2026 NPPES data Pain Medicine (Anesthesiology) Physician NPI 1871133397 CRNA
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JOHN MELECH, CRNA

Pain Medicine (Anesthesiology) Physician in NEVADA, Missouri. 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.
MIPS score
60.0087/100
▼ 23 pts below national avg 83.1 · [object Object]

What the federal data shows

JOHN MELECH, CRNA reported a CMS MIPS final score of 60.0087/100 — below the 83.1 national average.

60.0087/100
MIPS score · -23 vs avg
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.

JOHN MELECH, CRNA's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

60 6th percentile higher than 6% 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%). This entry sits in this band. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 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)

JOHN MELECH, CRNA 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 JOHN MELECH, CRNA?

Below national average

NPI registry status

Active

Issued 01/13/2020

NPI 1871133397

Primary specialty

Pain Medicine (Anesthesiology) Physician

Niche

4,020 US NPIs in this specialty

MIPS final score

60.0087/100 23.091299999999997% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Missouri

How Pain Medicine (Anesthesiology) Physician compares to other specialties among Missouri providers

Missouri providers

Pain Medicine (Anesthesiology) Physician share within Missouri

1. Pain Medicine (Anesthesiology) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pain Medicine (Anesthesiology) Physician share within Missouri

Medicare quality performance — MIPS

JOHN MELECH, CRNA's 2023 MIPS final score plotted against the Pain Medicine (Anesthesiology) Physician national average

Below national average
MIPS Final Score
60.0087/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pain Medicine (Anesthesiology) Physician) — 60.0087/100 vs national avg 83.1

0%100%National avg83%60%
MIPS final score (Pain Medicine (Anesthesiology) Physician) — 60.0087/100 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).

JOHN MELECH, CRNA is a Pain Medicine (Anesthesiology) Physician provider practicing in NEVADA, Missouri, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: CRNA. NPI: 1871133397. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

JOHN MELECH, CRNA appears in the CMS NPPES registry as a Pain Medicine (Anesthesiology) Physician provider holding CRNA credentials at 800 S ASH ST, NEVADA, MO, 64772, with a listed phone of (417) 667-3355. NPI 1871133397 was issued on 01/13/2020. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MELECH 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 prescribing data is not currently published for this NPI, which typically means the provider either wrote fewer than 11 Part D claims in the most recent reporting year, does not participate in Medicare, or practices in a specialty that rarely prescribes outpatient drugs. Absence of prescribing data is not a quality signal — many Pain Medicine (Anesthesiology) Physician providers operate outside Part D entirely. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 60.0087/100 for the 2023 performance year (Quality 31.8973, Cost 37.8978), compared with the national average of 83.1.

Pain Medicine (Anesthesiology) Physician is a narrow specialty nationwide, with 4,020 enrolled providers across 53 states and an average of 1,657 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

800 S ASH ST
NEVADA, MO 64772

Provider Details

NPI 1871133397
Specialty Pain Medicine (Anesthesiology) Physician
Credentials CRNA
Gender Male
NPI Issued 01/13/2020

CMS Quality Score (MIPS)

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

60.0087
Final Score
Avg: 83.1
31.8973
Quality
37.8978
Cost
88
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where JOHN MELECH, CRNA 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.

NEVADA CITY HOSPITAL
NEVADA, MO

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Pain Medicine (Anesthesiology) Physician Overview

How JOHN MELECH, CRNA fits within the Pain Medicine (Anesthesiology) Physician landscape nationally.

4,020
Pain Medicine (Anesthesiology) Physician Providers in US
53
States with Pain Medicine (Anesthesiology) Physician
1,657
Avg Claims per Provider

Nearby Pain Medicine (Anesthesiology) Physician Providers in Missouri

Other clinicians with the same primary specialty enrolled in Missouri, drawn from the same CMS NPPES roster as MELECH.

Compare Pain Medicine (Anesthesiology) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOHN MELECH, CRNA's specialty?
JOHN MELECH, CRNA specializes in Pain Medicine (Anesthesiology) Physician and practices in NEVADA, Missouri. Credentials: CRNA.
What is JOHN MELECH, CRNA's Medicare quality score?
JOHN MELECH, CRNA has a CMS MIPS Final Score of 60.0087/100 (Quality: 31.8973, Cost: 37.8978). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOHN MELECH, CRNA located?
JOHN MELECH, CRNA is located at 800 S ASH ST, NEVADA, MO, 64772. Phone: (417) 667-3355.
What is JOHN MELECH, CRNA's NPI number?
JOHN MELECH, CRNA's National Provider Identifier (NPI) is 1871133397, issued on 01/13/2020.
How many Pain Medicine (Anesthesiology) Physician providers are there in the US?
There are 4,020 Pain Medicine (Anesthesiology) Physician providers across 53 states in the US. The average Pain Medicine (Anesthesiology) Physician provider writes 1,657 Medicare Part D claims per year.
Does JOHN MELECH, CRNA accept Medicare?
JOHN MELECH, CRNA appears in CMS Medicare data. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOHN MELECH, CRNA's credentials?
JOHN MELECH, CRNA's NPI is 1871133397 with credentials CRNA. 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.
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