MELISSA A TREVELLINE (MD) – Family Medicine Physician, NPI 1063890929

MELISSA A TREVELLINE (MD) is a healthcare provider. based in Orange, California. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. MD465294 (PA). The NPI Number for MELISSA A TREVELLINE (MD) is 1063890929

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
MELISSA A TREVELLINE (MD)
NPI
1063890929
Phone
Not provided
Address
700 S TUSTIN ST
Enumeration Date
12 May 2015
Last Update Date
5 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7083201477
Graduation Year
2015 (11 years ago)
PAC ID
0446555106
Group Practice PAC ID
9830540624
Professional Enrollment ID
I20210816000960
Address ID
CA940631536RE401XXSTXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:11State licenses:2Digital endpointsOther names

13,194 FAMILY PRACTICE in CA

Provider Addresses for MELISSA A TREVELLINE (MD)

  • 700 S TUSTIN ST

    ORANGE, CA 928663425

    Phone:

    Type: Mailing

  • 1111 GRAND AVE STE L

    DIAMOND BAR, CA 917654172

    Phone: (909) 551-0205

    Fax: (909) 345-7084

    Type: Mailing

  • 700 S Tustin St

    Orange, CA 928663425

    Phone: (714) 450-9436

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $204.

Total Amount is formed as General ($204) + Research ($0) + Ownership ($0) = $204.

Last reported payment date: 2023-11-09 • Largest payer in this snapshot: ABBVIE INC. ($118).

Total Amount

$204

General + Research + Ownership

Payments

9

Total payment records

General Amount

$204

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-09

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-08-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210816000960IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92866)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830540624View full group profile
NameSpecialtyState
Internal MedicineMO
Family PracticeFL
Family PracticePA
Family PracticeGA
Family PracticeAZ
Family PracticeMN
Emergency MedicineGA
Family PracticeCA
Family PracticeMO
Geriatric Medicine, Family PracticeTX

Reviews

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Frequently asked questions

What is the registry number for MELISSA A TREVELLINE (MD)?
The registry entry for MELISSA A TREVELLINE (MD) shows NPI 1063890929.
Does the public listing show MELISSA A TREVELLINE (MD) as active?
MELISSA A TREVELLINE (MD)'s NPI record reflects an active status in NPPES.
Which specialty label fits MELISSA A TREVELLINE (MD)?
NPPES ties MELISSA A TREVELLINE (MD) to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to MELISSA A TREVELLINE (MD)?
MELISSA A TREVELLINE (MD) shows a connection to Orange, California in registry-derived data.
Why is information missing for MELISSA A TREVELLINE (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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