Medicare Enrolled

Dr. Nicole Melet, P.A.

Surgical Physician Assistant · San Francisco, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
3838 CALIFORNIA ST RM 610, San Francisco, CA 94118
4153878007
In practice since 2006 (19 years)
NPI: 1477657971 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Melet from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Melet? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Melet

Dr. Nicole Melet is a surgical physician assistant in San Francisco, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Melet performed 1,450 Medicare services across 703 unique beneficiaries.

Between the years covered by Open Payments, Dr. Melet received a total of $14,432 from 28 pharmaceutical and/or device companies across 626 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in surgical physician assistant. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Melet is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 19 years in practice ▲ Top 14% volume in CA $14,432 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,450
Medicare services
Top 14% in CA for surgical physician assistant
703
Unique beneficiaries
$37
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~76 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Destruction of precancerous skin growths, 2-14
This procedure involves the removal or destruction of two to fourteen precancerous skin lesions. It is performed to eliminate abnormal skin cells that have the potential to develop into cancer.
636 $6 $15
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
220 $66 $165
Destruction of precancerous skin growth, 1
Removal of a single precancerous skin growth. This procedure destroys abnormal skin cells to prevent them from developing into cancer.
170 $42 $130
Destruction of skin growths (warts/lesions), 1-14
This procedure involves the removal or destruction of one to fourteen skin growths. It is a minor surgical intervention performed on the skin surface.
102 $94 $225
Steroid injection (triamcinolone)
A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered.
73 $1 $3
Skin biopsy, tangential
A procedure to remove a sample of the first identified skin growth for laboratory examination.
59 $72 $210
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
52 $89 $235
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
46 $67 $205
Office visit, established patient (10-19 min)
An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition.
30 $45 $105
Additional skin growth biopsy
Removal of a sample of an additional skin growth for laboratory examination. This code is used for each extra lesion biopsied during the same session.
17 $44 $105
Injection into skin growths, 1-7
A procedure involving the injection of medication into one to seven skin growths.
16 $33 $110
Destruction of 15 or more precancerous skin growths
This procedure involves the removal or destruction of fifteen or more precancerous skin lesions. It is performed to treat abnormal skin cells that have the potential to develop into cancer.
15 $144 $325
New patient office visit (45-59 min)
An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter.
14 $107 $300
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2024 ↗
$14,432
Total received (2021-2024)
Avg $3,608/year across 4 years
Top 1% in CA for surgical physician assistant
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
28
Companies
626
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$14,432 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$5,749
2023
$4,135
2022
$2,827
2021
$1,721

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$1,264
GENZYME CORPORATION
$732
LEO Pharma Inc.
$711
Janssen Biotech, Inc.
$692
Lilly USA, LLC
$518
SUN PHARMACEUTICAL INDUSTRIES INC.
$260
Regeneron Healthcare Solutions, Inc.
$237
E.R. Squibb & Sons, L.L.C.
$218
UCB, Inc.
$159
Incyte Corporation
$157
Novartis Pharmaceuticals Corporation
$141
Janssen Scientific Affairs, LLC
$133
Arcutis Biotherapeutics, Inc.
$120
Galderma Laboratories, L.P.
$119
Dermavant Sciences, Inc.
$105
PFIZER INC.
$49
Amgen Inc.
$41
Biofrontera Inc.
$40
Boehringer Ingelheim Pharmaceuticals, Inc.
$30
Ortho Dermatologics, a division of Bausch Health US, LLC
$24
Top 3 companies account for 47.1% of 2024 payments
All-time payments by company (2021-2024) ›
Janssen Biotech, Inc.
$2,819
ABBVIE INC.
$2,585
LEO Pharma Inc.
$2,005
Lilly USA, LLC
$1,283
GENZYME CORPORATION
$1,027
PFIZER INC.
$539
SUN PHARMACEUTICAL INDUSTRIES INC.
$508
Regeneron Healthcare Solutions, Inc.
$414
Amgen Inc.
$379
Incyte Corporation
$360
E.R. Squibb & Sons, L.L.C.
$350
Novartis Pharmaceuticals Corporation
$319
AbbVie Inc.
$300
UCB, Inc.
$281
Sun Pharmaceutical Industries Inc.
$191
Dermavant Sciences, Inc.
$189
Galderma Laboratories, L.P.
$178
Janssen Scientific Affairs, LLC
$153
Arcutis Biotherapeutics, Inc.
$120
Helsinn Therapeutics (U.S.), Inc.
$87
Biofrontera Inc.
$69
Ortho Dermatologics, a division of Bausch Health US, LLC
$64
STRATA Skin Sciences, Inc.
$58
MAYNE PHARMA INC.
$44
Merz North America, Inc.
$34
Boehringer Ingelheim Pharmaceuticals, Inc.
$30
Allergan, Inc.
$27
VYNE Pharmaceuticals Inc.
$19
Top 3 companies account for 51.3% of all-time payments
Associated products mentioned in payments ›
ADBRY · AKLIEF · AMELUZ · BLU-U · BOTOX · Bimzelx · CIBINQO · COSENTYX · Cabtreo · Cimzia · DUOBRII · DUPIXENT · ENSTILAR · EPSOLAY · EUCRISA · FINACEA · HUMIRA · ILUMYA · Ilumya · LITFULO · OLUMIANT · OPZELURA · Otezla · REMICADE · RINVOQ · SKYRIZI · SPEVIGO · Sotyktu · TALTZ · TREMFYA · TWYNEO · VALCHLOR · VTAMA · Winlevi · XOLAIR · XTRAC · ZILXI · Zoryve
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 1% for surgical physician assistant in CA.

Looking for a surgical physician assistant in San Francisco?
Compare surgical physician assistants in the San Francisco area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Surgical physician assistants within 10 mi
120
Per 100K population
14.3
County median income
$141,446
Nearest hospital
CALIFORNIA PACIFIC MEDICAL CTR-DAVIES CAMPUS HOSP
1.2 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Melet is a clinical cardiology specialist, with above-average Medicare volume (top 14% in CA), with low-engagement industry engagement in the top 1% of CA peers, with 19 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Melet experienced with destruction of precancerous skin growths, 2-14?
Based on Medicare claims data, Dr. Melet performed 636 destruction of precancerous skin growths, 2-14 services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Melet receive payments from pharmaceutical companies?
Yes. Dr. Melet received a total of $14,432 from 28 companies across 626 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Melet's costs compare to other surgical physician assistants in San Francisco?
Dr. Melet's average Medicare payment per service is $37. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Melet) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →