MELANIE J. MENDOZA M.D.
NPI 1225093396
Family Medicine in Baltimore, MD

Active since April 20, 2006PECOS EnrolledAccepts Medicare Assignment
61.68/100
CMS Quality Rating
8830 BELAIR RD, BALTIMORE, MD 21236(410) 529-9200 Get Directions Write a Review

NPPES record last updated: April 6, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Melanie J. Mendoza M.d. NPPES

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

MELANIE J. MENDOZA M.D. (NPI 1225093396) is an individual family medicine provider in Baltimore, Maryland, licensed in Maryland (D0050536) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1225093396
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMELANIE J. MENDOZACredential: M.D.
Location Address8830 BELAIR RDBaltimore, MD 21236-2401
Mailing Address5000 Cox RdGlen Allen, VA 23060-9263 · (804) 968-5700
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateApril 20, 2006
Last NPPES UpdateApril 6, 2018
✔ NPI 1225093396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MD · D0050536
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
8830 BELAIR RD, Baltimore, MD 21236

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

Melanie J. Mendoza M.d. 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 ID2264326560
PECOS Enrollment IDI20090518000206
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 Reassignment

Medicare enrollment records show Melanie Mendoza reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
8206 GEORGIA AVE
Silver Spring, MD 20910
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • Also billed through NPI 1205087517 (Maryland)
  • 184 clinicians in this Medicare group

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 21236 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

61.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.98
Promoting Interoperability0
Improvement Activities40
Cost72.62

Other Providers at the Same Location NPPES 18

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

Non-Pharmacy Dispensing Site
8830 BELAIR RD
BALTIMORE, MD 21236
Physician Assistant
8830 BELAIR RD
BALTIMORE, MD 21236
Physician Assistant
8830 BELAIR RD
BALTIMORE, MD 21236
Physician Assistant
8830 BELAIR RD
BALTIMORE, MD 21236
Physician Assistant
8830 BELAIR RD
BALTIMORE, MD 21236
Family Medicine
8830 BELAIR RD
BALTIMORE, MD 21236
Physician Assistant
8830 BELAIR RD
BALTIMORE, MD 21236
Family Medicine
8830 BELAIR RD
BALTIMORE, MD 21236

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 Mendoza's NPI number?

The NPI number for Melanie Mendoza is 1225093396. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Where is Melanie Mendoza located?

Melanie Mendoza practices at 8830 Belair Rd, Baltimore, MD 21236. The listed phone number is (410) 529-9200.

What is Melanie Mendoza's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Melanie Mendoza enrolled in Medicare?

Yes. Melanie Mendoza 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 organization bills Medicare for Melanie Mendoza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melanie Mendoza reassigns Medicare benefits to Patient First Maryland Medical Group PLLC (Silver Spring, MD). The 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 Melanie Mendoza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Melanie Mendoza was last updated on April 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.