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Dr. Spencer James Melby, MD

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Specializes in: Thoracic Surgery

University of Utah School of Medicine (2002)

Professional interests include: mitral regurgitation (leaky mitral valve), aorta surgery, Marfan syndrome, and more.

Orem, UT 84057

(801) 743-4750

Dr. Spencer James Melby, MD is a thoracic surgeon in Orem, UT specializing in thoracic surgery. He graduated from University of Utah School of Medicine in 2002 and has 24 years of experience. Dr. Spencer James Melby, MD is affiliated with Timpanogos Regional Hospital and MountainStar Healthcare.

Office Locations

700 West 800 North Suite 444
Orem, UT 84057

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Orem, UT 84057

1-800-NSU-ITE4

(801) 743-4765

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Some issues Dr. Spencer James Melby, MD can help you with:

Coronary Artery Disease

Coronary artery disease (CAD) is the most common type of heart disease. It happens when the blood vessels carrying blood to the heart, called coronary arteries, narrow and harden. This occurs when cholesterol, a type of fat found in the blood, builds up to form plaque, which sticks to the inner walls of the arteries. As plaque accumulates, less blood can flow through the arteries, which may lead to the following:

Angina, which is chest pain that occurs when the heart does not receive enough blood flow.
Heart attack, which happens if the arteries leading to the heart are completely blocked.
Arrhythmia, or irregular heartbeat, which can develop if the heart does not have enough blood supply.
Heart failure, which may occur if a heart attack damages the heart and it becomes too weak to pump enough blood to the rest of the body.

Certain factors may increase risk for the disease, like smoking, lack of exercise, being overweight, high cholesterol, high blood pressure, and diabetes. CAD tends to develop over decades, so it can go undetected until it has become quite severe. A diagnosis may be established using such tests as:

Electrocardiogram (ECG), which records the heart's electrical activity over a period of time. ECGs can detect whether there is enough blood flow to the heart or if a heart attack has occurred.
Echocardiogram (echo), which creates images of the heart using sound waves. Echos can show whether the heart is able to pump blood normally.
Stress tests, where an ECG or echo is combined with exercise, like riding a stationary bike or walking on a treadmill. This test is done to find out if the heart can function properly while performing a strenuous activity.

Treatments for the disease include medications such as vasodilators, like nitroglycerin, which dilates (widens) the coronary arteries. CAD may also be treated by a procedure called angioplasty with stent placement, where a balloon is inflated inside a diseased artery to flatten the plaque deposits against the artery walls, creating more room for blood to flow.

In some severe cases of the disease, multiple arteries may be blocked, and an open heart surgery called coronary artery bypass surgery may be necessary. This operation transplants a vessel from another part of the body to form a graft that goes past the narrowed arteries, thus enabling blood to flow around those arteries.

Heart Attack

A heart attack is a serious medical event that happens when the blood supplying oxygen to the heart is cut off, usually because of a blockage in an artery. This results in damage or death of part of the heart muscle. The heart can heal, but like any part of the body that was injured it leaves a scar. This scar tissue does not contract effectively, so the ability of the heart to pump is lowered after a heart attack.

A heart attack, sometimes called a myocardial infarction, can happen without warning. However there are certain factors that raise the risk of heart attack. Some of these are:

Age
Gender (most heart attack sufferers are male)
A family history of heart attacks
Smoking
Obesity
High cholesterol
High blood pressure
Diabetes
Unhealthy lifestyle choices (lack of exercise, poor diet, too much alcohol or stress)

Heart attacks typically feel like pain or pressure in the chest that can radiate out to the back, arm, or jaw. Some other symptoms can include fatigue or weakness, shortness of breath, sweating, and nausea.

Treatment aims to increase blood flow to the heart muscle by opening up blocked blood vessels. Medications are sometimes used to dissolve clots in the arteries. Aspirin and other medications such as Plavix can thin the blood and make clots less likely to form. Dilators can widen blood vessels to make room for more blood to flow. Doctors can also use a procedure called catheterization to look at the blood vessels around the heart directly, place stents, or widen vessels using angioplasty. In extreme cases bypass surgery can be used to help blood flow better. After recovery, it is important to lead a healthy lifestyle and take any prescribed medications in order to protect the heart.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Spencer James Melby, MD treated as a thoracic surgeon in Orem, UT during 2012 were hospital care, inpatient care, thoracic (chest) surgery procedures and open surgery.

Volume of procedures performed by Dr. Spencer James Melby, MD for Medicare patients.

bypass surgery	18
cardiac procedures	36
doctor visit	21
hospital care	44
inpatient care	44
open surgery	36
thoracic (chest) surgery procedures	36

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Spencer James Melby, MD treated as a thoracic surgeon in Orem, UT during 2013 were hospital care, inpatient care, cardiac procedures and thoracic (chest) surgery procedures.

Volume of procedures performed by Dr. Spencer James Melby, MD for Medicare patients.

bypass surgery	17
cardiac procedures	66
doctor visit	88
hospital care	149
inpatient care	149
minimally invasive procedures	16
open surgery	34
thoracic (chest) surgery procedures	34
vascular procedures	16

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Spencer James Melby, MD.

**Gender**
Male	108
Female	74

**Ethnicity**
Non-Hispanic White	153
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	57
From 75 to 84	40
85 and over	39
Less than 65	46

Conditions of Medicare patients treated by Dr. Spencer James Melby, MD in 2013

Hypertension	75
High Cholesterol	74
Stroke	12
Ischemic Heart Disease	75
Depression	32
Chronic Kidney Disease	62
Asthma	14
Osteoperosis	8
Atrial Fibrilation	27
Heart Failure	75
Chronic Obstructive Pulmonary Disease	49
Diabetes	47
Dementia	15
Cancer	12

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Spencer James Melby, MD treated as a thoracic surgeon in Orem, UT during 2014 were hospital care, inpatient care, cardiac procedures and thoracic (chest) surgery procedures.

Volume of procedures performed by Dr. Spencer James Melby, MD for Medicare patients.

bypass surgery	16
cardiac procedures	60
doctor visit	43
hospital care	82
inpatient care	82
minimally invasive procedures	14
open surgery	32
thoracic (chest) surgery procedures	32
vascular procedures	14

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Spencer James Melby, MD.

**Gender**
Male	91
Female	79

**Ethnicity**
Non-Hispanic White	141
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	53
From 75 to 84	32
85 and over	43
Less than 65	42

Conditions of Medicare patients treated by Dr. Spencer James Melby, MD in 2014

Hypertension	75
High Cholesterol	75
Stroke	16
Ischemic Heart Disease	75
Depression	36
Chronic Kidney Disease	63
Asthma	12
Osteoperosis	12
Atrial Fibrilation	35
Heart Failure	75
Chronic Obstructive Pulmonary Disease	41
Diabetes	44
Dementia	16
Cancer	12

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Spencer James Melby, MD treated as a thoracic surgeon in Orem, UT during 2015 were cardiac procedures, hospital care, inpatient care and thoracic (chest) surgery procedures.

Volume of procedures performed by Dr. Spencer James Melby, MD for Medicare patients.

bypass surgery	19
cardiac procedures	94
doctor visit	46
hospital care	72
inpatient care	72
minimally invasive procedures	28
open surgery	38
thoracic (chest) surgery procedures	38
vascular procedures	28

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Spencer James Melby, MD.

**Gender**
Male	158
Female	142

**Age**
From 65 to 74	0
From 75 to 84	122
85 and over	90
Less than 65	0

Conditions of Medicare patients treated by Dr. Spencer James Melby, MD in 2015

Hypertension	75
High Cholesterol	75
Stroke	14
Ischemic Heart Disease	75
Depression	33
Chronic Kidney Disease	67
Asthma	27
Osteoperosis	9
Atrial Fibrilation	60
Heart Failure	75
Chronic Obstructive Pulmonary Disease	53
Diabetes	43
Dementia	17
Cancer	17

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Spencer James Melby, MD treated as a thoracic surgeon in Orem, UT during 2016 were cardiac procedures, hospital care, inpatient care and minimally invasive procedures.

Volume of procedures performed by Dr. Spencer James Melby, MD for Medicare patients.

bypass surgery	12
cardiac procedures	138
doctor visit	110
hospital care	81
inpatient care	81
minimally invasive procedures	38
open surgery	24
thoracic (chest) surgery procedures	24
vascular procedures	38

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Spencer James Melby, MD.

**Gender**
Male	112
Female	95

**Ethnicity**
Non-Hispanic White	191
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	59
From 75 to 84	71
85 and over	64
Less than 65	13

Conditions of Medicare patients treated by Dr. Spencer James Melby, MD in 2016

Hypertension	75
High Cholesterol	75
Stroke	9
Ischemic Heart Disease	75
Depression	24
Chronic Kidney Disease	74
Asthma	41
Osteoperosis	10
Atrial Fibrilation	45
Heart Failure	75
Chronic Obstructive Pulmonary Disease	39
Diabetes	54
Dementia	18
Cancer	13

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Spencer James Melby, MD treated as a thoracic surgeon in Orem, UT during 2017 were cardiac procedures, minimally invasive procedures, vascular procedures and hospital care.

