Quick answers
- Does Melanie L. Spano accept Medicare assignment?
- Yes. Medicare's clinician data says Melanie L. Spano accepts Medicare assignment (the Medicare-approved amount as full payment for covered services), as of October 2, 2026. Ask the office to confirm before your visit.
- How many Medicare patients does Melanie L. Spano see?
- In 2024, CMS data shows 70 Original Medicare patients and 204 services for Melanie L. Spano. This counts Original Medicare only and measures volume, not quality.
- What is Melanie L. Spano's NPI number?
- 1861949364. The NPI (National Provider Identifier) is the clinician's permanent federal ID; you can look it up in the official NPI Registry.
Medicare activity in 2024
Official CMS public-use data for Melanie L. Spano, data year 2024 (released May 21, 2026). It covers Original Medicare (fee-for-service) patients only, not Medicare Advantage or other insurance. It shows volume, not quality or outcomes. CMS hides any count of 10 or fewer patients.
| Original Medicare patients | 70 |
|---|---|
| Services billed to Medicare | 204 |
| Different services or procedures | 26 |
| Participating Medicare provider | Yes |
| Average age of these patients | 75 |
Most frequent services
- Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)30 services
- Removal of uterus, tubes, and/or ovaries through abdomen using an endoscope, 250.0 g or less (58571)21 services
- Biopsy and removal of lymph nodes of abdominal cavity using an endoscope (38570)13 services
Chronic conditions among these patients
Share of this clinician’s Original Medicare patients with each condition, as published by CMS (it describes the patients, not the care given).
- High cholesterol70%
- Cancer (breast, colorectal, lung, prostate, endometrial or leukemia/lymphoma)70%
- High blood pressure54%
- Arthritis44%
- Diabetes26%
- Anxiety23%
Hospitals where Melanie L. Spano works
Medicare's Facility Affiliation Data lists Melanie L. Spano at these hospitals (updated October 2, 2026). Each hospital page shows its address, phone, emergency services, Medicare rating and all its clinicians. Star rating and emergency services: Hospital General Information (CMS), data updated October 26, 2026.
- Scripps Memorial Hospital La JollaLa Jolla, CA · Acute Care Hospital · Medicare rating: 5 of 5 stars · Emergency services: listed by Medicare · CCN 050324
Practice locations
Addresses where Melanie L. Spano is enrolled with Medicare (CMS data updated October 2, 2026). The first 5 of 6; the Medicare profile lists all.
- 10666 N Torrey Pines RdLa Jolla, CA 92037 (858) 554‑9100
- 10666 N Torrey Pines Rd, 2nd Floor SW209La Jolla, CA 92037 (858) 554‑8122
- 4020 5th Ave, Suite 401San Diego, CA 92103 (619) 849‑4469
- 9888 Genesee AveLa Jolla, CA 92037 (858) 626‑4123
- 9896 Genesee AveLa Jolla, CA 92037 (858) 626‑4123
Group practices
Medicare enrollment lists Melanie L. Spano as a member of this group (CMS data updated October 2, 2026).
- Scripps Health1,433 clinicians in the group
Specialties
- Physician Assistantprimary
Other physician assistants in La Jolla
Clinicians with the same Medicare primary specialty in La Jolla, CA — not a recommendation.
Other clinicians in Scripps Health
Medicare enrollment lists these clinicians in the same group practice — not a recommendation.
Clinician information
| Credential | PA |
|---|---|
| School | State University Of New York At Stony Brook, School Of Medicine |
| Graduation year | 2016 |
| Gender (as listed) | Female |
| Medicare assignment | Accepts (Medicare-approved amount as full payment) |
| NPI (National Provider Identifier) | 1861949364 |
| Corrections | Report an error or suggest an update → |
Most corrections must be made at the source: clinicians update their NPI Registry record (NPPES) and their Medicare enrollment (PECOS); this page follows the next data release.
Sources
- Facility Affiliation Data — Centers for Medicare & Medicaid Services (CMS), data updated October 2, 2026, retrieved October 29, 2026
- Hospital General Information — CMS, data updated October 26, 2026, retrieved November 13, 2026
- National Downloadable File (Doctors and Clinicians) — CMS, data updated October 2, 2026, retrieved October 29, 2026
- Medicare Physician & Other Practitioners - by Provider — CMS, data year 2024, released May 21, 2026; Medicare Physician & Other Practitioners - by Provider and Service
- NPI Registry — U.S. Department of Health and Human Services (NPPES), the clinician’s official record
- Medicare Care Compare — official Medicare tool to look up clinicians