2026 NPPES data Nephrology Physician NPI 1922065812 M.D.
Verify on CMS →

LARRY MELTON, M.D.

Nephrology Physician in LIVINGSTON, New Jersey. 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
523
Medicare Part D claims · 164 beneficiaries · Nephrology Physician avg: 1K
MIPS score
98.0699/100
▲ 15 pts above national avg 83.1 · [object Object]

What the federal data shows

LARRY MELTON, M.D. reported a CMS MIPS final score of 98.0699/100 — above the 83.1 national average — and filed 523 Medicare Part D claims in 2023.

98.0699/100
MIPS score · +15 vs avg
523
Part D claims, 2023
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.

LARRY MELTON, M.D.'s MIPS score vs every scored U.S. clinician

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

98 Top 11% higher than 89% 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%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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)

LARRY MELTON, M.D. 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 LARRY MELTON, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 04/26/2006

NPI 1922065812

Primary specialty

Nephrology Physician

Mid-sized

10,534 US NPIs in this specialty

Medicare Part D claims

523 64% vs specialty avg

2023 prescription claims

Specialty avg: 1,454

MIPS final score

98.0699/100 14.96990000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in New Jersey

How Nephrology Physician compares to other specialties among New Jersey providers

New Jersey providers

Nephrology Physician share within New Jersey

1. Nephrology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Nephrology Physician share within New Jersey

Medicare quality performance — MIPS

LARRY MELTON, M.D.'s 2023 MIPS final score plotted against the Nephrology Physician national average

High performer (top quartile)
MIPS Final Score
98.0699/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nephrology Physician) — 98.0699/100 vs national avg 83.1

0%100%National avg83%98.1%
MIPS final score (Nephrology Physician) — 98.0699/100 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).

LARRY MELTON, M.D. is a Nephrology Physician provider practicing in LIVINGSTON, New Jersey, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1922065812. 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.

LARRY MELTON, M.D. appears in the CMS NPPES registry as a Nephrology Physician provider holding M.D. credentials at 94 OLD SHORT HILLS RD STE 305, LIVINGSTON, NJ, 07039, with a listed phone of (973) 322-5065. NPI 1922065812 was issued on 04/26/2006. 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 523 prescription claims written by this provider, covering 164 Medicare beneficiaries and totaling roughly $41K in drug spend. 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 98.0699/100 for the 2023 performance year (Quality 86.1398), compared with the national average of 83.1.

Nephrology Physician is a mid-sized specialty nationwide, with 10,534 enrolled providers across 55 states and an average of 1,454 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

94 OLD SHORT HILLS RD STE 305
LIVINGSTON, NJ 07039

Provider Details

NPI 1922065812
Specialty Nephrology Physician
Credentials M.D.
Gender Male
NPI Issued 04/26/2006

CMS Quality Score (MIPS)

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

98.0699
Final Score
Avg: 83.1
86.1398
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where LARRY MELTON, M.D. 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.

BARNABAS HEALTH MEDICAL GROUP PC
RIVER EDGE, NJ

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

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

523
Total Claims
$41K
Total Drug Cost
164
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,275
Total Day Supply
37,540
Generic Drug Cost
$26K
Antibiotic Claims
40

Patient Demographics

Average Patient Age
62.9 years
Avg HCC Risk Score
4.02
Gender Split
45% female / 55% male
Age Distribution
<65: 67, 65-74: 76, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Amlodipine Besylate
43
Prednisone
43
Famotidine
33
Furosemide
30
Atorvastatin Calcium
29
Lisinopril
24
Hydralazine Hcl
18
Carvedilol
16
Metoprolol Succinate
16
Losartan Potassium
15

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Nephrology Physician Overview

How LARRY MELTON, M.D. fits within the Nephrology Physician landscape nationally.

10,534
Nephrology Physician Providers in US
55
States with Nephrology Physician
1,454
Avg Claims per Provider

LARRY MELTON, M.D.'s 523 claims are below the specialty average of 1,454.

Nearby Nephrology Physician Providers in New Jersey

Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as MELTON.

Compare Nephrology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is LARRY MELTON, M.D.'s specialty?
LARRY MELTON, M.D. specializes in Nephrology Physician and practices in LIVINGSTON, New Jersey. Credentials: M.D..
How much does LARRY MELTON, M.D. prescribe under Medicare Part D?
In 2023, LARRY MELTON, M.D. wrote 523 Medicare Part D claims totaling $41K in drug costs for 164 beneficiaries.
What is LARRY MELTON, M.D.'s Medicare quality score?
LARRY MELTON, M.D. has a CMS MIPS Final Score of 98.0699/100 (Quality: 86.1398). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is LARRY MELTON, M.D. located?
LARRY MELTON, M.D. is located at 94 OLD SHORT HILLS RD STE 305, LIVINGSTON, NJ, 07039. Phone: (973) 322-5065.
What is LARRY MELTON, M.D.'s NPI number?
LARRY MELTON, M.D.'s National Provider Identifier (NPI) is 1922065812, issued on 04/26/2006.
How many Nephrology Physician providers are there in the US?
There are 10,534 Nephrology Physician providers across 55 states in the US. The average Nephrology Physician provider writes 1,454 Medicare Part D claims per year.
What drugs does LARRY MELTON, M.D. prescribe most often?
Based on 2023 Medicare Part D data, LARRY MELTON, M.D.'s most frequently prescribed drugs include Amlodipine Besylate, Prednisone, Famotidine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does LARRY MELTON, M.D. accept Medicare?
LARRY MELTON, M.D. appears in CMS Medicare data with 523 Part D claims and 164 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify LARRY MELTON, M.D.'s credentials?
LARRY MELTON, M.D.'s NPI is 1922065812 with credentials M.D.. 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