KELLI JEAN MELVIN (MD) – Family Medicine Physician, NPI 1447236922
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,432 FAMILY PRACTICE in OH
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Provider Addresses for KELLI JEAN MELVIN (MD)
East Central Avenue, Miamisburg, Montgomery County, Ohio, 45342, United States
MIAMISBURG, OH 453422556
Phone: (937) 866-0741
Fax: (937) 866-8861
Type: Mailing
3033, Kettering Boulevard, Moraine, Montgomery County, Ohio, 45439, United States
SUITE 100
MORAINE, OH 454391962
Phone: (937) 293-2133
Fax: (937) 866-8861
Type: Location
715 W STATE ST
TRENTON, OH 450679220
Phone: (513) 988-6067
Fax: (513) 988-6070
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: 2007-01-17
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070117000319 | I | Family Practice | OH | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 139 | 71 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 118 | 74 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 80 | 61 | $0 |
| 83036 | Hemoglobin a1c level | 38 | 23 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 38 | 38 | $0 |
Insurance plans in this area (ZIP 45342)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| Radiation Oncology | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| - | OH | |
| N E U R O L O G Y | OH | |
| - | OH | |
| - | OH | |
| - | OH | |
| - | OH | |
| Family Practice | OH |
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