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Dr. Ryan D. Melchior, DO, FACC

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Specializes in: Vascular Medicine (Blood Vessel Disease), Interventional Cardiology, Nuclear Cardiology and Adult Cardiology

Lake Erie College of Osteopathic Medicine (2010)

Professional interests include: angiogram (angiography), cardiac catheterization, echocardiogram (echo)

6120 Harbourside Center Loop
Midlothian, VA 23112

(804) 915-1400

Dr. Ryan D. Melchior, DO, FACC is a vascular medicine specialist specializing in vascular medicine (blood vessel disease), interventional cardiology, nuclear cardiology and adult cardiology. He graduated from Lake Erie College of Osteopathic Medicine in 2010 and has 14 years of experience. Dr. Ryan D. Melchior, DO, FACC is affiliated with Bon Secours, Memorial Regional Hospital, St. Mary's Hospital, HCA Virginia, CHIPPENHAM AND JOHNSTON-WILLIS HOSPITALS, INC, Henrico Doctors Hospital Retreat Doctors Hospital Parham Doctors Hospital Chippenham Hospital Johnston - Willis Hospital and VIRGINIA CARDIOVASCULAR SPECIALISTS.

Office Locations

Address:

6120 Harbourside Cent
VA 23112

Address:

6120 Harbourside Center Loop
Midlothian, VA 23112

Address:

8001 Franklin Farms Drive Room 130
Richmond, VA 23229

Address:

Midlothian, VA

Some issues Dr. Ryan D. Melchior, DO, FACC can help you with:

Angiogram (Angiography)

Angiography is the use of x-rays to examine blood vessels, especially in order to identify any blocked or misshapen vessels that may cause problems. The test itself is called an angiogram. Some of the disorders that angiograms can be used to diagnose include:

Blockages and narrowing
Weakened walls and bulging, called an aneurysm
Malformations and misshapen blood vessels
Kidney artery conditions
Aorta artery conditions
Vein problems, including deep vein thrombosis (DVT) and blood clots or embolisms

During an angiogram, the doctor inserts a very thin, flexible tube called a catheter into a blood vessel through an opening in the groin or arm. The catheter is threaded through the body to the site of the suspected problem, where a small amount of dye is injected into the bloodstream and x-rays are taken. The dye makes the surrounding blood vessels visible via x-ray.

If necessary, certain procedures can be performed after an angiogram while the catheter is in place. Angioplasty is the use of a catheter to widen narrowed or blocked arteries. Stents are like tiny coiled springs that hold blood vessels open, and they can be placed during a catheterization. Damaged heart valves can also be repaired or replaced.

A typical angiogram takes about an hour to perform, but it may be longer if the catheterization is used to perform procedures on the blood vessels. It may be uncomfortable at times but is usually not painful. Afterwards, patients may be monitored for up to six hours to make sure any bleeding from the insertion site has stopped. They are given fluids to help flush the dye from their body. For a day or two after an angiogram it is important for patients to drink plenty of fluids and keep strenuous activity to a minimum.

Cardiac Catheterization

Cardiac catheterization is a procedure done to check on the health of the heart. A tiny, flexible tube called a catheter is inserted into a blood vessel through a very small opening, usually in the groin, and threaded through the blood vessel up to the heart. Once the catheter is in place, it can diagnose problems in the heart and perform certain corrective procedures.

A coronary catheter can be used to:

Take blood samples
Inject dye for an angiogram
Check for valve defects
Measure oxygen and pressure levels within the heart chambers
Take a biopsy
Perform a percutaneous coronary intervention, or procedure to clear blocked arteries
Widen narrowed valve openings

Because all of this can be accomplished without the need for open surgery, cardiac catheterization has become a popular option.

angioplasty	32
cardiac procedures	225
catheterization	92
diagnostic procedures	20
doctor visit	85
hospital care	157
inpatient care	158
minimally invasive procedures	102
nuclear scan	27
stent placement (stenting)	28
stress testing	56
ultrasound (sonogram)	61
vascular procedures	23

**Gender**
Male	120
Female	119

**Ethnicity**
Non-Hispanic White	181
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	101
From 75 to 84	79
85 and over	32
Less than 65	27

Hypertension	75
High Cholesterol	75
Stroke	11
Ischemic Heart Disease	72
Depression	26
Chronic Kidney Disease	53
Asthma	12
Osteoperosis	0
Atrial Fibrilation	31
Heart Failure	44
Chronic Obstructive Pulmonary Disease	31
Diabetes	41
Dementia	15
Cancer	13

abdominal imaging	10
ambulatory monitoring	15
angioplasty	98
cardiac procedures	1126
cardioversion	13
catheterization	185
diagnostic procedures	40
doctor visit	422
hospital care	625
inpatient care	613
minimally invasive procedures	209
nuclear scan	219
outpatient care	12
pelvic imaging	10
stent placement (stenting)	48
stress testing	363
ultrasound (sonogram)	645
vascular procedures	245

**Gender**
Male	602
Female	599

**Ethnicity**
Non-Hispanic White	932
Black	231
Hispanic	0
Asian	0
Other	17
Native American	0

**Age**
From 65 to 74	504
From 75 to 84	405
85 and over	168
Less than 65	124

Hypertension	75
High Cholesterol	75
Stroke	10
Ischemic Heart Disease	73
Depression	25
Chronic Kidney Disease	51
Asthma	11
Osteoperosis	6
Atrial Fibrilation	33
Heart Failure	45
Chronic Obstructive Pulmonary Disease	27
Diabetes	47
Dementia	17
Cancer	13

abdominal imaging	24
angioplasty	78
cardiac procedures	1187
cardioversion	13
catheterization	137
diagnostic procedures	22
doctor visit	496
hospital care	605
inpatient care	583
minimally invasive procedures	168
nuclear scan	224
outpatient care	22
pelvic imaging	24
stent placement (stenting)	38
stress testing	433
ultrasound (sonogram)	737
vascular procedures	337

**Gender**
Male	682
Female	683

**Ethnicity**
Non-Hispanic White	1036
Black	268
Hispanic	16
Asian	19
Other	26
Native American	0

**Age**
From 65 to 74	556
From 75 to 84	519
85 and over	190
Less than 65	100

Hypertension	75
High Cholesterol	75
Stroke	14
Ischemic Heart Disease	73
Depression	28
Chronic Kidney Disease	53
Asthma	9
Osteoperosis	7
Atrial Fibrilation	32
Heart Failure	45
Chronic Obstructive Pulmonary Disease	29
Diabetes	47
Dementia	20
Cancer	13

abdominal imaging	10
angioplasty	52
cardiac procedures	881
catheterization	91
chronic care	117
diagnostic procedures	15
doctor visit	549
hospital care	371
inpatient care	357
minimally invasive procedures	107
nuclear scan	130
outpatient care	14
pelvic imaging	10
stent placement (stenting)	25
stress testing	245
ultrasound (sonogram)	623
vascular procedures	269

**Gender**
Male	774
Female	823

**Ethnicity**
Non-Hispanic White	1251
Black	292
Hispanic	15
Asian	12
Other	27
Native American	0

**Age**
From 65 to 74	684
From 75 to 84	531
85 and over	250
Less than 65	132

Hypertension	75
High Cholesterol	75
Stroke	12
Ischemic Heart Disease	68
Depression	26
Chronic Kidney Disease	51
Asthma	10
Osteoperosis	7
Atrial Fibrilation	30
Heart Failure	42
Chronic Obstructive Pulmonary Disease	24
Diabetes	43
Dementia	18
Cancer	14

abdominal imaging	13
angioplasty	74
cardiac procedures	1414
cardioversion	12
catheterization	149
chronic care	339
diagnostic procedures	40
doctor visit	1412
emergency care	10
hospital care	564
inpatient care	548
minimally invasive procedures	180
nuclear scan	173
outpatient care	16
pelvic imaging	13
stent placement (stenting)	36
stress testing	448
ultrasound (sonogram)	1153
vascular procedures	645

Average Medicare Procedure Volume From 2017 - 2021

Volume of procedures performed by Dr. Ryan D. Melchior, DO, FACC for Medicare patients.

The highest averages for the top procedures that Dr. Ryan D. Melchior, DO, FACC treated as a vascular medicine specialist were cardiac procedures, ultrasound (sonogram), hospital care and inpatient care.

abdominal imaging	14
ambulatory monitoring	15
angioplasty	66
cardiac procedures	968
cardioversion	12
catheterization	131
chronic care	228
diagnostic procedures	27
doctor visit	594
emergency care	10
hospital care	464
inpatient care	451
minimally invasive procedures	154
nuclear scan	154
outpatient care	16
pelvic imaging	14
stent placement (stenting)	35
stress testing	309
ultrasound (sonogram)	645
vascular procedures	306

Average Medicare Patient Data From 2017 - 2021

Information about Medicare patients treated by Dr. Ryan D. Melchior, DO, FACC.

**Gender**
Male	217
Female	222

**Ethnicity**
Black / African American	79
Asian / Pacific Islander	3
Non-Hispanic White	340
Native American / Alaskan Native	0
Hispanic	3
Other	7

**Age**
75 to 84	153
85 and over	64
Less than 65	38
65 to 74	184

Average of Total of Conditions of Medicare patients treated by Dr. Ryan D. Melchior, DO, FACC From 2017 - 2021

The highest averages of the most common conditions of Medicare patients that Dr. Ryan D. Melchior, DO, FACC treated were high cholesterol, hypertension, ischemic heart disease and chronic kidney disease.

Hypertension	30
High Cholesterol	30
Stroke	4
Ischemic Heart Disease	28
Depression	10
Chronic Kidney Disease	20
Asthma	4
Osteoporosis	2
Heart Failure	17
Chronic Obstructive Pulmonary Disease	11
Diabetes	17
Atrial Fibrillation	12
Cancer	5
Dementia	7

Education & Training

Dr. Ryan D. Melchior, DO, FACC graduated from Lake Erie College of Osteopathic Medicine in 2010. He completed residency at Virginia Commonwealth University (VCU) Affiliated Hospitals. He is certified by the American Board of Internal Medicine (Internal Medicine, Interventional Cardiology) American Board of Internal Medicine (Internal Medicine, Cardiovascular Disease) and has a state license in Virginia.

Medical School: Lake Erie College of Osteopathic Medicine (2010)

Residency: Virginia Commonwealth University (VCU) Affiliated Hospitals (2013)

Board Certification: American Board of Internal Medicine (Internal Medicine, Interventional Cardiology) American Board of Internal Medicine (Internal Medicine, Cardiovascular Disease)

Licensed In: Virginia

Affiliations & Hospitals

Dr. Ryan D. Melchior, DO, FACC is associated with these hospitals and organizations:

Bon Secours

Memorial Regional Hospital

St. Mary's Hospital

HCA Virginia

CHIPPENHAM AND JOHNSTON-WILLIS HOSPITALS, INC

Henrico Doctors Hospital Retreat Doctors Hospital Parham Doctors Hospital Chippenham Hospital Johnston - Willis Hospital

VIRGINIA CARDIOVASCULAR SPECIALISTS

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General Payments

These charts describe general payments received by Dr. Ryan D. Melchior, DO, FACC. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Penumbra, Inc.	$25,069 Indigo $18,802	Indigo System $5,117	Penumbra Ruby Coil $1,118	Penumbra System $17	Ruby Coil $16
AngioDynamics, Inc.	$2,708 Auryon Laser System 100-120 Vac $2,708
ABIOMED	$1,485 Impella $1,485
Boston Scientific Corporation	$998 TACHY GENERATOR $162	ELUVIA $145	SYNERGY $117	Rotablator $115	STENTS $100	Other $361
AstraZeneca Pharmaceuticals LP	$892 BRILINTA $556	FARXIGA $167	$168
Other	$7,603 Repatha $776	XARELTO $761	ENTRESTO $605	Coronary Orbital Atherectomy System $379	HawkOne $328	Other $4,755

**Types of Payments**
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	$19,200
Food and Beverage	$12,151
Long term medical supply or device loan	$2,708
Consulting Fee	$2,530
Travel and Lodging	$2,098
Other	$68

Biography

Dr. Ryan Melchior practices adult cardiology, interventional cardiology, and nuclear cardiology. Dr. Melchior's clinical interests include echocardiogram (echo), angiogram (angiography), and cardiac catheterization. He is professionally affiliated with HCA Virginia. He graduated from Lake Erie College of Osteopathic Medicine.