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DR. ANDREA LOUISE MELTON M.D.
NPI 1306164553
Family Medicine in Montgomery, OH

Active since May 12, 2010PECOS Enrolled
85.49/100
CMS Quality Rating
11140 MONTGOMERY ROAD, SUITE 2500, MONTGOMERY, OH 45249(513) 561-7809(513) 272-4121 Get Directions Write a Review

NPPES record last updated: October 30, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 30, 2020, Feb 5, 2016 (2 updates tracked since 2016).

About Dr. Andrea Louise Melton M.d. NPPES

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

DR. ANDREA LOUISE MELTON M.D. (NPI 1306164553) is an individual family medicine provider in Montgomery, Ohio, licensed in Ohio (35.121092) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306164553
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ANDREA LOUISE MELTONCredential: M.D.
Location Address11140 MONTGOMERY ROAD, SUITE 2500Montgomery, OH 45249
Mailing Address11140 Montgomery Road, Suite 2500Montgomery, OH 45249 · (513) 561-7809 · Fax (513) 272-4121
Phone(513) 561-7809
Fax(513) 272-4121
Sole ProprietorNo
Enumeration DateMay 12, 2010
Last NPPES UpdateOctober 30, 20202 updates tracked since enumeration
NPPES CertifiedOctober 30, 2020
✔ NPI 1306164553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 35.121092
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.
11140 MONTGOMERY ROAD, Montgomery, OH 45249
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Other Identifiers 1

Medicaid7100310120KY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Andrea Louise Melton M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45249 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.

85.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.06
Promoting Interoperability100
Improvement Activities40
Cost60.59

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 Andrea Melton's NPI number?

The NPI number for Andrea Melton is 1306164553. It was assigned to this individual provider in the NPPES registry on May 12, 2010.

Where is Andrea Melton located?

Andrea Melton practices at 11140 Montgomery Road Suite 2500, Montgomery, OH 45249. The listed phone number is (513) 561-7809.

What is Andrea Melton's specialty?

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

Is Andrea Melton enrolled in Medicare?

Yes. Andrea Melton is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andrea Melton was last updated on October 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.