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DR. MELISSA KAY BENBOW MD
NPI 1053564617
Pediatrics in Lansing, MI

Active since October 28, 2008PECOS Enrolled
13750 S SEDONA PKWY, LANSING, MI 48906(517) 353-4000(517) 353-4001 Get Directions Write a Review

NPPES record last updated: July 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 23, 2023, Mar 7, 2023, Jun 4, 2021 (3 updates tracked since 2021).

About Dr. Melissa Kay Benbow Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MELISSA KAY BENBOW MD (NPI 1053564617) is an individual pediatrics provider in Lansing, Michigan, licensed in Michigan (4301104293) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1053564617
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. MELISSA KAY BENBOWCredential: MD
Location Address13750 S SEDONA PKWYLansing, MI 48906-8101
Mailing Address804 Service Rd Ste A202East Lansing, MI 48824-7015 · (517) 353-4000 · Fax (517) 353-4001
Phone(517) 353-4000
Fax(517) 353-4001
Sole ProprietorNo
Enumeration DateOctober 28, 2008
Last NPPES UpdateJuly 21, 20253 updates tracked since enumeration
NPPES CertifiedJuly 21, 2025
✔ NPI 1053564617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in MI · 4301104293✔ Licensed in OH · 35.095877
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
13750 S SEDONA PKWY, Lansing, MI 48906
Open in Google Maps ↗

Secondary Practice Locations 3

Location 15303 S Cedar StLansing, MI 48911-3800 · Phone (517) 887-4305
Location 21600 W Grand River Ave Ste 2Okemos, MI 48864-2394 · Phone (517) 349-6560 · Fax (517) 349-5796
Location 37335 Westshire Dr Ste 102Lansing, MI 48917-9703 · Phone (517) 622-1012 · Fax (517) 622-1033

Other Identifiers 4

Other4301104293MI · Mi Medical License
Other57-014989OH · Training Certificate
Medicaid1053564617MI
Other35.095877OH · Ohio State Medical License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Melissa Kay Benbow Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Melissa Benbow reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Msu Health Care Inc
2.0 mi
Neonatal-Perinatal Medicine
1215 E MICHIGAN AVE
Lansing, MI 48912
  • Reassigned Medicare billing, Michigan enrollment
  • 365 clinicians in this Medicare group
NPI 1477188555 (517) 364-2670
Michigan State University
2.1 mi
Pediatric Hematology-Oncology
1200 E MICHIGAN AVE, STE 145
Lansing, MI 48912
  • Reassigned Medicare billing, Michigan enrollment
  • 92 clinicians in this Medicare group
NPI 1205880333 (517) 364-5440

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48906 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%100 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%1,709 patients5/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
26%344 patients2/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
95%509 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
95%3,146 patients4/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
74%77 patients4/55-star benchmark: 97%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
60%502 patients3/55-star benchmark: 96%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 97% · 32 patients
91%32 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%3,146 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
11%3,146 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
36%3,146 patients
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents
Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.
Patients nutrition: 83% · 1,719 patients
Patients physicalActivity: 83% · 1,719 patients
96%1,719 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TARA LISK LLMSW
Social Worker
13750 S SEDONA PKWY
LANSING, MI 48906
Ingham County (517) 353-4000
EMILY ANNE DISBROW M.D.
Pediatrics
13750 S SEDONA PKWY
LANSING, MI 48906
Ingham County (517) 353-4000
DR. RACHEL SUZANNE CHRISTENSEN D.O
Pediatrics
13750 S SEDONA PKWY, STE 2
LANSING, MI 48906
Ingham County (517) 353-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melissa Benbow's NPI number?

The NPI number for Melissa Benbow is 1053564617. It was assigned to this individual provider in the NPPES registry on October 28, 2008.

Where is Melissa Benbow located?

Melissa Benbow practices at 13750 S Sedona Pkwy, Lansing, MI 48906. The listed phone number is (517) 353-4000.

What is Melissa Benbow's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Melissa Benbow enrolled in Medicare?

Yes. Melissa Benbow is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Melissa Benbow's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Benbow reassigns Medicare benefits to 2 organizations: Msu Health Care Inc (Lansing, MI) and Michigan State University (Lansing, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Melissa Benbow's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melissa Benbow accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Melissa Benbow as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Melissa Benbow was last updated on July 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.