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MELINA J WINDON MD
NPI 1154717874
Otolaryngology in Lexington, KY

Active since April 09, 2015PECOS EnrolledAccepts Medicare Assignment
740 S LIMESTONE STE B300, LEXINGTON, KY 40536(859) 257-5405(859) 323-5483 Get Directions Write a Review

NPPES record last updated: October 25, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 25, 2023, Aug 8, 2023, Jul 7, 2022 and 2 more (5 updates tracked since 2016).

About Melina J Windon Md NPPES

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

MELINA J WINDON MD (NPI 1154717874) is an individual otolaryngology provider in Lexington, Kentucky, licensed in Kentucky (58531) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with King's Daughters' Medical Center, and is a graduate of University Of Connecticut School Of Medicine (2015).

NPPES Registry Identity

NPI1154717874
Entity TypeIndividualFemale
Primary Taxonomy207Y00000X
Provider Legal NameMELINA J WINDONCredential: MD
Location Address740 S LIMESTONE STE B300Lexington, KY 40536-5000
Mailing Address3621 S State StAnn Arbor, MI 48108-1633 · (734) 647-5299
Phone(859) 257-5405
Fax(859) 323-5483
Sole ProprietorNo
Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 2015
Enumeration DateApril 9, 2015
Last NPPES UpdateOctober 25, 20235 updates tracked since enumeration
NPPES CertifiedOctober 25, 2023
✔ NPI 1154717874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in KY · 58531✔ Licensed in MI · 4301506857✔ Licensed in KY · TP672
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
740 S LIMESTONE STE B300, Lexington, KY 40536
Open in Google Maps ↗

Other Names 1

Former Name (1)Melina Benson Md

Other Identifiers 1

OtherP32911MD · Md Training Registration

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee 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 and accepts Medicare assignment

Melina J Windon Md 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 ID1759687007
PECOS Enrollment IDI20230831000808
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 Melina Windon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Kentucky
Same address
Dentist
740 S LIMESTONE ST
Lexington, KY 40536
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,761 clinicians in this Medicare group
NPI 1730225129 (859) 257-3462
Kentucky Medical Services Foundation, Inc
4.4 mi
Internal Medicine
2333 ALUMNI PARK PLZ, SUITE 200
Lexington, KY 40517
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,502 clinicians in this Medicare group
NPI 1326091448 (859) 257-7910

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

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
23 services19 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
15 services13 patients
Exam of ear using a microscope 92504
An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.
15 services12 patients

Hospital Affiliations CMS Care Compare 3

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

King's Daughters' Medical Center

Acute Care Hospitals · Ashland, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180009
Location2201 Lexington AvenueAshland, KY 41101 · Boyd County
Emergency services

Saint Joseph London

Acute Care Hospitals · London, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180011
Location1001 Saint Joseph LaneLondon, KY 40741 · Laurel County
Emergency services Birthing friendly

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 40536 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
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.

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 Melina Windon's NPI number?

The NPI number for Melina Windon is 1154717874. It was assigned to this individual provider in the NPPES registry on April 9, 2015. The provider is also known as Melina Benson MD.

Where is Melina Windon located?

Melina Windon practices at 740 S Limestone Ste B300, Lexington, KY 40536. The listed phone number is (859) 257-5405.

What is Melina Windon's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Melina Windon enrolled in Medicare?

Yes. Melina Windon 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.

Which organizations bill Medicare for Melina Windon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melina Windon reassigns Medicare benefits to 2 organizations: University Of Kentucky (Lexington, KY) and Kentucky Medical Services Foundation, Inc (Lexington, KY). 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 Melina Windon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melina Windon accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Melina Windon 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 Melina Windon affiliated with any hospitals?

According to CMS data, Melina Windon is affiliated with King's Daughters' Medical Center, Saint Joseph London and University Of Kentucky Hospital.

When was this NPI record last updated?

The NPPES record for Melina Windon was last updated on October 25, 2023. 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.