Melissa Casden, MD
NPI 1184200131ActiveIndividual· Family Medicine· Lake Grove, NY
Opted out of Medicare from May 2026 to May 2028. Family Medicine (MD) in Lake Grove, New York, licensed in NY and MI, with an NPI issued in March 2021. Their prescriptions cost Medicare Part D more than their services did: $21,597 for 387 claims, against $3,824 paid for services in 2024.
Overview
| NPI | 1184200131 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Mar 21, 2021 |
| Last updated in NPPES | Feb 25, 2026 |
| Certified by provider | Feb 25, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 339978-01 | NY |
| Family Medicine | 207Q00000X | 4301511375 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out May 7, 2026 – May 7, 2028 |
| Can order and refer | Yes |
| Accepts assignment | Yes (participating) |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Medicare services in 2024
| Medicare patients | 36 |
|---|---|
| Services billed | 45 across 10 procedure codes |
| Paid by Medicare | $3,824 |
Part D prescriptions in 2024
| Prescriptions (claims) | 387 · 877 30-day fills |
|---|---|
| Patients | 100 |
| Total drug cost | $21,597 |
| Generic share | 89% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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