DR. JAY TERRELL MELTON (MD) – Emergency Medicine Physician, NPI 1194036764

DR. JAY TERRELL MELTON (MD) is a healthcare provider. based in Winnetka, California. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. A128913 (CA). The NPI Number for DR. JAY TERRELL MELTON (MD) is 1194036764

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. JAY TERRELL MELTON (MD)
NPI
1194036764
Phone
(269) 267-5742
Address
7655 WINNETKA AVE UNIT 3541
Enumeration Date
28 June 2010
Last Update Date
7 December 2021

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Secondary Phone
3106734660
Graduation Year
2010 (16 years ago)
PAC ID
0749407575
Group Practice PAC ID
0042469108
Professional Enrollment ID
I20140818002751
Address ID
CA903014011IN555XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:15State licenses:1Digital endpointsOther names

5,790 EMERGENCY MEDICINE in CA

Provider Addresses for DR. JAY TERRELL MELTON (MD)

  • 7655 WINNETKA AVE UNIT 3541

    WINNETKA, CA 913967081

    Phone: (269) 267-5742

    Type: Mailing

  • 555 E HARDY ST

    INGLEWOOD, CA 903014011

    Phone: (718) 836-6600

    Type: Location

  • 451 CLARKSON AVE

    DEPARTMENT OF EMERGENCY MEDICINE

    BROOKLYN, NY 112032054

    Phone: (269) 267-5742

    Type: Mailing

  • 800 POLY PL

    BROOKLYN, NY 112097104

    Phone: (718) 836-6600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2014-08-18

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
I20140818002751IEmergency MedicineCATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only309281$0
99285Emergency department visit with high level of medical decision making228212$0
99291Critical care, first 30-74 minutes116114$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes7572$0
99284Emergency department visit with moderate level of medical decision making7571$0
View full utilization report →

Insurance plans in this area (ZIP 91396)

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Provider's Procedures

DR. JAY TERRELL MELTON (MD) performs procedures in EMERGENCY MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
EMERGENCY MEDICINENY71010X-ray of chest, 1 view, front1717

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: 0042469108View full group profile

Reviews

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Frequently asked questions

How do payers reference DR. JAY TERRELL MELTON (MD)?
For DR. JAY TERRELL MELTON (MD), use NPI 1194036764 as the unique 10-digit identifier.
Active or inactive — what applies to DR. JAY TERRELL MELTON (MD)?
You should see DR. JAY TERRELL MELTON (MD) as active in CMS-hosted NPPES data.
What clinical focus is listed for DR. JAY TERRELL MELTON (MD)?
At a glance, DR. JAY TERRELL MELTON (MD) is tied to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in California is DR. JAY TERRELL MELTON (MD) registered?
Use Winnetka, California as the headline location for DR. JAY TERRELL MELTON (MD) here.
When was this NPI issued?
Enumeration for DR. JAY TERRELL MELTON (MD) is noted as June 28, 2010 where the registry provides it.

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