MELANIE R. ZEGAR PA-C
NPI 1083170088
Physician Assistant in Lexington, KY

Active since February 14, 2019PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
310 S LIMESTONE, LEXINGTON, KY 40508(859) 323-5000 Get Directions Write a Review

NPPES record last updated: September 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 20, 2022, Apr 4, 2019, Feb 14, 2019 (3 updates tracked since 2019).

About Melanie R. Zegar Pa-c NPPES

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

MELANIE R. ZEGAR PA-C (NPI 1083170088) is an individual physician assistant in Lexington, Kentucky, licensed in Kentucky (TC296) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and maintains a secondary practice location in Middletown.

NPPES Registry Identity

NPI1083170088
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMELANIE R. ZEGARCredential: PA-C
Location Address310 S LIMESTONELexington, KY 40508-3008
Mailing Address3170 Kettering Blvd Fl B3Moraine, OH 45439-1924 · (937) 991-3188 · Fax (937) 223-9811
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 14, 2019
Last NPPES UpdateSeptember 20, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2022
NPI 1083170088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in KY · TC296 Licensed in OH · 50.005717RX
Definition
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.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License TC296 (KY)
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License TC296 (KY)
310 S LIMESTONE, Lexington, KY 40508

Other Names 1

Former Name (1)Melanie R Shrontz Pa-c

Secondary Practice Location 1

Location 11 Medical Center DrMiddletown, OH 45005-2584 · Phone (513) 424-2111

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Melanie R. Zegar Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385987221
PECOS Enrollment IDI20221012000331
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
71 services32 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number180067
Location800 Rose StreetLexington, KY 40536 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40508 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Psychiatric/Mental Health)
310 S LIMESTONE
LEXINGTON, KY 40508
Student in an Organized Health Care Education/Training Program
310 S LIMESTONE
LEXINGTON, KY 40508
Internal Medicine
310 S LIMESTONE
LEXINGTON, KY 40508
Nurse Practitioner
310 S LIMESTONE
LEXINGTON, KY 40508
Psychiatry & Neurology (Psychiatry)
310 S LIMESTONE
LEXINGTON, KY 40508
Student in an Organized Health Care Education/Training Program
310 S LIMESTONE
LEXINGTON, KY 40508
Registered Nurse (Emergency)
310 S LIMESTONE
LEXINGTON, KY 40508
Anesthesiology
310 S LIMESTONE
LEXINGTON, KY 40508

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 Melanie Zegar's NPI number?

The NPI number for Melanie Zegar is 1083170088. It was assigned to this individual provider in the NPPES registry on February 14, 2019. The provider is also known as Melanie R Shrontz Pa-C.

Where is Melanie Zegar located?

Melanie Zegar practices at 310 S Limestone, Lexington, KY 40508. The listed phone number is (859) 323-5000.

What is Melanie Zegar's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Melanie Zegar enrolled in Medicare?

Yes. Melanie Zegar is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Melanie Zegar accept?

Health plans from CareSource list Melanie Zegar 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.

Is Melanie Zegar affiliated with any hospitals?

According to CMS data, Melanie Zegar is affiliated with University Of Kentucky Hospital.

When was this NPI record last updated?

The NPPES record for Melanie Zegar was last updated on September 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.