MELISSA BENHAM NP
NPI 1184217408
Nurse Practitioner - Family in Springboro, OH

Active since February 17, 2021PECOS EnrolledAccepts Medicare Assignment
84.95/100
CMS Quality Rating
630 N MAIN ST, SPRINGBORO, OH 45066(937) 748-4211 Get Directions Write a Review

NPPES record last updated: February 17, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Melissa Benham Np NPPES

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

MELISSA BENHAM NP (NPI 1184217408) is an individual family provider in Springboro, Ohio, licensed in Ohio (APRN.CNP.0027922) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and is a graduate of University Of Cincinnati College Of Medicine (2020).

NPPES Registry Identity

NPI1184217408
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMELISSA BENHAMCredential: NP
Location Address630 N MAIN STSpringboro, OH 45066-7519
Mailing Address6770 Tipp Elizabeth RdTroy, OH 45373-8665 · (216) 392-4567
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2020
Enumeration DateFebruary 17, 2021
NPPES CertifiedFebruary 17, 2021
NPI 1184217408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OH · APRN.CNP.0027922
630 N MAIN ST, Springboro, OH 45066

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

Melissa Benham Np 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 ID547676801
PECOS Enrollment IDI20210310003010
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 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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
52 services30 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
19 services19 patients
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.
17 services12 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Atrium Medical Center

Acute Care Hospitals · Franklin, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360076
LocationOne Medical Center DriveFranklin, OH 45005 · Warren County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45066 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $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.

84.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.68
Promoting Interoperability100
Improvement Activities40
Cost69.16

Other Providers at the Same Location NPPES 8

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

Obstetrics & Gynecology
630 N MAIN ST, STE 200A
SPRINGBORO, OH 45066
Obstetrics & Gynecology
630 N MAIN ST, STE 200
SPRINGBORO, OH 45066
Clinic/Center (Magnetic Resonance Imaging (MRI))
630 N MAIN ST
SPRINGBORO, OH 45066
Obstetrics & Gynecology
630 N MAIN ST, SUITE 200
SPRINGBORO, OH 45066
Surgery
630 N MAIN ST, STE 200A
SPRINGBORO, OH 45066
Clinic/Center (Primary Care)
630 N MAIN ST
SPRINGBORO, OH 45066
Family Medicine
630 N MAIN ST
SPRINGBORO, OH 45066
Nurse Practitioner (Family)
630 N MAIN ST
SPRINGBORO, OH 45066

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 Benham's NPI number?

The NPI number for Melissa Benham is 1184217408. It was assigned to this individual provider in the NPPES registry on February 17, 2021.

Where is Melissa Benham located?

Melissa Benham practices at 630 N Main St, Springboro, OH 45066. The listed phone number is (937) 748-4211.

What is Melissa Benham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Melissa Benham enrolled in Medicare?

Yes. Melissa Benham 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 Melissa Benham accept?

Health plans from CareSource and MedMutual list Melissa Benham 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 Melissa Benham affiliated with any hospitals?

According to CMS data, Melissa Benham is affiliated with Miami Valley Hospital and Atrium Medical Center.

When was this NPI record last updated?

The NPPES record for Melissa Benham was last updated on February 17, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.