KEVIN H MERKLEY M.D.
NPI 1043256811
Ophthalmology in Galveston, TX

Q: What is Kevin Merkley's NPI number?

The NPI number for Kevin Merkley is 1043256811. It was assigned to this individual provider in the NPPES registry on June 21, 2006.

Q: What is Kevin Merkley's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kevin Merkley was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.

Active since June 21, 2006PECOS EnrolledAccepts Medicare Assignment

74.96/100

CMS Quality Rating

700 UNIVERSITY BLVD, GALVESTON, TX 77555(409) 747-5400(409) 747-5402 Get Directions Write a Review

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

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About Kevin H Merkley M.d. NPPES

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

KEVIN H MERKLEY M.D. (NPI 1043256811) is an individual ophthalmology provider in Galveston, Texas, licensed in Utah (186738-1205) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Texas Medical Branch Galveston, and is a graduate of University Of Utah School Of Medicine (1987).

NPPES Registry Identity

NPI1043256811

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameKEVIN H MERKLEYCredential: M.D.

Location Address700 UNIVERSITY BLVDGalveston, TX 77555-1106

Mailing Address301 University BlvdGalveston, TX 77555-1106 · (409) 747-5400 · Fax (409) 747-5402

Phone(409) 747-5400

Fax(409) 747-5402

Sole ProprietorNo

Medical School CMSUniversity Of Utah School Of MedicineGraduated 1987

Enumeration DateJune 21, 2006

Last NPPES UpdateJune 16, 2026

NPPES CertifiedJune 16, 2026

✔ NPI 1043256811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in UT · 186738-1205

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.

Also ListedOphthalmology · Uveitis and Ocular Inflammatory DiseaseTaxonomy 207WX0108X · License N8222 (TX)

Also ListedOphthalmology · Cornea and External Diseases SpecialistTaxonomy 207WX0120X · License N8222 (TX)

700 UNIVERSITY BLVD, Galveston, TX 77555

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Kevin H Merkley M.d. 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 ID2961430897

PECOS Enrollment IDI20120413000501

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 4

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 office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

43 services39 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

31 services29 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

16 services16 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

13 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Texas Medical Branch Galveston

Acute Care Hospitals · Galveston, TX

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number450018

Location301 University BoulevardGalveston, TX 77555 · Galveston County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77555 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

$131.16 typical visit price

range $57.19 – $173.07

Typical copayment $32.79 (range $14.29 – $43.26)

Most-billed visit code 99204

Established Patient

$71.32 typical visit price

range $18.45 – $141.36

Typical copayment $17.83 (range $4.61 – $35.34)

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.

74.96/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

73.77

Promoting Interoperability

Improvement Activities

Cost

47.75

Other Providers at the Same Location NPPES 4

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

DR. HAROLD SCOTT PINE MD

Otolaryngology (Pediatric Otolaryngology)

700 UNIVERSITY BLVD
GALVESTON, TX 77555

Galveston County (281) 338-0829

TAYLOR ELDORA MITCHELL PA-C

Physician Assistant

700 UNIVERSITY BLVD
GALVESTON, TX 77555

Galveston County (281) 338-0829

YUSIF HAJIYEV MD

Otolaryngology (Pediatric Otolaryngology)

700 UNIVERSITY BLVD
GALVESTON, TX 77555

Galveston County (281) 557-0829

DR. SORIN GHEORGHE BECA MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

700 UNIVERSITY BLVD, STARK DIABETES CENTER
GALVESTON, TX 77555

Galveston County (409) 747-5800

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 Kevin Merkley's NPI number?

The NPI number for Kevin Merkley is 1043256811. It was assigned to this individual provider in the NPPES registry on June 21, 2006.

Where is Kevin Merkley located?

Kevin Merkley practices at 700 University Blvd, Galveston, TX 77555. The listed phone number is (409) 747-5400.

What is Kevin Merkley's specialty?

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

Is Kevin Merkley enrolled in Medicare?

Yes. Kevin Merkley 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 Kevin Merkley accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Kevin Merkley 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.

Is Kevin Merkley affiliated with any hospitals?

According to CMS data, Kevin Merkley is affiliated with University Of Texas Medical Branch Galveston.

When was this NPI record last updated?

The NPPES record for Kevin Merkley was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.