Melissa Sample , FNP
Nurse Practitioner - Family • Chiloquin, OR
103 Waso
Chiloquin, OR 97624
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Melissa Sample is listed in NPPES under Nurse Practitioner - Family.
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NPI assigned on October 16, 2008; this date does not establish years in practice.
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Published CMS data list 201 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99214 — Established patient outpatient office visit: 63 service units.
- 99204 — New patient outpatient office visit: 48 service units.
- 81003 — Automated urinalysis test: 31 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 6 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 467 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Prednisone — 81 prescription fills, including refills.
- Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) — 55 prescription fills, including refills.
- Cephalexin — 50 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 19 records in the table · Guide: How to read Medicare Part D prescriber data
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Close to the middle for Medicare Part B services among clinicians listed under Nurse Practitioner - Family in Oregon (2024, 952 clinicians with data). Median for this group: 204. Middle half: 81 to 466.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 1,550 in 2020 to 201 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
103 Waso
Chiloquin, OR 97624
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Icco Llc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2008
What Public CMS Data Show
Nurse Practitioner - Family: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
185 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $16,492 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $12,513 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
562 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$3,754 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2021–2025.
Years since graduation
18 years (graduated 2008)
CMS Doctors and Clinicians data list 2008 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2008
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Melissa Sample has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Melissa Sample as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Chiloquin and Oregon
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Close to the middle for clinicians listed under Nurse Practitioner - Family in Oregon (2024, 952 clinicians with data). Median for this group: 204. Middle half: 81 to 466.
Too few clinicians listed under Nurse Practitioner - Family in Chiloquin have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
Close to the middle for clinicians listed under Nurse Practitioner - Family in Oregon (2024, 952 clinicians with data). Median for this group: $14,212. Middle half: $5,490 to $31,715.
Too few clinicians listed under Nurse Practitioner - Family in Chiloquin have Medicare Part B data for 2024 to compare.
Paid by Medicare
Close to the middle for clinicians listed under Nurse Practitioner - Family in Oregon (2024, 952 clinicians with data). Median for this group: $9,874. Middle half: $3,758 to $22,856.
Too few clinicians listed under Nurse Practitioner - Family in Chiloquin have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Nurse Practitioner - Family in Oregon (2024, 1,294 clinicians with data). Median for this group: 482. Middle half: 113 to 1,736.
Too few clinicians listed under Nurse Practitioner - Family in Chiloquin have Medicare Part D data for 2024 to compare.
Part D drug cost
A lower Part D drug cost than 65% of clinicians listed under Nurse Practitioner - Family in Oregon (2024, 1,294 clinicians with data). Median for this group: $25,554. Middle half: $1,864 to $143,831.
Too few clinicians listed under Nurse Practitioner - Family in Chiloquin have Medicare Part D data for 2024 to compare.
4 active clinicians are listed under Nurse Practitioner - Family with a practice address in Chiloquin, OR (2,384 in Oregon).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 87% from 1,550 in 2020 to 201 in 2024.
- 2020: 1,550
- 2021: 704
- 2022: 437
- 2023: 148
- 2024: 201
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Medicare-allowed amount
Medicare-allowed amount decreased 71% from $57,003 in 2020 to $16,492 in 2024.
- 2020: $57,003
- 2021: $39,464
- 2022: $28,886
- 2023: $9,198
- 2024: $16,492
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Paid by Medicare
Paid by Medicare decreased 64% from $35,181 in 2020 to $12,513 in 2024.
- 2020: $35,181
- 2021: $27,091
- 2022: $21,374
- 2023: $6,318
- 2024: $12,513
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 42% from 801 in 2020 to 467 in 2024.
- 2020: 801
- 2021: 529
- 2022: 283
- 2023: 274
- 2024: 467
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30-day fills
30-day fills decreased 58% from 1,353 in 2020 to 562 in 2024.
- 2020: 1,353
- 2021: 901
- 2022: 441
- 2023: 346
- 2024: 562
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Part D drug cost
Part D drug cost decreased 77% from $16,533 in 2020 to $3,754 in 2024.
- 2020: $16,533
- 2021: $7,242
- 2022: $3,546
- 2023: $2,588
- 2024: $3,754
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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63 | 59 | $374.13 | $99.99 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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48 | 48 | $485.79 | $134.41 |
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81003
Automated urinalysis test
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31 | 29 | $15.58 | $1.44 |
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0241U
Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected
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26 | 26 | $427.00 | $134.40 |
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81002
Urinalysis, manual test
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19 | 19 | $15.79 | $2.51 |
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96372
Injection of drug or substance under skin or into muscle
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14 | 11 | $41.79 | $11.04 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Prednisone | Prednisone | 81 | 606 | $253.71 | 77 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 55 | 519 | $465.13 | 55 |
| Cephalexin | Cephalexin | 50 | 446 | $267.57 | 50 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 33 | 347 | $208.11 | 32 |
| Azithromycin | Azithromycin | 29 | 146 | $142.33 | 29 |
| Doxycycline Hyclate | Doxycycline Hyclate | 25 | 247 | $171.76 | 25 |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 23 | 173 | $310.80 | 23 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 23 | 427 | $713.95 | 20 |
| Amoxicillin | Amoxicillin | 22 | 214 | $64.29 | 22 |
| Amlodipine Besylate | Amlodipine Besylate | 18 | 1,500 | $141.17 | — |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 15 | 110 | $66.13 | 13 |
| Fluconazole | Fluconazole | 13 | 38 | $72.49 | 13 |
| Lisinopril | Lisinopril | 12 | 1,080 | $69.11 | — |
| Ofloxacin | Ofloxacin | 12 | 197 | $136.86 | 12 |
| Paxlovid | Nirmatrelvir/Ritonavir | 12 | 60 | $0.00 | 12 |
| Methylprednisolone | Methylprednisolone | 11 | 144 | $81.37 | 11 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 11 | 107 | $96.52 | — |
| Hydrochlorothiazide | Hydrochlorothiazide | 11 | 764 | $108.67 | — |
| Tamsulosin Hcl | Tamsulosin Hcl | 11 | 870 | $383.59 | — |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 363LF0000X
NUCC Taxonomy Code: 163W00000X
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20090930000264
OR
4183760424
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Icco Llc
2710 Willamette St, Eugene, OR 974053238
Phone: 5417353161
Icco Llc
2902 Tom Tennant Dr, Woodburn, OR 970712828
Phone: 5416407625
Icco Llc
598 E 13th Ave, Eugene, OR 974014783
Phone: 5416363473
Icco Llc
2920 Commercial St Se, Salem, OR 973024552
Phone: 9713014919
Icco Llc
3737 Shasta Way, Klamath Falls, OR 976034982
Phone: 5416407625
Icco Llc
1755 Sw Baker St, Mcminnville, OR 971289112
Phone: 9719004522
Icco Llc
355 W 3rd Ave, Junction City, OR 974481313
Phone: 5419986750
Icco Llc
4040 W 11th Ave, Eugene, OR 974025601
Phone: 5415002500
Icco Llc
186 W Ellendale Ave, Dallas, OR 973381408
Phone: 5416407625
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Internal Medicine
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Medicine (M.D.)
Career & Practice History
NPI enumerated October 16, 2008.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Nurse Practitioner - Family Specialists in Chiloquin
Mailing Address
2074 S 6th St
Klamath Falls, OR 976013372
Phone: 5418802011