2026 NPPES data Surgical Physician Assistant NPI 1861790511 PA-C
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Melissa Eames, PA-C

Surgical Physician Assistant in Nashua, New Hampshire.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 16,119 in Surgical Physician Assistant, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
34
Medicare Part D claims · 21 beneficiaries · Surgical Physician Assistant avg: 316
MIPS score
69.4/100
▼ 14 pts below national avg 83.1 · Mid-tier
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Melissa Eames, PA-C reported a CMS MIPS final score of 69.4/100 - below the 83.1 national average - and filed 34 Medicare Part D claims in 2023.

69.4/100
MIPS score · -14 vs avg
34
Part D claims, 2023

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.

Melissa Eames, PA-C's MIPS score vs every scored U.S. clinician

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

69 8th percentile higher than 8% 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+: 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

Where Melissa Eames, PA-C sits

This provider among surgical physician assistant peers

Across the 3,708 surgical physician assistant providers who report both Medicare Part D prescribing and a MIPS quality score, Melissa Eames, PA-C writes more Part D claims than 13% of them and scores higher on MIPS quality than 4% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 98Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 98Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 72Melissa Eames, PA-C-Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 4
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one surgical physician assistant peer from a representative sample of 60; the gold marker is Melissa Eames, PA-C. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Melissa Eames, PA-C?

Below national average

NPI registry status

Active

Issued 03/04/2011

NPI 1861790511

Primary specialty

Surgical Physician Assistant

Mid-sized

16,119 US NPIs in this specialty

Medicare Part D claims

34 89% vs specialty avg

2023 prescription claims

Specialty avg: 316

MIPS final score

69.4/100 13.7 pts vs avg

Mid-tier band

vs 83.1 national avg

Specialty distribution in New Hampshire

How Surgical Physician Assistant compares to other specialties among New Hampshire providers

New Hampshire providers
Mental Health Counselor - 6.6%Mental Health Counselor6.6%Physical Therapist - 5%Physical Therapist5%Clinical Social Worker - 4.4%Clinical Social Worker4.4%Pharmacist - 3.9%Pharmacist3.9%Case Manager/Care Coordinator - 3.8%Case Manager/Care Coordinator3.8%Occupational Therapist - 3.8%Occupational Therapist3.8%Surgical Physician Assistant - 0.4%Surgical Physician Assistant0.4%
Largest specialties in New Hampshire (% of in-state providers)

Medicare quality performance, MIPS

Melissa Eames, PA-C's 2023 MIPS final score plotted against the Surgical Physician Assistant national average

Below national average
MIPS Final Score
69.4/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Surgical Physician Assistant) - 69.4/100 vs national avg 83.1

0%100%National avg83%69.4%
MIPS final score (Surgical Physician Assistant) - 69.4/100 vs national avg 83.1
How MIPS and board certification work

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).

Melissa Eames, PA-C appears in the CMS NPPES registry as a Surgical Physician Assistant provider holding PA-C credentials at 2300 SOUTHWOOD DR, Nashua, NH, 03063, with a listed phone of (603) 577-4000. NPI 1861790511 was issued on 03/04/2011.

Medicare Part D records for calendar year 2023 show 34 prescription claims written by this provider, covering 21 Medicare beneficiaries and totaling roughly $529 in drug spend, with an opioid prescribing rate of 32.4%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 69.4/100 for the 2023 performance year (Quality 55.6, Cost 42.4), compared with the national average of 83.1.

Surgical Physician Assistant is a mid-sized specialty nationwide, with 16,119 enrolled providers across 54 states and an average of 316 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

2300 SOUTHWOOD DR
Nashua, NH 03063

Provider Details

NPI 1861790511
Specialty Surgical Physician Assistant
Credentials PA-C
Gender Female
NPI Issued 03/04/2011

CMS Quality Score (MIPS)

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

69.4014
Final Score
Avg: 83.1
55.6429
Quality
42.3618
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Melissa Eames, PA-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.

Mary Hitchcock Memorial Hospital
★★★☆☆ 3/5
Lebanon, NH
Acute Care Hospitals
CMS CCN: 300003
Dartmouth-Hitchcock Clinic
Lebanon, NH

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.

34
Total Claims
$529
Total Drug Cost
21
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
34
Total Day Supply
366
Brand Drug Cost
$0
Generic Drug Cost
$529
Opioid Claims
11 (32.4% rate)
Antibiotic Claims
17

Patient Demographics

Average Patient Age
68.6 years
Avg HCC Risk Score
1.06

Surgical Physician Assistant Overview

How Melissa Eames, PA-C fits within the Surgical Physician Assistant landscape nationally.

16,119
Surgical Physician Assistant Providers in US
54
States with Surgical Physician Assistant
316
Avg Claims per Provider

Melissa Eames, PA-C's 34 claims are below the specialty average of 316.

Nearby Surgical Physician Assistant Providers in New Hampshire

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

Compare Surgical Physician Assistant nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the New Hampshire medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Surgical Physician Assistant peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Melissa Eames, PA-C's specialty?
Melissa Eames, PA-C specializes in Surgical Physician Assistant and practices in Nashua, New Hampshire. Credentials: PA-C.
How much does Melissa Eames, PA-C prescribe under Medicare Part D?
In 2023, Melissa Eames, PA-C wrote 34 Medicare Part D claims totaling $529 in drug costs for 21 beneficiaries.
What is Melissa Eames, PA-C's Medicare quality score?
Melissa Eames, PA-C has a CMS MIPS Final Score of 69.4/100 (Quality: 55.6, Cost: 42.4). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Melissa Eames, PA-C located?
Melissa Eames, PA-C is located at 2300 SOUTHWOOD DR, Nashua, NH, 03063. Phone: (603) 577-4000.
What is Melissa Eames, PA-C's NPI number?
Melissa Eames, PA-C's National Provider Identifier (NPI) is 1861790511, issued on 03/04/2011.
Does Melissa Eames, PA-C prescribe opioids?
Yes, Melissa Eames, PA-C had 11 opioid claims in 2023 with an opioid prescribing rate of 32.4%.
How many Surgical Physician Assistant providers are there in the US?
There are 16,119 Surgical Physician Assistant providers across 54 states in the US. The average Surgical Physician Assistant provider writes 316 Medicare Part D claims per year.
Does Melissa Eames, PA-C accept Medicare?
Melissa Eames, PA-C appears in CMS Medicare data with 34 Part D claims and 21 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Melissa Eames, PA-C's credentials?
Melissa Eames, PA-C's NPI is 1861790511 with credentials PA-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

View source datasets and methodology notes
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

Compiled from official public sources by the PlainDoctor editorial team.