NPI registry status
Active
2026 NPPES data Case Manager/Care Coordinator NPI 1841519626 PMHNP
Verify on CMS → Sam Melton, PMHNP
Case Manager/Care Coordinator in Thornton, Colorado.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 160,873 in Case Manager/Care Coordinator, 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
62
Medicare Part D claims · Case Manager/Care Coordinator avg: 859
MIPS score
55.2/100
▼ 28 pts below national avg 83.1 · Mid-tier
Industry payments
$27.36
1 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Sam Melton, PMHNP reported a CMS MIPS final score of 55.2/100 - below the 83.1 national average - and filed 62 Medicare Part D claims in 2023.
- 55.2/100
- MIPS score · -28 vs avg
- 62
- Part D claims, 2023
- $27.36
- 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.
Sam Melton, PMHNP's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
55 5th percentile higher than 5% of 477,587 scored providers
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 Sam Melton, PMHNP sits
This provider among case manager/care coordinator peers
Across the 16 case manager/care coordinator providers who report both Medicare Part D prescribing and a MIPS quality score, Sam Melton, PMHNP writes more Part D claims than 0% of them and scores higher on MIPS quality than 13% - 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
Each dot is one case manager/care coordinator peer from a representative sample of 15; the gold marker is Sam Melton, PMHNP. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Sam Melton, PMHNP?
Below national averagePrimary specialty
Case Manager/Care Coordinator
Medicare Part D claims
62 93% vs specialty avg
MIPS final score
55.2/100 27.9 pts vs avg
Specialty distribution in Colorado
How Case Manager/Care Coordinator compares to other specialties among Colorado providers
Medicare quality performance, MIPS
Sam Melton, PMHNP's 2023 MIPS final score plotted against the Case Manager/Care Coordinator national average
- MIPS Final Score
- 55.2/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Case Manager/Care Coordinator) - 55.2/100 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).
Sam Melton, PMHNP appears in the CMS NPPES registry as a Case Manager/Care Coordinator provider holding PMHNP credentials at 501 THORNTON PKWY, Thornton, CO, 80229, with a listed phone of (303) 452-6101. NPI 1841519626 was issued on 05/19/2010.
Medicare Part D records for calendar year 2023 show 62 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $2K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 55.2/100 for the 2023 performance year (Quality 27.7, Cost 38.8), compared with the national average of 83.1.
Case Manager/Care Coordinator is a high-volume specialty nationwide, with 160,873 enrolled providers across 54 states and an average of 859 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
Provider Details
| NPI | 1841519626 |
|---|---|
| Specialty | Case Manager/Care Coordinator |
| Credentials | PMHNP |
| Gender | Male |
| NPI Issued | 05/19/2010 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
55.2024
Final Score
Avg: 83.1
27.7148
Quality
38.793
Cost
56
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Sam Melton, PMHNP 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.
Colorado IN-Home Counseling
Denver, CO
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 Sam Melton, PMHNP. Source: openpaymentsdata.cms.gov.
Total received
$27
Largest payer
ACADIA Pharmaceuticals Inc
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.
62
Total Claims
$2K
Total Drug Cost
N/A
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 62
- Total Day Supply
- 1,099
- Brand Drug Cost
- $0
- Generic Drug Cost
- $2K
Patient Demographics
- Average Patient Age
- 58.0 years
- Avg HCC Risk Score
- 2.10
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Sam Melton, PMHNP prescribes most
Top Medicare Part D drugs by claim count, 2023
- Bupropion Xl
Bupropion Xl
14 claims
- Divalproex Sodium Er
Divalproex Sodium Er
14 claims
- Paroxetine Hcl
Paroxetine Hcl
14 claims
- Mirtazapine
Mirtazapine
13 claims
| Drug | Claims |
|---|---|
| Bupropion Xl Bupropion Hcl | 14 |
| Divalproex Sodium Er Divalproex Sodium | 14 |
| Paroxetine Hcl | 14 |
| Mirtazapine | 13 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Case Manager/Care Coordinator Overview
How Sam Melton, PMHNP fits within the Case Manager/Care Coordinator landscape nationally.
160,873
Case Manager/Care Coordinator Providers in US
54
States with Case Manager/Care Coordinator
859
Avg Claims per Provider
Sam Melton, PMHNP's 62 claims are below the specialty average of 859.
Nearby Case Manager/Care Coordinator Providers in Colorado
Other clinicians with the same primary specialty enrolled in Colorado, drawn from the same CMS NPPES roster as Melton.
Saman Aalipour
Aurora, CO
Lawahiz Abbas
Aurora, CO
Fouzia Abdi
Aurora, CO
Dalia Abdulrahman
Aurora, CO
Eyerusalem Abraha
Aurora, CO
Compare Case Manager/Care Coordinator 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 Colorado medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Case Manager/Care Coordinator 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.
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Frequently Asked Questions
What is Sam Melton, PMHNP's specialty? ▼
Sam Melton, PMHNP specializes in Case Manager/Care Coordinator and practices in Thornton, Colorado. Credentials: PMHNP.
How much does Sam Melton, PMHNP prescribe under Medicare Part D? ▼
In 2023, Sam Melton, PMHNP wrote 62 Medicare Part D claims totaling $2K in drug costs for N/A beneficiaries.
What is Sam Melton, PMHNP's Medicare quality score? ▼
Sam Melton, PMHNP has a CMS MIPS Final Score of 55.2/100 (Quality: 27.7, Cost: 38.8). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Sam Melton, PMHNP located? ▼
Sam Melton, PMHNP is located at 501 THORNTON PKWY, Thornton, CO, 80229. Phone: (303) 452-6101.
What is Sam Melton, PMHNP's NPI number? ▼
Sam Melton, PMHNP's National Provider Identifier (NPI) is 1841519626, issued on 05/19/2010.
How many Case Manager/Care Coordinator providers are there in the US? ▼
There are 160,873 Case Manager/Care Coordinator providers across 54 states in the US. The average Case Manager/Care Coordinator provider writes 859 Medicare Part D claims per year.
What drugs does Sam Melton, PMHNP prescribe most often? ▼
Based on 2023 Medicare Part D data, Sam Melton, PMHNP's most frequently prescribed drugs include Bupropion Xl, Divalproex Sodium Er, Paroxetine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Sam Melton, PMHNP accept Medicare? ▼
Sam Melton, PMHNP appears in CMS Medicare data with 62 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Sam Melton, PMHNP's credentials? ▼
Sam Melton, PMHNP's NPI is 1841519626 with credentials PMHNP. 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.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.