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DR. SPENCER JAMES MELBY MD
NPI 1720081243
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Orem, UT

Active since May 30, 2005PECOS EnrolledAccepts Medicare Assignment
79.29/100
CMS Quality Rating
700 W 800 N STE 444, OREM, UT 84057(801) 743-4750(801) 743-4765 Get Directions Write a Review

NPPES record last updated: December 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 28, 2022, Nov 15, 2021, Nov 9, 2021 and 2 more (5 updates tracked since 2015).

About Dr. Spencer James Melby Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SPENCER JAMES MELBY MD (NPI 1720081243) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Orem, Utah, licensed in Utah (13076265-1205) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Timpanogos Regional Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1720081243
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDR. SPENCER JAMES MELBYCredential: MD
Location Address700 W 800 N STE 444Orem, UT 84057-6305
Mailing AddressPo Box 281490Atlanta, GA 30384-1490
Phone(801) 743-4750
Fax(801) 743-4765
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateMay 30, 2005
Last NPPES UpdateDecember 28, 20225 updates tracked since enumeration
NPPES CertifiedDecember 28, 2022
✔ NPI 1720081243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Licenses✔ Licensed in UT · 13076265-1205✔ Licensed in MO · 2004010713
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Also ListedSurgeryTaxonomy 208600000X · License 2004010713 (MO)
700 W 800 N STE 444, Orem, UT 84057
Open in Google Maps ↗

Other Identifiers 1

Medicaid208800003MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Spencer James Melby Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284698804
PECOS Enrollment IDI20230424001758
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Timpanogos Regional Hospital

Acute Care Hospitals · Orem, UT
3/5 CMS rating
OwnershipProprietary
CMS Certification Number460052
Location750 West 800 NorthOrem, UT 84057 · Utah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84057 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$166.03 typical visit price
range $54.34 – $166.03
Typical copayment $41.50 (range $13.58 – $41.50)
Most-billed visit code 99205
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.46
Promoting Interoperability100
Improvement Activities40
Cost59.51

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RODNEY S BADGER MD
Internal Medicine (Interventional Cardiology)
700 W 800 N STE 444
OREM, UT 84057
Utah County (801) 714-6412
JENNIFER LYNN OSBORNE APRN, NP-C
Nurse Practitioner (Family)
700 W 800 N STE 444
OREM, UT 84057
Utah County (801) 714-6412
DR. RICHARD I. GELB I M.D.
Internal Medicine (Interventional Cardiology)
700 W 800 N STE 444
OREM, UT 84057
Utah County (801) 714-6412
TRENTON LANE WILLIAMS DNP
Nurse Practitioner
700 W 800 N STE 444
OREM, UT 84057
Utah County (801) 743-4750
TERI LYNN PA
Physician Assistant
700 W 800 N STE 444
OREM, UT 84057
Utah County (801) 714-6412
HAYLEY LUNDEEN NP-C
Nurse Practitioner
700 W 800 N STE 444
OREM, UT 84057
Utah County (801) 714-6412
JESSICA POTTER LOTT DNP, APRN, AGACNP-BC
Nurse Practitioner (Acute Care)
700 W 800 N STE 444
OREM, UT 84057
Utah County (801) 743-4750
RONALD W ASAY MD
Internal Medicine (Cardiovascular Disease)
700 W 800 N STE 444
OREM, UT 84057
Utah County (801) 714-6412

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Spencer Melby's NPI number?

The NPI number for Spencer Melby is 1720081243. It was assigned to this individual provider in the NPPES registry on May 30, 2005.

Where is Spencer Melby located?

Spencer Melby practices at 700 W 800 N Ste 444, Orem, UT 84057. The listed phone number is (801) 743-4750.

What is Spencer Melby's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Spencer Melby enrolled in Medicare?

Yes. Spencer Melby is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Spencer Melby accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Spencer Melby as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Spencer Melby affiliated with any hospitals?

According to CMS data, Spencer Melby is affiliated with Timpanogos Regional Hospital.

When was this NPI record last updated?

The NPPES record for Spencer Melby was last updated on December 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.