KYLIE MANUELLA MELTON M.D.
NPI 1316353584
Family Medicine in Festus, MO

NPI Status: Active since July 08, 2014

Contact Information

1500 CALVARY CHURCH RD
FESTUS, MO
ZIP 63028
Phone: (636) 933-2900

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Insurance Plans Accepted
Medicare Participation & PECOS Status
Physician Visit Costs
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Family Medicine
Accepts Insurance
PECOS Enrolled

About KYLIE MELTON

This page provides the complete NPI Profile along with additional information for Kylie Melton, a primary care provider established in Festus, Missouri with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1316353584 assigned on July 2014. The practitioner's primary taxonomy code is 207Q00000X with license number 2017028724 (MO). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI: 1316353584
Provider Name: KYLIE MANUELLA MELTON M.D.
Gender: Female
Entity Type: Individual
Location Address: 1500 CALVARY CHURCH RD FESTUS, MO 63028
Location Phone: (636) 933-2900
Mailing Address: 2100 STANTONSBURG RD GREENVILLE, NC 27834
Mailing Phone: (252) 744-4611
Mailing Fax
Is Sole Proprietor?: No
Enumeration Date: 07-08-2014
Last Update Date: 07-21-2022
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A primary care provider (PCP) like Kylie Melton sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Family Medicine
Taxonomy Code: 207Q00000X
Type: Allopathic & Osteopathic Physicians
License No.: 2017028724
License State: MO
Taxonomy Description: 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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	390200000X	Student, Health Care	Student in an Organized Health Care Education/Training Program

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Molina Healthcare

Gold 1 - HMO
Gold 1 with Adult Vision Services - HMO
Gold 12 - HMO
Gold 8 - HMO
Gold 8 with Rx Copay - HMO
Silver 1 - HMO
Silver 1 with Adult Vision Services - HMO
Silver 1 with Rx Copay and Adult Vision Services - HMO
Silver 12 - HMO
Silver 12 with first 4 free PCP or MH visits - HMO
Silver 12 with First 4 Primary Care Visits Free - HMO
Silver 8 - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Kylie Melton is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 63028 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

Average New Patient Price $86.32
Minimum New Patient Price $55.65
Maximum New Patient Price $169.38

Average New Patient Copayment $21.58
Minimum New Patient Copayment $13.91
Maximum New Patient Copayment $42.34

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

Average Established Patient Price $98.37
Minimum Established Patient Price $17.76
Maximum Established Patient Price $137.92

Average Established Patient Copayment $24.59
Minimum Established Patient Copayment $4.44
Maximum Established Patient Copayment $34.48

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	3	1	6	3	5	3	5	8	4
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	3	2	6	6	5	6	5	16
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 2 + 6 + 6 + 5 + 6 + 5 + 1 + 6 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 4									4

The NPI number 1316353584 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.