2026 NPPES data Pediatrics Physician NPI 1255380267 MD
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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.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
1K
Medicare Part D claims · 244 beneficiaries · Pediatrics Physician avg: 762
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
89.676/100
▲ 7 pts above national avg 83.1 · [object Object]

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

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

Board certification likely (heuristic — not verified)

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)

NPI registry status

Active

Issued 05/08/2006

NPI 1255380267

Primary specialty

Pediatrics Physician

High-volume

80,574 US NPIs in this specialty

Medicare Part D claims

1,060 39% vs specialty avg

2023 prescription claims

Specialty avg: 762

MIPS final score

89.676/100 6.576000000000008% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Connecticut

How Pediatrics Physician compares to other specialties among Connecticut providers

Connecticut providers

Pediatrics Physician share within Connecticut

1. Pediatrics Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatrics Physician share within Connecticut

Medicare quality performance — MIPS

BARRY MELTON, MD's 2023 MIPS final score plotted against the Pediatrics Physician national average

High performer (top quartile)
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

0%100%National avg83%89.7%
MIPS final score (Pediatrics Physician) — 89.676/100 vs national avg 83.1

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

1040 BARNUM AVE
STRATFORD, CT 06614

Provider Details

NPI 1255380267
Specialty Pediatrics Physician
Credentials MD
Gender Male
NPI Issued 05/08/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

89.676
Final Score
Avg: 83.1
85.8265
Quality
79.76
Cost
100
Promoting Interoperability

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.

HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS PLLC
STRATFORD, CT

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

BARRY MELTON, MD — brand share 12.0%
Specialty average (est.)

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.

1,060
Total Claims
$113K
Total Drug Cost
244
Medicare Beneficiaries

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

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
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.

80,574
Pediatrics Physician Providers in US
56
States with Pediatrics Physician
762
Avg Claims per Provider

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 →

Frequently Asked Questions

What is BARRY MELTON, MD's specialty?
BARRY MELTON, MD specializes in Pediatrics Physician and practices in STRATFORD, Connecticut. Credentials: MD.
How much does BARRY MELTON, MD prescribe under Medicare Part D?
In 2023, BARRY MELTON, MD wrote 1,060 Medicare Part D claims totaling $113K in drug costs for 244 beneficiaries.
What is BARRY MELTON, MD's Medicare quality score?
BARRY MELTON, MD has a CMS MIPS Final Score of 89.676/100 (Quality: 85.8265, Cost: 79.76). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is BARRY MELTON, MD located?
BARRY MELTON, MD is located at 1040 BARNUM AVE, STRATFORD, CT, 06614. Phone: (203) 377-5733.
What is BARRY MELTON, MD's NPI number?
BARRY MELTON, MD's National Provider Identifier (NPI) is 1255380267, issued on 05/08/2006.
Does BARRY MELTON, MD prescribe more brand-name or generic drugs?
BARRY MELTON, MD's prescribing is 12% brand-name and 88% generic drugs by claim count, with $94K in brand drug costs.
Does BARRY MELTON, MD prescribe opioids?
Yes, BARRY MELTON, MD had 11 opioid claims in 2023 with an opioid prescribing rate of 1.0%.
How many Pediatrics Physician providers are there in the US?
There are 80,574 Pediatrics Physician providers across 56 states in the US. The average Pediatrics Physician provider writes 762 Medicare Part D claims per year.
What drugs does BARRY MELTON, MD prescribe most often?
Based on 2023 Medicare Part D data, BARRY MELTON, MD's most frequently prescribed drugs include Rosuvastatin Calcium, Atorvastatin Calcium, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does BARRY MELTON, MD accept Medicare?
BARRY MELTON, MD appears in CMS Medicare data with 1,060 Part D claims and 244 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify BARRY MELTON, MD's credentials?
BARRY MELTON, MD's NPI is 1255380267 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

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