2026 NPPES data Family Nurse Practitioner NPI 1639104672 NP-C
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MELINDA BARTHELME, NP-C

Family Nurse Practitioner in NEWTON, Illinois. 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
3K
Medicare Part D claims · 279 beneficiaries · Family Nurse Practitioner avg: 1K
Generic prescribing
72%
generic claims · 28% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$338.18
17 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

MELINDA BARTHELME, NP-C filed 3,004 Medicare Part D claims in 2023 as a Family Nurse Practitioner in NEWTON, Illinois, prescribing 72% generic.

3K
Part D claims, 2023
72%
generic prescribing
$338.18
industry payments (Sunshine Act)

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.

MELINDA BARTHELME, NP-C's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

3,004 Top 11% higher than 89% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about MELINDA BARTHELME, NP-C?

Quality data not reported

NPI registry status

Active

Issued 07/11/2006

NPI 1639104672

Primary specialty

Family Nurse Practitioner

High-volume

209,817 US NPIs in this specialty

Medicare Part D claims

3,004 146% vs specialty avg

2023 prescription claims

Specialty avg: 1,222

Specialty distribution in Illinois

How Family Nurse Practitioner compares to other specialties among Illinois providers

Illinois providers

Family Nurse Practitioner share within Illinois

1. Family Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Family Nurse Practitioner share within Illinois

Specialty board-certification context

Estimated specialty board-certified rate — Family Nurse Practitioner (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Family Nurse Practitioner ABMS/AOA estimate

Est. board-certified rate (Family Nurse Practitioner) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Family Nurse Practitioner) — ABMS / AOA estimate

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).

MELINDA BARTHELME, NP-C appears in the CMS NPPES registry as a Family Nurse Practitioner provider holding NP-C credentials at 601 W WASHINGTON ST STE 3, NEWTON, IL, 62448, with a listed phone of (217) 528-7541. NPI 1639104672 was issued on 07/11/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BARTHELME 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 3,004 prescription claims written by this provider, covering 279 Medicare beneficiaries and totaling roughly $798K in drug spend, split 28% brand-name and 72% generic by claim count, with an opioid prescribing rate of 0.8%. 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.

Family Nurse Practitioner is a high-volume specialty nationwide, with 209,817 enrolled providers across 56 states and an average of 1,222 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

601 W WASHINGTON ST STE 3
NEWTON, IL 62448

Provider Details

NPI 1639104672
Specialty Family Nurse Practitioner
Credentials NP-C
Gender Female
NPI Issued 07/11/2006

Hospital and facility affiliations

Facilities where MELINDA BARTHELME, NP-C 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.

MARSHALL CLINIC EFFINGHAM S C
EFFINGHAM, IL
SPRINGFIELD CLINIC, LLP
EFFINGHAM, IL

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

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for MELINDA BARTHELME, NP-C. Source: openpaymentsdata.cms.gov.

Total received

$338

Largest payer

Insulet Corporation

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — Illinois IDFPR 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~42K Illinois medical licensees in 2023 — they are NOT specific to MELINDA BARTHELME, NP-C. To verify MELINDA BARTHELME, NP-C's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

MELINDA BARTHELME, NP-C — brand share 28.0%
Specialty average (est.)

28% brand-name claims vs 72% generic, on 3,004 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.

3,004
Total Claims
$798K
Total Drug Cost
279
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
5,282
Total Day Supply
148,545
Brand vs Generic
28% brand / 72% generic
Brand Drug Cost
$763K
Generic Drug Cost
$30K
Opioid Claims
23 (0.8% rate)
Antibiotic Claims
134

Patient Demographics

Average Patient Age
72.4 years
Avg HCC Risk Score
1.20
Gender Split
62% female / 38% male
Age Distribution
<65: 26, 65-74: 149, 75-84: 83, 85+: 21

Top Prescribed Drugs (Medicare Part D)

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

What MELINDA BARTHELME, NP-C 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
Ozempic
Semaglutide
126
Trulicity
Dulaglutide
124
Metformin Hcl
121
Levothyroxine Sodium
106
Atorvastatin Calcium
98
Lisinopril
95
Losartan Potassium
86
Hydrochlorothiazide
76
Metoprolol Succinate
62
Montelukast Sodium
62

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

Family Nurse Practitioner Overview

How MELINDA BARTHELME, NP-C fits within the Family Nurse Practitioner landscape nationally.

209,817
Family Nurse Practitioner Providers in US
56
States with Family Nurse Practitioner
1,222
Avg Claims per Provider

MELINDA BARTHELME, NP-C's 3,004 claims are above the specialty average of 1,222.

Nearby Family Nurse Practitioner Providers in Illinois

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

Compare Family Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is MELINDA BARTHELME, NP-C's specialty?
MELINDA BARTHELME, NP-C specializes in Family Nurse Practitioner and practices in NEWTON, Illinois. Credentials: NP-C.
How much does MELINDA BARTHELME, NP-C prescribe under Medicare Part D?
In 2023, MELINDA BARTHELME, NP-C wrote 3,004 Medicare Part D claims totaling $798K in drug costs for 279 beneficiaries.
Where is MELINDA BARTHELME, NP-C located?
MELINDA BARTHELME, NP-C is located at 601 W WASHINGTON ST STE 3, NEWTON, IL, 62448. Phone: (217) 528-7541.
What is MELINDA BARTHELME, NP-C's NPI number?
MELINDA BARTHELME, NP-C's National Provider Identifier (NPI) is 1639104672, issued on 07/11/2006.
Does MELINDA BARTHELME, NP-C prescribe more brand-name or generic drugs?
MELINDA BARTHELME, NP-C's prescribing is 28% brand-name and 72% generic drugs by claim count, with $763K in brand drug costs.
Does MELINDA BARTHELME, NP-C prescribe opioids?
Yes, MELINDA BARTHELME, NP-C had 23 opioid claims in 2023 with an opioid prescribing rate of 0.8%.
How many Family Nurse Practitioner providers are there in the US?
There are 209,817 Family Nurse Practitioner providers across 56 states in the US. The average Family Nurse Practitioner provider writes 1,222 Medicare Part D claims per year.
What drugs does MELINDA BARTHELME, NP-C prescribe most often?
Based on 2023 Medicare Part D data, MELINDA BARTHELME, NP-C's most frequently prescribed drugs include Ozempic, Trulicity, Metformin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MELINDA BARTHELME, NP-C accept Medicare?
MELINDA BARTHELME, NP-C appears in CMS Medicare data with 3,004 Part D claims and 279 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MELINDA BARTHELME, NP-C's credentials?
MELINDA BARTHELME, NP-C's NPI is 1639104672 with credentials NP-C. 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.
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