2026 NPPES data Psychiatry Physician NPI 1003111873
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MELISSA MERHEGE

Psychiatry Physician in ALBUQUERQUE, New Mexico. 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
496
Medicare Part D claims · 203 beneficiaries · Psychiatry Physician avg: 1K
MIPS score
97.5814/100
▲ 14 pts above national avg 83.1 · [object Object]
Industry payments
$1.3K
47 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: MELISSA MERHEGE is a Psychiatry Physician ([object Object]) practicing in ALBUQUERQUE, New Mexico with a Medicare Part D prescribing footprint of 496 claims across 203 beneficiaries . Their CMS MIPS Final Score of 97.5814/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $1.3K across 47 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: MELISSA MERHEGE reported a CMS MIPS final score of 97.5814 out of 100, above the 83.1 national average, and filed 496 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

MELISSA MERHEGE practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

MELISSA MERHEGE at a glance

High performer (top quartile)

NPI registry status

Active

Issued 01/25/2011

NPI 1003111873

Primary specialty

Psychiatry Physician

High-volume

53,104 US NPIs in this specialty

Medicare Part D claims

496 52% vs specialty avg

2023 prescription claims

Specialty avg: 1,038

MIPS final score

97.5814/100 14.481400000000008% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in New Mexico

How Psychiatry Physician compares to other specialties among New Mexico providers

New Mexico providers

Psychiatry Physician share within New Mexico

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

Medicare quality performance — MIPS

MELISSA MERHEGE's 2023 MIPS final score plotted against the Psychiatry Physician national average

High performer (top quartile)
MIPS Final Score
97.5814/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Psychiatry Physician) — 97.5814/100 vs national avg 83.1

0%100%National avg83%97.6%
MIPS final score (Psychiatry Physician) — 97.5814/100 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).

MELISSA MERHEGE is a Psychiatry Physician provider practicing in ALBUQUERQUE, New Mexico, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1003111873. 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.

MELISSA MERHEGE appears in the CMS NPPES registry as a Psychiatry Physician provider at 500 WALTER ST NE STE 213, ALBUQUERQUE, NM, 87102, with a listed phone of (505) 727-7177. NPI 1003111873 was issued on 01/25/2011. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MERHEGE 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 496 prescription claims written by this provider, covering 203 Medicare beneficiaries and totaling roughly $12K in drug spend, with an opioid prescribing rate of 21.0%. 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 97.5814/100 for the 2023 performance year (Quality 86.5348), compared with the national average of 83.1.

Psychiatry Physician is a high-volume specialty nationwide, with 53,104 enrolled providers across 56 states and an average of 1,038 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

500 WALTER ST NE STE 213
ALBUQUERQUE, NM 87102

Provider Details

NPI 1003111873
Specialty Psychiatry Physician
Gender Female
NPI Issued 01/25/2011

CMS Quality Score (MIPS)

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

97.5814
Final Score
Avg: 83.1
86.5348
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

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 MELISSA MERHEGE. Source: openpaymentsdata.cms.gov.

Total received

$1.3K

Largest payer

Nevro Corp.

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.

Medicare Part D Prescribing Data

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

496
Total Claims
$12K
Total Drug Cost
203
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
531
Total Day Supply
12,230
Generic Drug Cost
$6K
Opioid Claims
104 (21.0% rate)

Patient Demographics

Average Patient Age
66.9 years
Avg HCC Risk Score
1.38
Gender Split
70% female / 30% male
Age Distribution
<65: 70, 65-74: 88, 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
Gabapentin
114
Oxycodone Hcl
36
Duloxetine Hcl
35
Diazepam
33
Diclofenac Sodium
33
Meloxicam
33
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
29
Tramadol Hcl
29
Pregabalin
25
Methocarbamol
23

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

Psychiatry Physician Overview

How MELISSA MERHEGE fits within the Psychiatry Physician landscape nationally.

53,104
Psychiatry Physician Providers in US
56
States with Psychiatry Physician
1,038
Avg Claims per Provider

MELISSA MERHEGE's 496 claims are below the specialty average of 1,038.

Nearby Psychiatry Physician Providers in New Mexico

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

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

Frequently Asked Questions

What is MELISSA MERHEGE's specialty?
MELISSA MERHEGE specializes in Psychiatry Physician and practices in ALBUQUERQUE, New Mexico.
How much does MELISSA MERHEGE prescribe under Medicare Part D?
In 2023, MELISSA MERHEGE wrote 496 Medicare Part D claims totaling $12K in drug costs for 203 beneficiaries.
What is MELISSA MERHEGE's Medicare quality score?
MELISSA MERHEGE has a CMS MIPS Final Score of 97.5814/100 (Quality: 86.5348). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MELISSA MERHEGE located?
MELISSA MERHEGE is located at 500 WALTER ST NE STE 213, ALBUQUERQUE, NM, 87102. Phone: (505) 727-7177.
What is MELISSA MERHEGE's NPI number?
MELISSA MERHEGE's National Provider Identifier (NPI) is 1003111873, issued on 01/25/2011.
Does MELISSA MERHEGE prescribe opioids?
Yes, MELISSA MERHEGE had 104 opioid claims in 2023 with an opioid prescribing rate of 21.0%.
How many Psychiatry Physician providers are there in the US?
There are 53,104 Psychiatry Physician providers across 56 states in the US. The average Psychiatry Physician provider writes 1,038 Medicare Part D claims per year.
What drugs does MELISSA MERHEGE prescribe most often?
Based on 2023 Medicare Part D data, MELISSA MERHEGE's most frequently prescribed drugs include Gabapentin, Oxycodone Hcl, Duloxetine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MELISSA MERHEGE accept Medicare?
MELISSA MERHEGE appears in CMS Medicare data with 496 Part D claims and 203 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MELISSA MERHEGE's credentials?
MELISSA MERHEGE's NPI is 1003111873. 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