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DR. LUIS MELGAR MD
NPI 1497701965
Internal Medicine in Depew, NY

Active since May 26, 2006PECOS Enrolled
4893 TRANSIT RD STE 3, DEPEW, NY 14043(716) 608-7040(716) 608-7065 Get Directions Write a Review

NPPES record last updated: December 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 13, 2025, Feb 8, 2017 (2 updates tracked since 2017).

About Dr. Luis Melgar Md NPPES

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

DR. LUIS MELGAR MD (NPI 1497701965) is an individual internal medicine provider in Depew, New York, licensed in New York (190379) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497701965
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. LUIS MELGARCredential: MD
Location Address4893 TRANSIT RD STE 3Depew, NY 14043-4698
Mailing AddressPo Box 8000Buffalo, NY 14267-0002 · (716) 852-4772 · Fax (716) 608-7065
Phone(716) 608-7040
Fax(716) 608-7065
Sole ProprietorNo
Enumeration DateMay 26, 2006
Last NPPES UpdateDecember 13, 20252 updates tracked since enumeration
NPPES CertifiedDecember 13, 2025
✔ NPI 1497701965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 190379
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedAllergy & ImmunologyTaxonomy 207K00000X · License 190379 (NY)
4893 TRANSIT RD STE 3, Depew, NY 14043
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Other Identifiers 1

Medicaid01616348NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Luis Melgar Md 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Luis Melgar reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sisters Of Charity Hospital Of Buffalo New York
5.0 mi
General Acute Care Hospital
2605 HARLEM RD
Cheektowaga, NY 14225
  • Reassigned Medicare billing, New York enrollment
  • 515 clinicians in this Medicare group
NPI 1043455199 (716) 891-2400
Luis Melgar Physician, PC
13 mi
Allergy & Immunology
5893 CAMP RD, SUITE 3
Hamburg, NY 14075
  • Reassigned Medicare billing, New York enrollment
NPI 1982822664 (716) 648-7401

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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 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.
381 services97 patients
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.
77 services41 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.
70 services70 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.
22 services22 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14043 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 9

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
1 supplier26 claims26 services$18.34 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
1 supplier26 claims26 services$35.68 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers22 claims46 services$5.99 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers11 claims13 services$0.90 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
2 suppliers11 claims11 services$12.20 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
2 suppliers14 claims14 services$60.99 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Luis Melgar's NPI number?

The NPI number for Luis Melgar is 1497701965. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is Luis Melgar located?

Luis Melgar practices at 4893 Transit Rd Ste 3, Depew, NY 14043. The listed phone number is (716) 608-7040.

What is Luis Melgar's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Luis Melgar enrolled in Medicare?

Yes. Luis Melgar is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Luis Melgar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Luis Melgar reassigns Medicare benefits to 2 organizations: Sisters Of Charity Hospital Of Buffalo New York (Cheektowaga, NY) and Luis Melgar Physician, PC (Hamburg, NY). Each 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 Luis Melgar'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 Luis Melgar was last updated on December 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.