Lance Michael Melin , PA-C
Physician Assistant โข Spokane, WA
2020 E 29th Ave Lowr Level
Spokane, WA 992033917
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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NPI assigned on September 7, 2017; this date does not establish years in practice.
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Published CMS data list 17 Original Medicare Part B services in 2023.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2023. Published rows only; this is not a quality measure.
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Published Part B service records, 2023:
- 83036 โ Hemoglobin a1c level: 17 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2023. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2022 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2023). CPT notice
See the full table ยท Guide: How to read Medicare Part B data
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Published CMS data list 1,998 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Duloxetine Hcl โ 119 prescription fills, including refills.
- Irbesartan โ 97 prescription fills, including refills.
- Omeprazole โ 95 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 68 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Part D prescriptions than 80% of clinicians listed under Physician Assistant in Spokane, WA (2024, 187 clinicians with data). Median for this group: 280. Middle half: 115 to 1,102.
More Part D prescriptions than 85% of clinicians listed under Physician Assistant in Washington (2024, 2,001 clinicians with data). Median for this group: 244. Middle half: 75 to 797.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 17 in 2020 to 17 in 2023.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2023.
Practice Location & Contact Primary Location
2020 E 29th Ave Lowr Level
Spokane, WA 992033917
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 2 distinct additional practice-address records in Cheney, WA; Seattle, WA. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Providence Health And Services Washington. 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
2018
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $162 in 2023
The total amount Medicare approved for these services in 2023. 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 โ by Provider and Service, 2023.
Paid by Medicare
About $162 in 2023
The part of the Medicare-allowed amount that Medicare itself paid in 2023, 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 โ by Provider and Service, 2023.
30-day fills
2,963 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
$241,905 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 โ by Provider and Drug, 2024.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2021โ2025.
Years since graduation
8 years (graduated 2018)
CMS Doctors and Clinicians data list 2018 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
2017
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, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Lance Melin 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 Lance Melin 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 Spokane and Washington
Billing and prescribing volume is not a quality rating.
Medicare Part D prescriptions
More Part D prescriptions than 80% of clinicians listed under Physician Assistant in Spokane, WA (2024, 187 clinicians with data). Median for this group: 280. Middle half: 115 to 1,102.
More Part D prescriptions than 85% of clinicians listed under Physician Assistant in Washington (2024, 2,001 clinicians with data). Median for this group: 244. Middle half: 75 to 797.
Part D drug cost
A higher Part D drug cost than 80% of clinicians listed under Physician Assistant in Spokane, WA (2024, 187 clinicians with data). Median for this group: $6,032. Middle half: $1,197 to $122,373.
A higher Part D drug cost than 90% of clinicians listed under Physician Assistant in Washington (2024, 2,001 clinicians with data). Median for this group: $4,328. Middle half: $751 to $64,764.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Lance Melin are from 2023.
315 active clinicians are listed under Physician Assistant with a practice address in Spokane, WA (3,718 in Washington).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Spokane
14.3% of these 315 clinicians have the CMS telehealth indicator.
68.9% of these 315 clinicians are listed by CMS as accepting Medicare assignment.
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 went from 17 in 2020 to 17 in 2023.
- 2020: 17
- 2021: 38
- 2022: 12
- 2023: 17
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Medicare-allowed amount
Medicare-allowed amount went from $165 in 2020 to $162 in 2023.
- 2020: $165
- 2021: $242
- 2022: $115
- 2023: $162
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Paid by Medicare
Paid by Medicare went from $165 in 2020 to $162 in 2023.
- 2020: $165
- 2021: $242
- 2022: $115
- 2023: $162
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 46% from 1,366 in 2020 to 1,998 in 2024.
- 2020: 1,366
- 2021: 1,747
- 2022: 1,925
- 2023: 2,072
- 2024: 1,998
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30-day fills
30-day fills increased 30% from 2,277 in 2020 to 2,963 in 2024.
- 2020: 2,277
- 2021: 3,051
- 2022: 3,093
- 2023: 3,038
- 2024: 2,963
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Part D drug cost
Part D drug cost increased 146% from $98,289 in 2020 to $241,905 in 2024.
