2026 NPPES data Case Manager/Care Coordinator NPI 1841519626 PMHNP
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SAM MELTON, PMHNP

Case Manager/Care Coordinator in THORNTON, Colorado. 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
62
Medicare Part D claims · Case Manager/Care Coordinator avg: 859
MIPS score
55.2024/100
▼ 28 pts below national avg 83.1 · [object Object]
Industry payments
$27.36
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

SAM MELTON, PMHNP reported a CMS MIPS final score of 55.2024/100 — below the 83.1 national average — and filed 62 Medicare Part D claims in 2023.

55.2024/100
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

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%). This entry sits in this band. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 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

What does the federal data show about SAM MELTON, PMHNP?

Below national average

NPI registry status

Active

Issued 05/19/2010

NPI 1841519626

Primary specialty

Case Manager/Care Coordinator

High-volume

160,120 US NPIs in this specialty

Medicare Part D claims

62 93% vs specialty avg

2023 prescription claims

Specialty avg: 859

MIPS final score

55.2024/100 27.897599999999997% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Colorado

How Case Manager/Care Coordinator compares to other specialties among Colorado providers

Colorado providers

Case Manager/Care Coordinator share within Colorado

1. Case Manager/Care Coordinator42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Case Manager/Care Coordinator share within Colorado

Medicare quality performance — MIPS

SAM MELTON, PMHNP's 2023 MIPS final score plotted against the Case Manager/Care Coordinator national average

Below national average
MIPS Final Score
55.2024/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Case Manager/Care Coordinator) — 55.2024/100 vs national avg 83.1

0%100%National avg83%55.2%
MIPS final score (Case Manager/Care Coordinator) — 55.2024/100 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).

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. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MELTON 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 62 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $2K in drug spend. 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 55.2024/100 for the 2023 performance year (Quality 27.7148, Cost 38.793), compared with the national average of 83.1.

Case Manager/Care Coordinator is a high-volume specialty nationwide, with 160,120 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

501 THORNTON PKWY
THORNTON, CO 80229

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

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
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.

160,120
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.

Compare Case Manager/Care Coordinator nationally: see state-by-state distribution →

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 55.2024/100 (Quality: 27.7148, Cost: 38.793). 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 160,120 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

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