Volume of procedures performed by Dr. Spencer James Melby, MD for Medicare patients.

cardiac procedures	80
doctor visit	85
hospital care	20
inpatient care	20
minimally invasive procedures	24
vascular procedures	24

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Spencer James Melby, MD.

**Gender**
Male	87
Female	81

**Age**
From 65 to 74	0
From 75 to 84	63
85 and over	53
Less than 65	0

Conditions of Medicare patients treated by Dr. Spencer James Melby, MD in 2017

Hypertension	75
High Cholesterol	75
Stroke	8
Ischemic Heart Disease	75
Depression	20
Chronic Kidney Disease	57
Asthma	11
Osteoperosis	15
Atrial Fibrilation	48
Heart Failure	75
Chronic Obstructive Pulmonary Disease	38
Diabetes	41
Dementia	17
Cancer	14

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Spencer James Melby, MD treated as a thoracic surgeon in Orem, UT during 2018 were cardiac procedures, minimally invasive procedures, vascular procedures and hospital care.

Volume of procedures performed by Dr. Spencer James Melby, MD for Medicare patients.

cardiac procedures	138
doctor visit	24
hospital care	12
inpatient care	12
minimally invasive procedures	50
vascular procedures	34

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Spencer James Melby, MD.

**Gender**
Male	78
Female	60

**Age**
From 65 to 74	36
From 75 to 84	47
85 and over	44
Less than 65	11

Conditions of Medicare patients treated by Dr. Spencer James Melby, MD in 2018

Hypertension	75
High Cholesterol	75
Stroke	9
Ischemic Heart Disease	75
Depression	31
Chronic Kidney Disease	70
Asthma	13
Osteoperosis	10
Atrial Fibrilation	51
Heart Failure	75
Chronic Obstructive Pulmonary Disease	37
Diabetes	37
Dementia	23
Cancer	13

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Spencer James Melby, MD treated as a thoracic surgeon in Orem, UT during 2019 were cardiac procedures, minimally invasive procedures and vascular procedures.

Volume of procedures performed by Dr. Spencer James Melby, MD for Medicare patients.

cardiac procedures	96
minimally invasive procedures	48
vascular procedures	28

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Spencer James Melby, MD.

**Gender**
Male	44
Female	42

**Ethnicity**
Non-Hispanic White	73
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	28
From 75 to 84	34
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Spencer James Melby, MD in 2019

Hypertension	75
High Cholesterol	65
Stroke	0
Ischemic Heart Disease	73
Depression	26
Chronic Kidney Disease	58
Asthma	0
Osteoperosis	0
Atrial Fibrilation	40
Heart Failure	73
Chronic Obstructive Pulmonary Disease	29
Diabetes	30
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Spencer James Melby, MD treated as a thoracic surgeon in Orem, UT during 2020 were cardiac procedures, minimally invasive procedures and vascular procedures.

Volume of procedures performed by Dr. Spencer James Melby, MD for Medicare patients.

cardiac procedures	44
minimally invasive procedures	22
vascular procedures	22

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Spencer James Melby, MD.

**Gender**
Male	35
Female	25

**Age**
From 65 to 74	19
From 75 to 84	21
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Spencer James Melby, MD in 2020

Hypertension	75
High Cholesterol	70
Stroke	0
Ischemic Heart Disease	75
Depression	20
Chronic Kidney Disease	67
Asthma	0
Osteoperosis	0
Atrial Fibrilation	32
Heart Failure	75
Chronic Obstructive Pulmonary Disease	32
Diabetes	48
Dementia	18
Cancer	0

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Spencer James Melby, MD treated as a thoracic surgeon in Orem, UT during 2021 were cardiac procedures, minimally invasive procedures and vascular procedures.

Volume of procedures performed by Dr. Spencer James Melby, MD for Medicare patients.

cardiac procedures	50
doctor visit	17
minimally invasive procedures	25
vascular procedures	25

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Spencer James Melby, MD.

**Gender**
Male	52
Female	32

**Age**
From 65 to 74	34
From 75 to 84	28
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Spencer James Melby, MD in 2021

Hypertension	75
High Cholesterol	75
Stroke	0
Ischemic Heart Disease	75
Depression	27
Chronic Kidney Disease	69
Asthma	0
Osteoperosis	13
Atrial Fibrilation	43
Heart Failure	75
Chronic Obstructive Pulmonary Disease	35
Diabetes	46
Dementia	0
Cancer	15

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Spencer James Melby, MD treated as a thoracic surgeon in Orem, UT during 2022 were cardiac procedures, minimally invasive procedures and vascular procedures.

