NPPES file of Aug 9, 2026

Melissa Spence, PA-C

Medical Physician Assistant · San Diego, CA

Melissa Spence, PA-C is a medical physician assistant with a practice address in San Diego, California, and NPI 1891068003, issued on Feb 18, 2012. Check the license (California PA21895, as entered in NPPES) with the California board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1891068003
Name
Melissa Spence
Credential
PA-C
Primary taxonomy
Medical Physician Assistant 363AM0700X
License number
PA21895 CA
Self-reported in NPPES; status is on the state search
Practice location
3030 Childrens Way, San Diego, CA 92123
Phone
(858) 966-7701
Enumerated
Feb 18, 2012
Record last updated
Feb 14, 2014 (not updated in 12 years: call before relying on the address or phone)
Medicare enrollment
Enrolled (PECOS I20121213000189); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 3030 Childrens Way

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Mona Adams, O.D.Optometrist1942564521
  2. Jeffrey Algra, M.D.Pediatric Rehabilitation Medicine Physician1457664518
  3. Saud Alsahli, M.D.Neurology with Special Qualifications in Child Neurology Physician1477040830
  4. Justin Anderson, PA-CPhysician Assistant1366105074
  5. Jessica Appleget, MSN, RN, CNSPediatric Clinical Nurse Specialist1477236313
  6. Deema Arafah, MDPediatric Endocrinology Physician1235423856

Verify Melissa Spence in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich California board licenses this profession
    Search for license PA21895
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the California license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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60% fewer Medicare Part D claims than the average medical physician assistant in 2024

460 Medicare Part D claims for 191 beneficiaries, against an average of 1,148 among the 23,801 providers of this specialty who prescribed in Part D. Brand-name drugs were 10% of claims.

  1. Melissa Spence460
  2. Specialty average1,148

Most prescribed

  1. Atorvastatin Calcium67 claims
  2. Levothyroxine Sodium32 claims
  3. Amlodipine Besylate24 claims
  4. Lisinopril22 claims
  5. Gabapentin17 claims
  6. Rosuvastatin Calcium16 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 73.6 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score74.6
  2. Costout of 100 · 30%58.7
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $350.00

1 payment: compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program; the largest payer was Becton, Dickinson and Company. The 16,165 providers of this specialty with any payment received $1,055.00 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Melissa Spence$350.00
  2. Specialty average$1,055.00

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Sharp Rees-Stealy Medical Group IncSan Diego, CA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Melissa Spence among 3,376 medical physician assistant records in California

Melissa Spence, PA-C is one of 3,376 medical physician assistant records with a practice address in California. 69% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2012, is newer than 51% of them.

  • NPI issued2012 · 51% of these records are older, 46% newer
  • In a Medicare fileYes · 69% of these records are
  • In the CMS Doctors and Clinicians fileYes · 40% of these records are
  • Graduated2011 · median 2012 among the 1,347 with a school on file
  • Record last updated2014 · 54% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363AM0700X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Medical Physician Assistant providers in California

There are 3,376 medical physician assistant records in California.

The 8 medical physician assistant records with the nearest ZIP codes

  1. Jamie Black, PA-CSan Diego, CA 921231477830057
  2. Lisa Boyd, P.A.San Diego, CA 921231871859421
  3. Alyssa Cituk, PA-CSan Diego, CA 921231811057375
  4. Daniel Courson, MS, PA-CSan Diego, CA 921231083716518
  5. Monica Gable, PA-CSan Diego, CA 921231568783108
  6. Sarah Hwang, PA-CSan Diego, CA 921231891929907
  7. Steven Lebowitz, PA-CSan Diego, CA 921231497714828
  8. Kimberly Lopipero, PASan Diego, CA 921231467533596

Common questions

What is Melissa Spence, PA-C's NPI number?

Melissa Spence, PA-C's National Provider Identifier (NPI) is 1891068003, issued on Feb 18, 2012. An NPI identifies a provider in billing; it is not a license.

Where is Melissa Spence, PA-C located?

The NPPES record lists a practice address at 3030 Childrens Way, San Diego, CA, 92123. Phone: (858) 966-7701. Providers update this record themselves, so call before visiting.

How can I verify Melissa Spence, PA-C's license?

NPPES lists California license number PA21895, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.

How much does Melissa Spence, PA-C prescribe under Medicare Part D?

In 2024, Melissa Spence, PA-C had 460 Medicare Part D claims for 191 beneficiaries; the average among medical physician assistant prescribers was 1,148. Part D covers Medicare prescriptions only.

What is Melissa Spence, PA-C's MIPS final score?

The 2023 MIPS final score is 73.6 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.