Doctor profile · Federal record

Dr. Melissa Smallfield, MD

Advanced Heart Failure and Transplant Cardiology Physician (CMS: Advanced Heart Failure and Transplant Cardiology) · Cardiovascular Disease Physician · Cardiovascular Disease Physician · Richmond, VA

  • NPI 1043394240
  • Accepts Medicare
  • MIPS 76.2 / 100 · 2023
  • 23 yrs in practice
  • Licensed in 2 states
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
1250 E Marshall Street
Richmond, VA 232980510
(804) 828-7626
fax (804) 828-7710
Mailing address
Po Box 91734
Richmond, VA 232980510

Credentials & registration

NPPES · NUCC
NPI registered
October 2006 — 20 yrs on file
Profile last updated
December 30, 2022
Year of graduation
2003 — 23 yrs since
Specialty taxonomy
207RA0001X — NUCC code
State licenses (2)
Virginia #0101252497 · Alabama #00026430

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1043394240. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
905
Distinct HCPCS
10
Medicare allowed
$68,346
HCPCS Description Services Patients Avg allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 195 49 $116
93793 Anticoagulant management of patient taking warfarin 193 36 $11
93750 Evaluation of lower heart chamber assist device 135 26 $39
99214 Established patient office or other outpatient visit, 30-39 minutes 109 66 $112
99214 Established patient office or other outpatient visit, 30-39 minutes 102 70 $94
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 61 29 $77
93750 Evaluation of lower heart chamber assist device 36 20 $44
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 24 21 $169
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 20 20 $127
99239 Hospital discharge day management, more than 30 minutes 18 18 $112

In context: peer comparison

Among 3 peers in Richmond Advanced Heart Failure and Transplant Cardiology Physician, average services per provider: 77. This provider delivers 12× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$325
Transactions
5
Manufacturers
4
Payer (manufacturer) Industry Txns Amount
Abbott Laboratories 2 $143.73
Abiomed 1 $126.79
AstraZeneca Pharmaceuticals Lp 1 $29.80
CVRx, INC. 1 $24.84

By nature of payment

Food and Beverage
$325

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
1,349
Patients
459
Total drug cost
$445,655
Drug Type Claims Patients Total cost
Entresto (Sacubitril/Valsartan) Brand 254 62 $277,749
Atorvastatin Calcium Generic 122 40 $1,665
Jardiance (Empagliflozin) Brand 122 32 $135,322
Spironolactone Generic 104 38 $1,024
Metoprolol Succinate Generic 86 25 $1,358
Torsemide Generic 85 36 $3,267
Furosemide Generic 84 31 $448
Carvedilol Generic 82 31 $945
Losartan Potassium Generic 82 39 $1,160
Amlodipine Besylate Generic 68 29 $743

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Melissa Smallfield's medical specialty?
Dr. Melissa Smallfield practices Advanced Heart Failure and Transplant Cardiology Physician in Richmond, VA.
Where does Dr. Melissa Smallfield practice?
Dr. Melissa Smallfield practices at 1250 E Marshall Street, Richmond, VA 232980510. Office phone: 8048287626.
What is Dr. Melissa Smallfield's NPI?
Dr. Melissa Smallfield's National Provider Identifier (NPI) is 1043394240, issued by NPPES.
Does Dr. Melissa Smallfield accept Medicare assignment?
Yes. Dr. Melissa Smallfield accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Melissa Smallfield commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233); Anticoagulant management of patient taking warfarin (HCPCS 93793); Evaluation of lower heart chamber assist device (HCPCS 93750). Source: CMS Medicare Physician & Other Practitioners file.