Volume of procedures performed by Dr. Spencer James Melby, MD for Medicare patients.

cardiac procedures	52
minimally invasive procedures	26
vascular procedures	26

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Spencer James Melby, MD.

**Gender**
Male	37
Female	38

**Age**
From 65 to 74	23
From 75 to 84	30
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Spencer James Melby, MD in 2022

Hypertension	75
High Cholesterol	75
Stroke	15
Ischemic Heart Disease	71
Depression	36
Chronic Kidney Disease	49
Asthma	0
Osteoperosis	16
Atrial Fibrilation	48
Heart Failure	72
Chronic Obstructive Pulmonary Disease	29
Diabetes	35
Dementia	0
Cancer	19

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Dr. Spencer James Melby, MD for Medicare patients.

The highest averages for the top procedures that Dr. Spencer James Melby, MD treated as a thoracic surgeon in Orem, UT were cardiac procedures, hospital care, inpatient care and thoracic (chest) surgery procedures.

bypass surgery	16
cardiac procedures	77
doctor visit	54
hospital care	65
inpatient care	65
minimally invasive procedures	29
open surgery	32
thoracic (chest) surgery procedures	32
vascular procedures	25

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Dr. Spencer James Melby, MD.

**Gender**
Male	72
Female	60

**Ethnicity**
Black / African American	0
Asian / Pacific Islander	0
Non-Hispanic White	50
Native American / Alaskan Native	0
Hispanic	0
Other	0

**Age**
75 to 84	44
85 and over	30
Less than 65	10
65 to 74	28

Average of Total of Conditions of Medicare patients treated by Dr. Spencer James Melby, MD From 2012 - 2022

The highest averages of the most common conditions of Medicare patients that Dr. Spencer James Melby, MD treated were heart failure, hypertension, ischemic heart disease and high cholesterol.

Hypertension	68
High Cholesterol	66
Stroke	7
Ischemic Heart Disease	67
Depression	25
Chronic Kidney Disease	57
Asthma	10
Osteoporosis	8
Heart Failure	67
Chronic Obstructive Pulmonary Disease	34
Diabetes	38
Atrial Fibrillation	39
Cancer	10
Dementia	11

Education & Training

Dr. Spencer James Melby, MD graduated from University of Utah School of Medicine in 2002. He completed residency at Barnes-Jewish Hospital. He has a state license in Missouri.

Medical School: University of Utah School of Medicine (2002)

Residency: Barnes-Jewish Hospital (2009)

Licensed In: Missouri

Affiliations & Hospitals

Dr. Spencer James Melby, MD is associated with these hospitals and organizations:

Timpanogos Regional Hospital

MountainStar Healthcare

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General Payments

These charts describe general payments received by Dr. Spencer James Melby, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
ClearFlow Inc.	$19,886 PleuraFlow $15,135	Pleuraflow System with FlowGlide $4,751
ClearFlow, Inc.	$12,118 PleuraFlow $12,118
Edwards Lifesciences Corporation	$4,103 Edwards SAPIEN 3 Ultra Transcatheter Heart Valve $444	Edwards SAPIEN 3 Transcatheter Heart Valve $404	INSPIRIS RESILIA aortic valve $338	Heart Valve Repair $293	Pericardial Heart Valves $172	Other $2,451
Medtronic Vascular, Inc.	$3,983 Heart Valves $2,616	CG Future $494	CoreValve Evolut $321	Simulus $147	Mosaic $105	Other $300
Stryker Corporation	$3,718 New Product Development $1,468	Custom Cranial Implant $1,000	None $750	MAXFACE $500
Other	$10,217 VASOVIEW $1,576	HEART VALVE $1,384	Perceval $1,348	On-X $1,207	Epic Stented Tissue Valve $1,098	Other $3,603

**Types of Payments**
Honoraria	$15,000
Consulting Fee	$12,152
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	$11,201
Food and Beverage	$8,327
Travel and Lodging	$6,514
Other	$832

Research Payments

Dr. Spencer James Melby, MD has received 58 research payments totaling $468,941.

Biography

Dr. Spencer Melby's specialty is thoracic surgery. Clinical interests for Dr. Melby include transcatheter aortic valve replacement (TAVR), heart bypass surgery (CABG), and heart attack. After completing medical school at the University of Utah School of Medicine, he performed his residency at Barnes-Jewish Hospital. He speaks Spanish. He is affiliated with Timpanogos Regional Hospital.