- 2020: $98,289
- 2021: $219,788
- 2022: $270,782
- 2023: $297,609
- 2024: $241,905
Sources: CMS Medicare Physician & Other Practitioners (2023), 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 ยท Report an error.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2019โ2022 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 โ by Provider and Service data, 2020โ2023; 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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83036
Hemoglobin a1c level
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17 | 13 | $58.82 | $9.52 |
Source: CMS Part B by Provider and Service, 2023; 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 |
|---|---|---|---|---|---|
| Duloxetine Hcl | Duloxetine Hcl | 119 | 4,274 | $2,400.67 | 19 |
| Irbesartan | Irbesartan | 97 | 6,536 | $2,875.41 | 30 |
| Omeprazole | Omeprazole | 95 | 4,831 | $1,329.00 | 28 |
| Atorvastatin Calcium | Atorvastatin Calcium | 83 | 5,015 | $716.73 | 26 |
| Bisoprolol Fumarate | Bisoprolol Fumarate | 60 | 2,670 | $1,253.60 | โ |
| Amlodipine Besylate | Amlodipine Besylate | 59 | 3,137 | $400.14 | 16 |
| Trazodone Hcl | Trazodone Hcl | 55 | 2,797 | $389.54 | 14 |
| Symbicort | Budesonide/Formoterol Fumarate | 54 | 1,908 | $14,117.46 | 16 |
| Levothyroxine Sodium | Levothyroxine Sodium | 51 | 2,619 | $525.55 | 14 |
| Pantoprazole Sodium | Pantoprazole Sodium | 51 | 2,388 | $273.28 | โ |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 49 | 874 | $1,132.03 | 15 |
| Gabapentin | Gabapentin | 45 | 1,430 | $889.81 | 11 |
| Methocarbamol | Methocarbamol | 45 | 1,582 | $786.88 | 17 |
| Metformin Hcl Er | Metformin Hcl | 45 | 1,955 | $434.26 | 13 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 42 | 3,628 | $974.79 | 18 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 36 | 1,160 | $222.95 | โ |
| Famotidine | Famotidine | 36 | 1,609 | $545.13 | 11 |
| Liothyronine Sodium | Liothyronine Sodium | 36 | 1,304 | $650.43 | โ |
| Olanzapine | Olanzapine | 33 | 924 | $509.53 | โ |
| Montelukast Sodium | Montelukast Sodium | 32 | 1,704 | $166.30 | โ |
| Potassium Chloride | Potassium Chloride | 32 | 1,047 | $177.70 | โ |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 30 | 818 | $645.09 | 11 |
| Dutasteride | Dutasteride | 29 | 1,504 | $626.93 | โ |
| Allopurinol | Allopurinol | 28 | 1,119 | $102.72 | โ |
| Fluticasone Propionate | Fluticasone Propionate | 28 | 1,103 | $347.79 | โ |
(top 25 shown)
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
Self-certified to NPPES: 2025-01-23NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20190410001748
WA
1153662648
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
Providence Health And Services Washington
2020 E 29th Ave, Spokane, WA 992033917
Phone: 5096269400
Providence Health And Services Washington
1200 E Columbia Ave, Colville, WA 991143354
Phone: 5096843701
Secondary Practice Locations
1720 2nd St
Cheney, WA 99004
Phone: 5094448200
4311 11th Ave Ne Ste 200
Seattle, WA 981056367
Phone: 2066164001
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Family Medicine
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Osteopathic Medicine (D.O.)
Family Medicine
Doctor of Osteopathic Medicine (D.O.)
Family Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 2020 E 29TH AVE LOWR LEVEL, SPOKANE, WA 992033917 (Tel: 5096269400)
Registered at PO BOX 421, LIBERTY LAKE, WA 990190421 (Tel: 8667472455)
Registered at 611 N IRON BRIDGE WAY, SPOKANE, WA 992024932 (Tel: 5094448888)
Registered at 1720 2ND ST, CHENEY, WA 99004 (Tel: 5094448200)
Registered at 203 N WASHINGTON ST STE 300, SPOKANE, WA 992010254 (Tel: 5094448888)
Recorded as LANCE MELIN, PA-C
Physician Assistant (license number reported to NPPES: WA PA60917554)
NPI status registered as active in NPPES database
Registered at 4311 11TH AVE NE STE 200, SEATTLE, WA 981056367 (Tel: (206) 616-4001)
Registered at 4311 11TH AVE NE STE 200, SEATTLE, WA 981056367 (Tel: 2066164001)
Recorded as LANCE MELIN, PA-S
Student in an Organized Health Care Education/Training Program
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Spokane
- Arthur Flores, PA-C
- Nathan Sim, PA-C
- Craig Robertson, PA-C
- Pamela Lancaster, PA
- Debra Stimpson, PA-C
- Linda Quinlan, PA-C
Mailing Address
Po Box 421
Liberty Lake, WA 990190421
Phone: 8667472455