills
350 standardized 30-day fills in 2023
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
$11,294 in 2023
The total cost of these prescriptions in 2023, 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 – by Provider and Drug, 2023.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2021–2025.
NPI first issued
2010
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.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
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, “Does your provider accept Medicare as full payment?”
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.
Compared with the same specialty in Punta Gorda and Florida
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 85% of clinicians listed under Nurse Practitioner in Florida (2024, 3,093 clinicians with data). Median for this group: 281. Middle half: 98 to 758.
Too few clinicians listed under Nurse Practitioner in Punta Gorda have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A lower Medicare-allowed amount than 85% of clinicians listed under Nurse Practitioner in Florida (2024, 3,093 clinicians with data). Median for this group: $22,890. Middle half: $8,465 to $56,388.
Too few clinicians listed under Nurse Practitioner in Punta Gorda have Medicare Part B data for 2024 to compare.
Paid by Medicare
A lower Medicare payment amount than 90% of clinicians listed under Nurse Practitioner in Florida (2024, 3,093 clinicians with data). Median for this group: $17,374. Middle half: $6,293 to $42,181.
Too few clinicians listed under Nurse Practitioner in Punta Gorda have Medicare Part B data for 2024 to compare.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Melissa Telfer are from 2023.
10 active clinicians are listed under Nurse Practitioner with a practice address in Punta Gorda, FL (8,853 in Florida).
Addresses are self-reported to NPPES and may be out of date.
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 decreased 93% from 567 in 2020 to 40 in 2024.
- 2020: 567
- 2021: 578
- 2022: 445
- 2023: 493
- 2024: 40
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Medicare-allowed amount
Medicare-allowed amount decreased 91% from $41,352 in 2020 to $3,577 in 2024.
- 2020: $41,352
- 2021: $51,262
- 2022: $38,176
- 2023: $43,279
- 2024: $3,577
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Paid by Medicare
Paid by Medicare decreased 96% from $30,414 in 2020 to $1,338 in 2024.
- 2020: $30,414
- 2021: $37,594
- 2022: $26,218
- 2023: $31,182
- 2024: $1,338
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 60% from 698 in 2019 to 282 in 2023.
- 2019: 698
- 2020: 1,224
- 2021: 1,242
- 2022: 1,241
- 2023: 282
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30-day fills
30-day fills decreased 54% from 768 in 2019 to 350 in 2023.
- 2019: 768
- 2020: 1,482
- 2021: 1,486
- 2022: 1,559
- 2023: 350
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Part D drug cost
Part D drug cost decreased 52% from $23,503 in 2019 to $11,294 in 2023.
- 2019: $23,503
- 2020: $39,655
- 2021: $38,823
- 2022: $41,822
- 2023: $11,294
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2018–2023 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 – by Provider and Service data, 2019–2024; 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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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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24 | 24 | $153.00 | $76.86 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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16 | 16 | $225.00 | $108.25 |
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 2023.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Gabapentin | Gabapentin | 72 | 2,992 | $1,490.57 | 42 |
| Nabumetone | Nabumetone | 49 | 1,654 | $1,997.80 | 37 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 31 | 930 | $702.02 | 17 |
| Levetiracetam | Levetiracetam | 31 | 1,170 | $383.43 | — |
| Baclofen | Baclofen | 25 | 890 | $801.87 | 13 |
| Methocarbamol | Methocarbamol | 25 | 750 | $539.20 | 20 |
| Tizanidine Hcl | Tizanidine Hcl | 19 | 690 | $221.72 | 15 |
| Diclofenac Sodium | Diclofenac Sodium | 18 | 608 | $1,230.97 | 14 |
| Lidocaine | Lidocaine | 12 | 660 | $3,926.01 | — |
Source: CMS Part D by Provider and Drug, 2023; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2022-01-27NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Additional State Medicaid & Healthcare Payer Identifiers
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Neurological Surgery
Doctor of Medicine (M.D.)
Neurological Surgery
Doctor of Medicine (M.D.)
Nurse Practitioner - Gerontology
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 517 TAMIAMI TRL, PUNTA GORDA, FL 339505520 (Tel: 9416250600)
Nurse Practitioner (license number reported to NPPES: FL APRN9180125)
NPI status registered as active in NPPES database
Registered at 3195 HARBOR BLVD, PORT CHARLOTTE, FL 339526729 (Tel: 9416250600)
Registered at 517 TAMIAMI TRL, PUNTA GORDA, FL 339505520 (Tel: 9416250600)
Recorded as MELISSA TELFER, ARNP
Clinical Nurse Specialist (license number reported to NPPES: FL ARNP9180125)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Nurse Practitioners in Punta Gorda
- Christine Smith, ARNP
- Elizabeth Weber, ARNP
- Mathew Bauerle, ARNP
- Kevin Demello, APRN
- Saigi Simon, ARNP
- Jerry Hernandez, ARNP, FNP-ACAGNP
More public profiles in Florida
Directory navigation, in NPI number order.
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- Lori Davila, ARNP Nurse Practitioner - Family · Tampa
- Lavern Webster-Dowell, APRN Nurse Practitioner - Psychiatric/Mental Health · Jacksonville
- Christina Lowry Nurse Practitioner - Adult Health · Defuniak Springs
Mailing Address
517 Tamiami Trl
Punta Gorda, FL 339505520
Phone: 9416250600