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DR. ALAN M MERMELSTEIN MD
NPI 1073520458
Internal Medicine - Gastroenterology in Phila, PA

Active since August 01, 2006PECOS EnrolledAccepts Medicare Assignment
27.3/100
CMS Quality Rating
7439 FRANKFORD AVE, PHILA, PA 19136(215) 333-1377(215) 333-1399 Get Directions Write a Review

NPPES record last updated: September 14, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Alan M Mermelstein Md NPPES

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

DR. ALAN M MERMELSTEIN MD (NPI 1073520458) is an individual gastroenterology provider in Phila, Pennsylvania, licensed in Pennsylvania (MD033183E) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Nazareth Hospital, and is a graduate of Temple University School Of Medicine (1983).

NPPES Registry Identity

NPI1073520458
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. ALAN M MERMELSTEINCredential: MD
Location Address7439 FRANKFORD AVEPhila, PA 19136
Mailing Address7439 Frankford AvePhila, PA 19136 · (215) 333-1377 · Fax (215) 333-1399
Phone(215) 333-1377
Fax(215) 333-1399
Sole ProprietorYes
Medical School CMSTemple University School Of MedicineGraduated 1983
Enumeration DateAugust 1, 2006
Last NPPES UpdateSeptember 14, 2010
✔ NPI 1073520458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in PA · MD033183E
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
7439 FRANKFORD AVE, Phila, PA 19136
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINB36990PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Dr. Alan M Mermelstein 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 ID7719171172
PECOS Enrollment IDI20101029000223
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
659 services226 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
154 services140 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.
76 services59 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
64 services62 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
48 services47 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
43 services27 patients

Hospital Affiliations CMS Care Compare

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

Nazareth Hospital

Acute Care Hospitals · Philadelphia, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390204
Location2601 Holme AvePhiladelphia, PA 19152 · Philadelphia County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19136 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
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.

27.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost91

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%301 patients5/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
98%43 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
96%253 patients4/55-star benchmark: 99%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%249 patients5/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 100% · 48 patients
100%48 patients
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
64%253 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 12

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

MAYFAIR PROFESSIONAL OFFICE, PC
General Practice
7439 FRANKFORD AVE
PHILADELPHIA, PA 19136
Philadelphia County (215) 333-9484
WE KARE INC
Community Based Residential Treatment Facility, Mental Illness
7439 FRANKFORD AVE, FLOOR 1
PHILADELPHIA, PA 19136
Philadelphia County (888) 534-4768
CHARYL OVALLE M.D.
Family Medicine
7439 FRANKFORD AVE
PHILADELPHIA, PA 19136
Philadelphia County (215) 333-9484
GREATER NORTHEAST GASTROENTEROLOGY ASSOCIATES PC
Internal Medicine (Gastroenterology)
7439 FRANKFORD AVE
PHILADELPHIA, PA 19136
Philadelphia County (215) 333-1377
NEAL IRA MERMELSTEIN DO
General Practice
7439 FRANKFORD AVE
PHILADELPHIA, PA 19136
Philadelphia County (215) 333-9484
FRANKFORD HEALTH ASSOCIATES LLC
Family Medicine (Obesity Medicine)
7439 FRANKFORD AVE
PHILADELPHIA, PA 19136
Philadelphia County (215) 821-7336
HASEEBUDDIN MOHAMMED AHMED M.D
Family Medicine
7439 FRANKFORD AVE
PHILADELPHIA, PA 19136
Philadelphia County (215) 333-2600
DR. MICHAEL KENNY D.C.
Chiropractor
7439 FRANKFORD AVE, SUITE B1
PHILADELPHIA, PA 19136
Philadelphia County (215) 332-4770

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 Alan Mermelstein's NPI number?

The NPI number for Alan Mermelstein is 1073520458. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Alan Mermelstein located?

Alan Mermelstein practices at 7439 Frankford Ave, Phila, PA 19136. The listed phone number is (215) 333-1377.

What is Alan Mermelstein's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Alan Mermelstein enrolled in Medicare?

Yes. Alan Mermelstein 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 Alan Mermelstein accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Alan Mermelstein 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 Alan Mermelstein affiliated with any hospitals?

According to CMS data, Alan Mermelstein is affiliated with Nazareth Hospital.

When was this NPI record last updated?

The NPPES record for Alan Mermelstein was last updated on September 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.