NPPES file of Aug 9, 2026

Spencer James Melby, MD

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Orem, UT

Spencer James Melby, MD is a thoracic surgery (cardiothoracic vascular surgery) physician with a practice address in Orem, Utah, and NPI 1720081243, issued on May 30, 2005. Check the license (Utah 13076265-1205, as entered in NPPES) on the Utah Medical Licensing Board; 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
1720081243
Name
Spencer James Melby
Credential
MD
Primary taxonomy
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X
License numbers
13076265-1205 UT
2004010713 MO
Self-reported in NPPES; status is on the state search
Practice location
700 W 800 N Ste 444, Orem, UT 84057
Phone
(801) 743-4750
Enumerated
May 30, 2005
Record last updated
Dec 28, 2022
Fax
(801) 743-4765
Medicaid ID
208800003 MO
Medicare enrollment
Enrolled (PECOS I20230424001758); 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 700 W 800 N Ste 444

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

  1. Ronald Asay, MDCardiovascular Disease Physician1578521308
  2. Rodney Badger, MDInterventional Cardiology Physician1003874439
  3. Charles Dahl, MDCardiovascular Disease Physician1912965344
  4. Adam Elhaddi, M.D.Interventional Cardiology Physician1972713568
  5. Richard Gelb, M.D.Interventional Cardiology Physician1063442523
  6. Jared Hains, PAPhysician Assistant1780750091

Verify Spencer James Melby in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersUtah Medical Licensing Board
    Search for license 13076265-1205
    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
Open the Utah license search

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84% fewer Medicare Part D claims than the average thoracic surgery (cardiothoracic vascular surgery) physician in 2024

16 Medicare Part D claims, against an average of 101 among the 2,587 providers of this specialty who prescribed in Part D.

  1. Spencer Melby16
  2. Specialty average101

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): 79.3 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 score71.5
  2. Costout of 100 · 30%59.5
  3. Promoting interoperabilityout of 100 · 25%100.0
  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: $274.00

10 payments; by number, the most common kind was food and beverage; the largest payer was DePuy Synthes Sales Inc. The 4,047 providers of this specialty with any payment received $7,828.84 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Spencer Melby$274.00
  2. Specialty average$7,828.84

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. Mountainstar Cardiovascular Services LLCSalt Lake City, UT

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

Spencer James Melby among 50 thoracic surgery (cardiothoracic vascular surgery) physician records in Utah

Spencer James Melby, MD is one of 50 thoracic surgery (cardiothoracic vascular surgery) physician records with a practice address in Utah. 76% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.

  • NPI issued2005 · 0% of these records are older, 94% newer
  • In a Medicare fileYes · 76% of these records are
  • In the CMS Doctors and Clinicians fileYes · 64% of these records are
  • Graduated2002 · median 1998 among the 32 with a school on file
  • Record last updated2022 · 40% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208G00000X and a Utah practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician providers in Utah

There are 50 thoracic surgery (cardiothoracic vascular surgery) physician records in Utah.

The 8 thoracic surgery (cardiothoracic vascular surgery) physician records with the nearest ZIP codes

  1. Gilbert Schorlemmer, MDOrem, UT 840571629060553
  2. Jesse Perry, M.D.Park City, UT 840981801110531
  3. James Stringham, MDSalt Lake City, UT 841021538182449
  4. Bruce Reid, MDSalt Lake City, UT 841031093757965
  5. William Caine, MDMurray, UT 841071811075278
  6. Michael Collins, MDSalt Lake City, UT 841071366577256
  7. John Doty, MDMurray, UT 841071700816667
  8. David Griffin, MDMurray, UT 841071790998789

Common questions

What is Spencer James Melby, MD's NPI number?

Spencer James Melby, MD's National Provider Identifier (NPI) is 1720081243, issued on May 30, 2005. An NPI identifies a provider in billing; it is not a license.

Where is Spencer James Melby, MD located?

The NPPES record lists a practice address at 700 W 800 N Ste 444, Orem, UT, 84057. Phone: (801) 743-4750. Providers update this record themselves, so call before visiting.

How can I verify Spencer James Melby, MD's license?

NPPES lists Utah license number 13076265-1205, as entered by the provider. Search the Utah Medical Licensing Board at https://secure.utah.gov/llv/search/index.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Spencer James Melby, MD prescribe under Medicare Part D?

In 2024, Spencer James Melby, MD had 16 Medicare Part D claims; the average among thoracic surgery (cardiothoracic vascular surgery) physician prescribers was 101. Part D covers Medicare prescriptions only.

What is Spencer James Melby, MD's MIPS final score?

The 2023 MIPS final score is 79.3 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.