DR. ANDREW PAUL MERKEL DPM
NPI 1093192064
Podiatrist - Foot & Ankle Surgery in Penfield, NY

Active since April 29, 2015PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
500 W WHITNEY ROAD, PENFIELD, NY 14526(585) 586-6100(585) 586-6165 Get Directions Write a Review

NPPES record last updated: August 8, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Andrew Paul Merkel Dpm NPPES

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

DR. ANDREW PAUL MERKEL DPM (NPI 1093192064) is an individual foot & ankle surgery provider in Penfield, New York, licensed in New York (0006953) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1093192064
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. ANDREW PAUL MERKELCredential: DPM
Location Address500 W WHITNEY ROADPenfield, NY 14526
Mailing Address500 W Whitney RdPenfield, NY 14526-2341 · (585) 586-6100 · Fax (585) 586-6165
Fax(585) 586-6165
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 29, 2015
Last NPPES UpdateAugust 8, 2018
NPI 1093192064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in NY · 0006953
500 W WHITNEY ROAD, Penfield, NY 14526

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. Andrew Paul Merkel Dpm 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 ID446500516
PECOS Enrollment IDI20180911002450
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 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.
331 services204 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.
46 services28 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
36 services36 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
24 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

Unity Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330226
Location1555 Long Pond RoadRochester, NY 14626 · Monroe County
Emergency services Birthing friendly

Nicholas H Noyes Memorial Hospital

Acute Care Hospitals · Dansville, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330238
Location111 Clara Barton StreetDansville, NY 14437 · Livingston County
Emergency services Birthing friendly

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95
Improvement Activities40

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 Andrew Merkel's NPI number?

The NPI number for Andrew Merkel is 1093192064. It was assigned to this individual provider in the NPPES registry on April 29, 2015.

Where is Andrew Merkel located?

Andrew Merkel practices at 500 W Whitney Road, Penfield, NY 14526. The listed phone number is (585) 586-6100.

What is Andrew Merkel's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Andrew Merkel enrolled in Medicare?

Yes. Andrew Merkel 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.

Is Andrew Merkel affiliated with any hospitals?

According to CMS data, Andrew Merkel is affiliated with Rochester General Hospital, Unity Hospital and Nicholas H Noyes Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Andrew Merkel was last updated on August 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.