BARRY MELTON, MD
Pediatrics Physician in STRATFORD, Connecticut. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What the federal data shows
BARRY MELTON, MD reported a CMS MIPS final score of 89.676/100 — above the 83.1 national average — and filed 1,060 Medicare Part D claims in 2023.
- 89.676/100
- MIPS score · +7 vs avg
- 1K
- Part D claims, 2023
- 88%
- generic prescribing
- Likely
- board-certified (heuristic)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.
BARRY MELTON, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure
90 Top 42% higher than 58% of 477,587 scored providers
Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
BARRY MELTON, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about BARRY MELTON, MD?
High performer (top quartile)Primary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in Connecticut
How Pediatrics Physician compares to other specialties among Connecticut providers
Pediatrics Physician share within Connecticut
Pediatrics Physician is one of the more visible NUCC categories in Connecticut
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Medicare quality performance — MIPS
BARRY MELTON, MD's 2023 MIPS final score plotted against the Pediatrics Physician national average
- MIPS Final Score
- 89.676/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Pediatrics Physician) — 89.676/100 vs national avg 83.1
Quality benchmarks
- National MIPS avg 2023 reporting year
- Quality dim CMS Quality category
- Cost dim CMS Cost category
- Specialty volume Pediatrics Physician US NPIs
89.676/100 MIPS final score — 6.6 pts above the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Pediatrics Physician. Quality dim: 85.8265. Cost dim: 79.76.
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
BARRY MELTON, MD appears in the CMS NPPES registry as a Pediatrics Physician provider holding MD credentials at 1040 BARNUM AVE, STRATFORD, CT, 06614, with a listed phone of (203) 377-5733. NPI 1255380267 was issued on 05/08/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MELTON most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.
Medicare Part D records for calendar year 2023 show 1,060 prescription claims written by this provider, covering 244 Medicare beneficiaries and totaling roughly $113K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 1.0%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 89.676/100 for the 2023 performance year (Quality 85.8265, Cost 79.76), compared with the national average of 83.1.
Pediatrics Physician is a high-volume specialty nationwide, with 80,574 enrolled providers across 56 states and an average of 762 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1255380267 |
|---|---|
| Specialty | Pediatrics Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 05/08/2006 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm BARRY MELTON, MD's current license status, disciplinary history, and board certifications with the Connecticut Department of Public Health in Connecticut before relying on this page for a clinical or care decision.
How we sourced this profile
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Group practice
Hospital and facility affiliations
Facilities where BARRY MELTON, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Brand vs generic prescribing mix · Typical
12% brand-name claims vs 88% generic, on 1,060 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
Prescribing Breakdown
- 30-Day Fills
- 2,165
- Total Day Supply
- 61,138
- Brand vs Generic
- 12% brand / 88% generic
- Brand Drug Cost
- $94K
- Generic Drug Cost
- $19K
- Opioid Claims
- 11 (1.0% rate)
- Antibiotic Claims
- 71
Patient Demographics
- Average Patient Age
- 71.7 years
- Avg HCC Risk Score
- 1.28
- Gender Split
- 60% female / 40% male
- Age Distribution
- <65: 33, 65-74: 121, 75-84: 70, 85+: 20
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What BARRY MELTON, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Rosuvastatin Calcium
Rosuvastatin Calcium
62 claims
- Atorvastatin Calcium
Atorvastatin Calcium
44 claims
- Amlodipine Besylate
Amlodipine Besylate
43 claims
- Metformin Hcl
Metformin Hcl
43 claims
- Levothyroxine Sodium
Levothyroxine Sodium
25 claims
- Albuterol Sulfate … 23
Albuterol Sulfate Hfa
23 claims
- Gabapentin 22
Gabapentin
22 claims
- Alprazolam 21
Alprazolam
21 claims
| Drug | Claims |
|---|---|
| Rosuvastatin Calcium | 62 |
| Atorvastatin Calcium | 44 |
| Amlodipine Besylate | 43 |
| Metformin Hcl | 43 |
| Levothyroxine Sodium | 25 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 23 |
| Gabapentin | 22 |
| Alprazolam | 21 |
| Diclofenac Sodium | 21 |
| Hydrochlorothiazide | 21 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pediatrics Physician Overview
How BARRY MELTON, MD fits within the Pediatrics Physician landscape nationally.
BARRY MELTON, MD's 1,060 claims are above the specialty average of 762.
Nearby Pediatrics Physician Providers in Connecticut
Other clinicians with the same primary specialty enrolled in Connecticut, drawn from the same CMS NPPES roster as MELTON.
Compare Pediatrics Physician nationally: see state-by-state distribution →
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Frequently Asked Questions
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Data Sources
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology