MICHAEL P MERCK MD
NPI 1033199328
Ophthalmology in Hutchison, MN

Active since January 20, 2006PECOS EnrolledAccepts Medicare Assignment
76.84/100
CMS Quality Rating
1455 MONTREAL ST SE, HUTCHISON, MN 55350(320) 587-6308(866) 203-6862 Get Directions Write a Review

NPPES record last updated: March 16, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael P Merck Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL P MERCK MD (NPI 1033199328) is an individual ophthalmology provider in Hutchison, Minnesota, licensed in Minnesota (33308) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Minnesota Medical School (1986).

NPPES Registry Identity

NPI1033199328
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameMICHAEL P MERCKCredential: MD
Location Address1455 MONTREAL ST SEHutchison, MN 55350-0699
Mailing AddressPo Box 699Hutchinson, MN 55350-0699 · (320) 587-6308 · Fax (866) 203-6862
Fax(866) 203-6862
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1986
Enumeration DateJanuary 20, 2006
Last NPPES UpdateMarch 16, 2016
NPI 1033199328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in MN · 33308
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1455 MONTREAL ST SE, Hutchison, MN 55350

Other Identifiers 3

Medicare UPINE57110MN
Medicaid279700300MN
Medicare PINC06935MN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Michael P Merck Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092616243
PECOS Enrollment IDI20040120000396
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
194 services183 patients
Ultrasound scan to determine eye length and lens power 76519
An ultrasound scan for the eye is a safe, non-invasive procedure. It uses sound waves to create images of your eye's structure. This helps determine the length of your eye and the power of your lens, which is crucial for diagnosing eye conditions and planning surgeries.
82 services44 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
60 services34 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
55 services41 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
48 services46 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
44 services44 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55350 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost22.82

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier12 claims12 services$50.77 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology
1455 MONTREAL ST SE
HUTCHINSON, MN 55350
Ophthalmology
1455 MONTREAL ST SE
HUTCHINSON, MN 55350
Non-Pharmacy Dispensing Site
1455 MONTREAL ST SE, HUTCHINSON
HUTCHINSON, MN 55350
Eyewear Supplier
1455 MONTREAL ST SE
HUTCHINSON, MN 55350
Clinic/Center (Ambulatory Surgical)
1455 MONTREAL ST SE
HUTCHINSON, MN 55350
Nurse Anesthetist, Certified Registered
1455 MONTREAL ST SE
HUTCHINSON, MN 55350
Optometrist
1455 MONTREAL ST SE
HUTCHISON, MN 55350

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Merck's NPI number?

The NPI number for Michael Merck is 1033199328. It was assigned to this individual provider in the NPPES registry on January 20, 2006.

Where is Michael Merck located?

Michael Merck practices at 1455 Montreal St SE, Hutchison, MN 55350. The listed phone number is (320) 587-6308.

What is Michael Merck's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Michael Merck enrolled in Medicare?

Yes. Michael Merck is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Michael Merck accept?

Health plans from HealthPartners list Michael Merck as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Merck was last updated on March 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.