1. Home
  2. Directory
  3. Washington
  4. Milton
  5. Family Medicine
  6. NPI Profile

DR. MELANIE SANDOVAL ORENCIA M.D.
NPI 1467666362
Family Medicine in Milton, WA

Active since May 09, 2007PECOS EnrolledAccepts Medicare Assignment
2748 MILTON WAY STE 101, MILTON, WA 98354(253) 922-5262 Get Directions Write a Review

NPPES record last updated: December 11, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Melanie Sandoval Orencia M.d. NPPES

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

DR. MELANIE SANDOVAL ORENCIA M.D. (NPI 1467666362) is an individual family medicine provider in Milton, Washington, licensed in Washington (MD00047522) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with St Joseph Medical Center, and is a graduate of Saint Louis University School Of Medicine (1989).

NPPES Registry Identity

NPI1467666362
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MELANIE SANDOVAL ORENCIACredential: M.D.
Location Address2748 MILTON WAY STE 101Milton, WA 98354-9379
Mailing Address2748 Milton Way Ste 101Milton, WA 98354-9379 · (253) 922-5262
Phone(253) 922-5262
Sole ProprietorYes
Medical School CMSSaint Louis University School Of MedicineGraduated 1989
Enumeration DateMay 9, 2007
Last NPPES UpdateDecember 11, 2020
NPPES CertifiedDecember 8, 2020
✔ NPI 1467666362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · MD00047522
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.
2748 MILTON WAY STE 101, Milton, WA 98354
Open in Google Maps ↗

Other Identifiers 4

Medicaid1044352WA
Other0224036WA · L&i
Medicaid8488876WA
Other8867415WA · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Dr. Melanie Sandoval Orencia 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 ID6507959228
PECOS Enrollment IDI20070911000278
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 9

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.
294 services139 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.
111 services111 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
53 services53 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.
48 services37 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
47 services36 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
25 services25 patients

Hospital Affiliations CMS Care Compare 3

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

St Joseph Medical Center

Acute Care Hospitals · Tacoma, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500108
Location1717 South J StreetTacoma, WA 98405 · Pierce County
Emergency services Birthing friendly

St Francis Community Hospital

Acute Care Hospitals · Federal Way, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500141
Location34515 9th Avenue SFederal Way, WA 98003 · King County
Emergency services Birthing friendly

St Anthony Hospital

Acute Care Hospitals · Gig Harbor, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500151
Location11567 Canterwood Boulevard NWGig Harbor, WA 98332 · Pierce County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98354 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
15 suppliers42 claims114 services$5.68 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers17 claims19 services$0.78 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$13.83 avg. paid by Medicare
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$11.89 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$62.02 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers29 claims29 services$184.84 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

MRS. AUDREY ROSE GUILLERMO LEWKOWITZ PHYSICIAN ASSISTANT
Physician Assistant (Medical)
2748 MILTON WAY STE 101
MILTON, WA 98354
Pierce County (253) 922-5262
MICHAEL J MORGAN D.O.
Family Medicine
2748 MILTON WAY STE 101
MILTON, WA 98354
Pierce County (253) 922-5262
MRS. ALBINA V REZNICHENKO
Nurse Practitioner (Family)
2748 MILTON WAY STE 101
MILTON, WA 98354
Pierce County (253) 922-5262
ZHANNA GUDZYUK NP
Nurse Practitioner (Family)
2748 MILTON WAY STE 101
MILTON, WA 98354
Pierce County (253) 922-5262

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 Orencia's NPI number?

The NPI number for Melanie Orencia is 1467666362. It was assigned to this individual provider in the NPPES registry on May 9, 2007.

Where is Melanie Orencia located?

Melanie Orencia practices at 2748 Milton Way Ste 101, Milton, WA 98354. The listed phone number is (253) 922-5262.

What is Melanie Orencia's specialty?

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

Is Melanie Orencia enrolled in Medicare?

Yes. Melanie Orencia 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 Melanie Orencia accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Melanie Orencia 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 Melanie Orencia affiliated with any hospitals?

According to CMS data, Melanie Orencia is affiliated with St Joseph Medical Center, St Francis Community Hospital and St Anthony Hospital.

When was this NPI record last updated?

The NPPES record for Melanie Orencia was last updated on December 11, 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.